Edrington Janet, Sun Angela, Wong Candice, Dodd Marylin, Padilla Geraldine, Paul Steven, Miaskowski Christine
School of Nursing, University of California, San Francisco, USA.
Oncol Nurs Forum. 2010 Mar;37(2):172-81. doi: 10.1188/10.ONF.172-181.
PURPOSE/OBJECTIVES: To describe the pain experience of Chinese American patients with cancer and to examine the relationships among pain characteristics, demographic characteristics, performance status, self-reported analgesic use, mood disturbances, and patients' acculturation levels.
Descriptive, correlational, cross-sectional study.
Three community-based oncology facilities in the San Francisco, CA, Bay area.
50 Chinese Americans who reported experiencing pain from cancer.
Participants completed in their preferred language a demographic questionnaire, the Karnofsky Performance Status Scale, the Brief Pain Inventory, the Hospital Anxiety and Depression Scale, the Suinn-Lew Asian Self-Identity Acculturation Scale, and information about analgesic use. Descriptive and correlational statistics were used to evaluate data.
Pain intensity, pain interference, performance status, anxiety, depression, analgesic use, and acculturation level.
Most of the patients reported moderate to severe pain and moderate levels of interference. Lower levels of acculturation were associated with higher least and worst pain intensity scores and higher pain interference scores. Anxiety and depression scores were in the moderate range. Higher depression scores were associated with higher pain interference scores. Self-reported analgesic use for 62% of the patients was classified as inadequate.
A significant percentage of Chinese American patients experience moderate to severe cancer pain that affects their mood and their ability to function.
Nurses should assume a proactive role in assessing the physical, emotional, and cognitive dimensions of pain in Chinese American patients. Future research should evaluate the cancer pain experience of these vulnerable patients and develop and test culturally appropriate interventions.
目的/目标：描述华裔美国癌症患者的疼痛体验，并研究疼痛特征、人口统计学特征、功能状态、自我报告的镇痛药物使用情况、情绪障碍与患者文化适应水平之间的关系。
描述性、相关性横断面研究。
加利福尼亚州旧金山湾区的三个社区肿瘤治疗机构。
50名报告患有癌症疼痛的华裔美国人。
参与者用他们喜欢的语言完成一份人口统计学问卷、卡氏功能状态量表、简明疼痛问卷、医院焦虑抑郁量表、苏因-刘亚洲自我认同文化适应量表以及有关镇痛药物使用的信息。使用描述性和相关性统计来评估数据。
疼痛强度、疼痛干扰、功能状态、焦虑、抑郁、镇痛药物使用和文化适应水平。
大多数患者报告有中度至重度疼痛以及中度的疼痛干扰。较低的文化适应水平与较高的最低和最严重疼痛强度评分以及较高的疼痛干扰评分相关。焦虑和抑郁评分处于中等范围。较高的抑郁评分与较高的疼痛干扰评分相关。62%的患者自我报告的镇痛药物使用被归类为不足。
相当比例的华裔美国患者经历中度至重度癌症疼痛，这影响了他们的情绪和功能能力。
护士应在评估华裔美国患者疼痛的身体、情感和认知方面发挥积极作用。未来的研究应评估这些脆弱患者的癌症疼痛体验，并开发和测试适合其文化背景的干预措施。
