Matthie Nadine, McMillan Susan C
School of Nursing, University of North Carolina in Chapel Hill.
College of Nursing, University of South Florida in Tampa.
Clin J Oncol Nurs. 2014 Apr;18(2):205-10. doi: 10.1188/14.CJON.205-210.
Ninety percent of patients with advanced cancer are reported to experience pain at some time during the course of their illness. This pain usually is improperly evaluated because it varies by patient and is difficult to control. Pain often cannot be conceptualized because of the individual nature of patient experience; however, patterns of pain occur in those suffering from similar conditions. This secondary analysis was conducted to examine the characteristics of pain in individuals with advanced cancer. The sample consisted of 717 patients with cancer who were receiving hospice home care in the southeastern United States. An understanding of the total pain experience, including type of pain and pain location, is important for addressing pain in patients with cancer in hospice care. More effective strategies are needed for pain management in this patient population. In addition, steps need to be taken to ensure that hospice care is understood by and made available to minorities.
据报道，90%的晚期癌症患者在病程中的某个时候会经历疼痛。这种疼痛通常评估不当，因为它因患者而异且难以控制。由于患者体验的个体性质，疼痛往往难以概念化；然而，患有相似病症的患者会出现疼痛模式。进行这项二次分析是为了研究晚期癌症患者的疼痛特征。样本包括在美国东南部接受临终关怀家庭护理的717名癌症患者。了解整个疼痛体验，包括疼痛类型和疼痛部位，对于处理临终关怀护理中癌症患者的疼痛很重要。需要更有效的策略来管理这一患者群体的疼痛。此外，需要采取措施确保少数群体能够理解并获得临终关怀护理。
