Ransom Sean, Azzarello Lora M, McMillan Susan C
Department of Psychiatry, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School/The Cancer Institute of New Jersey, New Brunswick, NJ, 08903, USA.
Res Nurs Health. 2006 Jun;29(3):190-8. doi: 10.1002/nur.20129.
Published pain management guidelines recommend that caregivers of cancer pain patients be provided pain management education, but little is known about the utility of providing such information. This study examined recruitment and retention of cancer pain patients and caregivers for a randomized clinical trial that provided psychoeducation and stress management training to caregivers. Of 397 patient/caregiver dyads screened, only 22 (5.5%) were study eligible, consented to participate, and completed the study. A variety of problems hampered successful participation, including a high proportion of non-cancer-related pain syndromes among patients, a high proportion of patients without caregivers, and participants' perception of study burden. Results suggest that researchers should recruit from a broad patient base and limit study burden on participants.
已发布的疼痛管理指南建议，应为癌症疼痛患者的护理人员提供疼痛管理教育，但对于提供此类信息的效用知之甚少。本研究调查了癌症疼痛患者及其护理人员参与一项随机临床试验的招募和留存情况，该试验为护理人员提供心理教育和压力管理培训。在筛查的397对患者/护理人员中，只有22对（5.5%）符合研究条件、同意参与并完成了研究。各种问题阻碍了成功参与，包括患者中与癌症无关的疼痛综合征比例较高、没有护理人员的患者比例较高以及参与者对研究负担的认知。结果表明，研究人员应从广泛的患者群体中招募，并减轻参与者的研究负担。
