Chang Ming-Chuan, Chang Yue-Cune, Chiou Jeng-Fong, Tsou Tsung-Shan, Lin Chia-Chin
Nursing Department, Sun Yat-Sen Cancer Center, Taipei Medical University Hospital, Taipei Medical University, Taiwan.
Cancer Nurs. 2002 Dec;25(6):470-6. doi: 10.1097/00002820-200212000-00012.
The purpose of this pilot study was to explore the effectiveness of a pain education program to overcome patient-related barriers in managing cancer pain for Taiwanese home care patients with cancer. The pain education program was developed based on previous studies of Taiwanese patient-related barriers to cancer pain management. The Barriers Questionnaire-Taiwan form, the Brief Pain Inventory, the Medication Adherence Questionnaire, and a demographic questionnaire were used for data collection. The sample consisted of 18 patients in the experimental group and 19 patients in the control group. Descriptive statistics, tests, and paired tests were used to analyze the data. Results of this study revealed that patients who received the pain educational program had significantly greater reduction in Barriers Questionnaire-Taiwan form scores and more improvement in medication adherence compared with patients who did not participate in the program. When compared to pretest scores, patients scores after receiving the pain education intervention showed significant improvement on the Barriers Questionnaire-Taiwan form, medication adherence, pain intensity, and pain interference. The results of this study support the effectiveness of the pain education program on overcoming the barriers to cancer pain management for Taiwanese home care patients with cancer.
这项试点研究的目的是探讨一项疼痛教育计划在克服台湾居家癌症患者管理癌症疼痛时与患者相关的障碍方面的有效性。该疼痛教育计划是基于先前对台湾患者管理癌症疼痛相关障碍的研究而制定的。使用《台湾障碍问卷》、《简明疼痛量表》、《药物依从性问卷》和一份人口统计学问卷进行数据收集。样本包括18名实验组患者和19名对照组患者。使用描述性统计、检验和配对检验来分析数据。这项研究的结果显示，与未参加该计划的患者相比，接受疼痛教育计划的患者在《台湾障碍问卷》得分上的降低幅度显著更大，在药物依从性方面的改善也更多。与预测试得分相比，患者在接受疼痛教育干预后的得分在《台湾障碍问卷》、药物依从性、疼痛强度和疼痛干扰方面均有显著改善。这项研究的结果支持了疼痛教育计划在克服台湾居家癌症患者癌症疼痛管理障碍方面的有效性。
