Utne Inger, Miaskowski Christine, Bjordal Kristin, Paul Steven M, Jakobsen Gunnhild, Rustøen Tone
Oslo University College, Faculty of Nursing, Oslo, Norway.
Palliat Support Care. 2008 Dec;6(4):327-34. doi: 10.1017/S1478951508000527.
The aims of this study were to describe hope in a sample of hospitalized oncology patients in pain and to determine if various demographic, clinical, and pain characteristics were related to hope. In addition, the individual item and total Herth Hope Index (HHI) scores for these oncology inpatients with pain were compared with those from the general Norwegian population.
Oncology inpatients in pain (n = 225) were recruited from the Norwegian Radium Hospital. The research instruments included the HHI, the Brief Pain Inventory (BPI), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Data were analyzed using descriptive statistics, Pearson's correlations, and one-sample t tests.
Total HHI scores in oncology inpatients with pain were comparable to a similar sample in Taiwan. The Norwegian oncology inpatients reported significantly higher total HHI scores than the general Norwegian population. The largest difference was on the item "I feel scared about my future." No relationships were found between total HHI scores and any of the pain intensity scores. Significant relationships were found between total HHI scores and the more psychosocial interference items on BPI and sleep.
The higher levels of hope in the oncology inpatients with pain compared with the general Norwegian population may reflect a "response shift" in the patients' evaluation of hope. Although the difference is relatively small, it may represent a clinically meaningful difference. The fact that significant relationships were found between HHI scores and the more psychosocial interference scores on BPI suggest that hope may be more related to psychosocial effects on pain than on its physical effects.
本研究旨在描述疼痛状态下住院肿瘤患者样本中的希望水平，并确定各种人口统计学、临床和疼痛特征是否与希望相关。此外，还将这些疼痛状态下的肿瘤住院患者的个人项目得分和赫思希望指数（HHI）总分与挪威普通人群的得分进行比较。
从挪威镭医院招募疼痛状态下的肿瘤住院患者（n = 225）。研究工具包括HHI、简明疼痛问卷（BPI）和欧洲癌症研究与治疗组织生活质量问卷（EORTC QLQ-C30）。使用描述性统计、Pearson相关性分析和单样本t检验对数据进行分析。
疼痛状态下肿瘤住院患者的HHI总分与台湾的类似样本相当。挪威肿瘤住院患者报告的HHI总分显著高于挪威普通人群。最大差异体现在“我对自己的未来感到害怕”这一项目上。未发现HHI总分与任何疼痛强度得分之间存在关联。发现HHI总分与BPI上更多的社会心理干扰项目以及睡眠之间存在显著关联。
与挪威普通人群相比，疼痛状态下肿瘤住院患者的希望水平较高，这可能反映了患者对希望评估中的一种“反应转移”。尽管差异相对较小，但可能代表了临床上有意义的差异。HHI得分与BPI上更多的社会心理干扰得分之间存在显著关联，这一事实表明，希望可能更多地与疼痛的社会心理影响而非身体影响相关。
