Deng Di, Fu Ling, Zhao Yun Xiong, Wu Xin, Zhang Gong, Liang Chen, Xie Cong Hua, Zhou Yun Feng
Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, China.
Am J Hosp Palliat Care. 2012 Feb;29(1):53-9. doi: 10.1177/1049909111418636. Epub 2011 Aug 25.
To evaluate the relationship between pain and quality of life (QoL) in patients newly admitted to Wuhan Hospice Center, China. A total of 1,634 patients were analyzed in this retrospective study. A Numerical Rating Scale and Chinese-QoL instrument were used to assess pain score and QoL, respectively. Most patients experienced moderate to severe pain, which significantly impaired QoL. The pain was significantly correlated with appetite, mood, sleep, fatigue, pain intensity, daily activity, side effect, general appearance, and support from family. But there was no correlation with support from society, understanding of cancer, or attitude toward treatment. In our study, the relationship between pain and QoL was found to be reciprocal. The staff can offer a multidisciplinary care perspective for improving hospice care for this special group of population.
评估中国武汉临终关怀中心新入院患者疼痛与生活质量(QoL)之间的关系。本回顾性研究共分析了1634例患者。分别使用数字评定量表和中文版生活质量量表评估疼痛评分和生活质量。大多数患者经历中度至重度疼痛,这显著损害了生活质量。疼痛与食欲、情绪、睡眠、疲劳、疼痛强度、日常活动、副作用、总体外观以及家庭支持显著相关。但与社会支持、对癌症的了解或对治疗的态度无关。在我们的研究中,发现疼痛与生活质量之间的关系是相互的。工作人员可以提供多学科护理视角,以改善对这一特殊人群的临终关怀。