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癌症疼痛患者的情绪状态与睡眠质量:与慢性每日头痛患者的比较

Mood state and quality of sleep in cancer pain patients: a comparison to chronic daily headache.

作者信息

Wang Ruenn-Ching, Wang Shuu-Jiun, Chang Yue-Cune, Lin Chia-Chin

机构信息

Graduate Institute of Nursing, Taipei Medical University, Taipei, Taiwan.

出版信息

J Pain Symptom Manage. 2007 Jan;33(1):32-9. doi: 10.1016/j.jpainsymman.2006.06.013.

Abstract

Cancer pain is commonly believed to be a unique type of pain and dissimilar to noncancer pain; however, only limited research efforts have been directed at examining this belief. The aim of this study was to explore whether patients with chronic daily headache (CDH) and patients with chronic cancer pain (CCP) present with different pain, mood, and sleep quality profiles. Forty-seven patients diagnosed with CDH were matched by age and gender with 47 patients with CCP. The research instruments included the Brief Pain Inventory-Chinese version, the Profile of Mood States Short Form, and the Pittsburgh Sleep Quality Index-Taiwan Form (PSQI-T). Results revealed that there was no difference in pain intensity between the patients with CDH and those with CCP; however, the CCP group reported significantly higher mean levels of pain interference with daily life than did the CDH group. These two groups did not differ on the Total Mood Disturbance score; however, the CCP group reported significantly lower mean levels of vigor than did the CDH group. Moreover, there was no difference on the PSQI-T total score between these two groups; however, the CDH group reported higher mean scores of sleep disturbance, higher mean scores of use of sleep medications, lower mean scores of sleep efficiency, and lower mean scores of daytime dysfunction than did the CCP group. Despite some differences between these two groups, pain, mood, and sleep quality profiles in these two types of pain groups are similar.

摘要

癌症疼痛通常被认为是一种独特的疼痛类型,与非癌症疼痛不同;然而,针对这一观点进行研究的工作却非常有限。本研究的目的是探讨慢性每日头痛(CDH)患者和慢性癌症疼痛(CCP)患者在疼痛、情绪和睡眠质量方面是否存在差异。47名被诊断为CDH的患者与47名CCP患者按年龄和性别进行匹配。研究工具包括中文版简明疼痛问卷、简式情绪状态量表和台湾版匹兹堡睡眠质量指数(PSQI-T)。结果显示,CDH患者和CCP患者在疼痛强度上没有差异;然而,CCP组报告的疼痛对日常生活的干扰平均水平显著高于CDH组。这两组在总情绪困扰得分上没有差异;然而,CCP组报告的活力平均水平显著低于CDH组。此外,这两组在PSQI-T总分上没有差异;然而,CDH组报告的睡眠干扰平均得分更高、使用睡眠药物的平均得分更高、睡眠效率的平均得分更低以及日间功能障碍的平均得分更低。尽管这两组之间存在一些差异,但这两种疼痛类型组的疼痛、情绪和睡眠质量情况相似。

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