癌症疼痛体验中的性别和种族差异：美国的一项多民族调查。
Gender and ethnic differences in cancer pain experience: a multiethnic survey in the United States.
作者信息
Im Eun-Ok, Chee Wonshik, Guevara Enrique, Liu Yi, Lim Hyun-Ju, Tsai Hsiu-Min, Clark Maresha, Bender Melinda, Suk Kim Kyung, Hee Kim Young, Shin Hyunjeong
机构信息
School of Nursing, University of Texas at Austin, USA.
出版信息
Nurs Res. 2007 Sep-Oct;56(5):296-306. doi: 10.1097/01.NNR.0000289502.45284.b5.
BACKGROUND
Inconsistent findings on ethnic differences in cancer pain experience suggest the need for further studies on this topic for adequate cancer pain management.
OBJECTIVES
To determine ethnic differences in cancer pain experience of four ethnic groups in the United States.
METHODS
A feminist perspective was used as the theoretical basis. This was a survey of a multiethnic sample of 480 cancer patients asking questions on sociodemographic characteristics and health or illness status, 3 unidimensional cancer pain scales, 2 multidimensional cancer pain scales, the Memorial Symptom Assessment Scale, and the Functional Assessment of Cancer Therapy Scale. The data were analyzed using descriptive and inferential statistics including ANOVA and hierarchical multiple regression analyses.
RESULTS
The results indicated certain ethnic differences in types of pain and symptoms that patients experienced. Also, the results demonstrated significant ethnic differences in cancer pain and functional status.
DISCUSSION
The findings suggest further in-depth qualitative exploration on cultural values and beliefs related to cancer pain in each ethnic group and national studies with a larger number of ethnic minorities on this topic.
背景
关于癌症疼痛体验中种族差异的研究结果不一致，这表明需要对该主题进行进一步研究，以实现充分的癌症疼痛管理。
目的
确定美国四个种族群体在癌症疼痛体验方面的种族差异。
方法
以女性主义视角作为理论基础。这是一项对480名癌症患者的多民族样本进行的调查，询问了社会人口学特征、健康或疾病状况、3个单维癌症疼痛量表、2个多维癌症疼痛量表、纪念症状评估量表以及癌症治疗功能评估量表等问题。使用描述性和推断性统计方法对数据进行分析，包括方差分析和分层多元回归分析。
结果
结果表明患者在疼痛类型和症状方面存在一定的种族差异。此外，结果还显示在癌症疼痛和功能状态方面存在显著的种族差异。
讨论
研究结果表明需要对每个种族群体中与癌症疼痛相关的文化价值观和信仰进行进一步深入的定性探索，并针对该主题开展有更多少数族裔参与的全国性研究。
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