患者对用于癌症疼痛的引导式意象和渐进性肌肉松弛干预措施有效性的看法。
Patients' perceptions of the effectiveness of guided imagery and progressive muscle relaxation interventions used for cancer pain.
作者信息
Kwekkeboom Kristine L, Hau Hannah, Wanta Britt, Bumpus Molly
机构信息
University of Wisconsin-Madison, School of Nursing, K6/336 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA.
出版信息
Complement Ther Clin Pract. 2008 Aug;14(3):185-94. doi: 10.1016/j.ctcp.2008.04.002. Epub 2008 Jun 19.
Relaxation and guided imagery are useful strategies for cancer pain; however, their effects vary from patient to patient. Patients' perceptions of these treatments and factors that contribute to their effectiveness have not previously been described. Data from interviews conducted after a trial of guided imagery and progressive muscle relaxation (PMR) interventions were analyzed to compare patients' perceptions of treatment effects with observed changes in pain scores, and to explore patients' ideas about factors that contributed to the effectiveness of each intervention. Post-study interviews were conducted with 26 hospitalized patients with cancer pain who had completed trials of guided imagery and PMR. In most cases, participants' perceptions of treatment effects matched observed changes in pain scores. Participants described treatment and patient characteristics that influenced effectiveness of the interventions such as active involvement in the intervention, guided instructions, providing a source of distraction, stimulating relaxation, individual abilities and preferences, and pain qualities.
放松和引导式意象法是缓解癌症疼痛的有效策略；然而，其效果因人而异。此前尚未描述过患者对这些治疗方法的看法以及影响其疗效的因素。对一项引导式意象法和渐进性肌肉松弛（PMR）干预试验后进行的访谈数据进行了分析，以比较患者对治疗效果的看法与观察到的疼痛评分变化，并探讨患者对影响每种干预效果因素的看法。对26名完成引导式意象法和PMR试验的住院癌症疼痛患者进行了研究后访谈。在大多数情况下，参与者对治疗效果的看法与观察到的疼痛评分变化相符。参与者描述了影响干预效果的治疗和患者特征，如积极参与干预、引导性指导、提供分散注意力的方式、促进放松、个人能力和偏好以及疼痛性质。
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