Hsu Tsui-Hsia, Lu Meei-Shiow, Tsou Tsung-Shan, Lin Chia-Chin
Taipei Medical University, Graduate institute of Nursing, 250 Wu-Hsing Street, Taipei 110, Taiwan.
J Pain Symptom Manage. 2003 Sep;26(3):835-42. doi: 10.1016/s0885-3924(03)00257-4.
The impact of cancer pain on the quality of life of lung cancer patients is obvious, but the relationship of cancer pain to uncertainty and level of hope in cancer patients is not clear and has been the subject of only a few studies. The purpose of this study is to look at the relationship of pain to uncertainty and hope in Taiwanese lung cancer patients. A cross-sectional and descriptive correlational design was used in this study. A convenience sample of lung cancer patients was recruited from chest medicine and oncology inpatient units at three teaching hospitals in the Taipei area of Taiwan. The research instruments included the Brief Pain Inventory-Chinese version (BPI-C), Mishel's Uncertainty Illness Scale (MUIS), and the Herth Hope Index (HHI). Data were analyzed using descriptive statistics, Pearson's correlation, and multiple regression. A total of 164 subjects were recruited, including 79 patients with cancer pain and 85 patients without cancer pain. The major findings were: 1) there were significant differences in level of uncertainty and level of hope between patients with cancer pain and those without. Patients with cancer pain reported higher levels of uncertainty and lower levels of hope than did patients without cancer pain; 2) pain severity was not significantly related to level of uncertainty; however, pain interference with daily life was positively correlated to level of uncertainty; 3) both pain severity and pain interference were negatively correlated with level of hope; and 4) after controlling for pain severity and pain interference, uncertainty was a significant predictor of level of hope. Important implications for future studies are discussed.
癌症疼痛对肺癌患者生活质量的影响显而易见，但癌症疼痛与癌症患者的不确定性和希望水平之间的关系尚不清楚，且仅有少数研究涉及此主题。本研究旨在探讨台湾肺癌患者疼痛与不确定性和希望之间的关系。本研究采用横断面描述性相关设计。从台湾台北地区三家教学医院的胸内科和肿瘤科住院病房招募了肺癌患者的便利样本。研究工具包括简明疼痛问卷中文版（BPI-C）、米舍尔疾病不确定性量表（MUIS）和赫思希望指数（HHI）。数据采用描述性统计、皮尔逊相关性分析和多元回归进行分析。共招募了164名受试者，其中79名有癌症疼痛患者和85名无癌症疼痛患者。主要研究结果如下：1）有癌症疼痛患者与无癌症疼痛患者在不确定性水平和希望水平上存在显著差异。有癌症疼痛患者报告的不确定性水平高于无癌症疼痛患者，而希望水平低于无癌症疼痛患者；2）疼痛严重程度与不确定性水平无显著相关性；然而，疼痛对日常生活的干扰与不确定性水平呈正相关；3）疼痛严重程度和疼痛干扰均与希望水平呈负相关；4）在控制疼痛严重程度和疼痛干扰后，不确定性是希望水平的显著预测因素。文中讨论了对未来研究的重要启示。
