Vallerand April Hazard, Saunders Mitzi M, Anthony Maureen
College of Nursing, Wayne State University, Detroit, MI 48202, USA.
Pain Manag Nurs. 2007 Jun;8(2):55-63. doi: 10.1016/j.pmn.2007.02.001.
The purpose of this qualitative inquiry was to broaden the context for understanding perceived control as a concept related to the cancer pain response in the homecare setting. Ten patient/caregiver dyads participated in semistructured interviews focused on questions pertaining to the patients' perceived control over their own pain as well as the caregivers' control over the patients' pain. Line-by-line analysis was used to code, categorize, and analyze the data. Six themes emerged among patients: feeling robbed of the simplest of tasks and pleasures, the pain is hungry, feeling desperate, the pain is winning, fatigue/sleep disturbances, and perceived control is soothing. For the caregivers, four main themes emerged: monitoring the suffering, feeling like an outsider, inability to control the interventions, and importance of resources. Overall, patients and their caregivers were eager to discuss how their perceived lack of control over pain affected their daily lives. The results suggest perceived control over pain is an important aspect of the pain response in the homecare setting. Nurses should evaluate perceived control over pain in patients with cancer and their caregivers and implement and test potential methods for increasing perception of control over pain.
这项定性研究的目的是拓宽背景，以便在居家护理环境中更好地理解感知控制这一与癌症疼痛反应相关的概念。十对患者/照顾者参与了半结构化访谈，访谈聚焦于与患者对自身疼痛的感知控制以及照顾者对患者疼痛的控制有关的问题。采用逐行分析的方法对数据进行编码、分类和分析。患者中出现了六个主题：被最基本的任务和乐趣所剥夺、疼痛如饥似渴、感到绝望、疼痛占上风、疲劳/睡眠障碍以及感知控制令人宽慰。对于照顾者而言，出现了四个主要主题：监测痛苦、感觉像局外人、无法控制干预措施以及资源的重要性。总体而言，患者及其照顾者都渴望讨论他们对疼痛缺乏控制的感知如何影响他们的日常生活。结果表明，对疼痛的感知控制是居家护理环境中疼痛反应的一个重要方面。护士应评估癌症患者及其照顾者对疼痛的感知控制，并实施和测试提高对疼痛控制感知的潜在方法。
