指导肺癌患者报告癌症疼痛的效果。
Effects of coaching patients with lung cancer to report cancer pain.
作者信息
Wilkie Diana, Berry Donna, Cain Kevin, Huang Hsiu-Ying, Mekwa Julia, Lewis Frances, Gallucci Betty, Lin Yu-Chuan, Chen Angela Chia-Chen, Ko Nai-Ying
机构信息
University of Illinois at Chicago, USA
出版信息
West J Nurs Res. 2010 Feb;32(1):23-46. doi: 10.1177/0193945909348009.
The authors have examined the effects of coaching sensory self-monitoring and reporting on pain-related variables in patients with lung cancer. Randomly assigned to coached or not-coached groups, 215 patients have their interactions with their providers audiotaped and complete study measures pre- and postintervention. Of the 151 patients who complete the 4-week study, those coached are more likely than those not coached to give their providers unsolicited sensory pain information and to mention it before their providers ask for it. The mean number of pain parameters discussed during the audiotaped clinic visit is statistically larger at study end for the coached group. Scores for analgesic adequacy, all pain indices except one, anxiety, depression, and catastrophizing coping are not significantly different. Although coaching increases the amount of pain data communicated to providers by patients with lung cancer, the magnitude is small and does not lead to improved adequacy of analgesics prescribed for each patient's pain level.
作者研究了指导感觉自我监测和报告对肺癌患者疼痛相关变量的影响。215名患者被随机分为接受指导组和未接受指导组，他们与医护人员的互动被录音，并在干预前后完成研究测量。在完成4周研究的151名患者中，接受指导的患者比未接受指导的患者更有可能主动向医护人员提供感觉性疼痛信息，并且在医护人员询问之前就提及疼痛。在研究结束时，接受指导组在录音门诊就诊期间讨论的疼痛参数平均数量在统计学上更多。镇痛充分性评分、除一项之外的所有疼痛指标、焦虑、抑郁和灾难化应对方面的评分没有显著差异。虽然指导增加了肺癌患者向医护人员传达的疼痛数据量，但增幅较小，并未导致根据每位患者疼痛水平开具的镇痛药充分性得到改善。
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