Cohen Marlene Z, Musgrave Catherine F, McGuire Deborah B, Strumpf Neville E, Munsell Mark F, Mendoza Tito R, Gips Maya
The University of Texas Health Science Center, School of Nursing, Houston, TX 77030, USA.
Support Care Cancer. 2005 Sep;13(9):708-14. doi: 10.1007/s00520-005-0781-z. Epub 2005 Feb 19.
Little is known about Israeli elders' cancer pain experience. The purpose of this study was to explore the cancer pain experience, including pain intensity, pain management index, pain interference, symptom severity, and knowledge and attitudes toward pain and pain control.
Descriptive cross-sectional methods were used to obtain data with four instruments. The patients were 39 Israelis 65 years and older who were receiving outpatient treatment for cancer in a major hospital center in Israel.
Results showed that over half (56.7%) reported severe worst pain and had negative pain management indexes (56.4%). In addition, knowledge and attitudes toward pain and pain control were poor (54.55%). There were no significant relationships between pain intensity and other variables. However, pain interference demonstrated a significant positive relationship with symptom severity. Post hoc analysis revealed that Ashkenazi Jewish and more educated patients reported significantly less pain interference than Sephardic Jewish patients.
Larger samples representative of the cultural differences in Israel are needed to more definitively identify elements of the cancer pain experience in Israeli elders that can be addressed to improve pain management.
关于以色列老年人的癌症疼痛经历，人们了解甚少。本研究的目的是探索癌症疼痛经历，包括疼痛强度、疼痛管理指数、疼痛干扰、症状严重程度以及对疼痛和疼痛控制的认知与态度。
采用描述性横断面研究方法，使用四种工具获取数据。患者为39名65岁及以上的以色列人，他们在以色列一家大型医院中心接受癌症门诊治疗。
结果显示，超过半数（56.7%）的患者报告有严重的最痛程度，且疼痛管理指数为负（56.4%）。此外，对疼痛和疼痛控制的认知与态度较差（54.55%）。疼痛强度与其他变量之间无显著关系。然而，疼痛干扰与症状严重程度呈显著正相关。事后分析显示，阿什肯纳兹犹太人和受教育程度较高的患者报告的疼痛干扰明显少于西班牙裔犹太患者。
需要更大规模、能代表以色列文化差异的样本，以便更确切地确定以色列老年人癌症疼痛经历中的因素，从而改善疼痛管理。
