Tamai Nao, Mugita Yuko, Ikeda Mari, Sanada Hiromi
Department of Gerontological Nursing/Wound Care Management, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 113-0033, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Department of Nursing Administration and Advanced Clinical Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 113-0033, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Eur J Oncol Nurs. 2016 Oct;24:8-12. doi: 10.1016/j.ejon.2016.05.004. Epub 2016 Jul 21.
Skin metastasis is one of the most frequent metastases in breast cancer patients. Patients with malignant wounds experience numerous symptoms, including serious wound pain. However, the features of pain related to malignant wounds have not been investigated. Nurses can experience a dilemma when treating these patients due to a lack of knowledge of the pain. The aims of this study were to examine the quality and intensity of malignant wound pain and to determine the association between wound status and pain in the patients with malignant wounds.
Cross-sectional study was conducted. Participants were recruited from a breast centre based in a general hospital. We collected the patients' demographic and wound management data and assessed wound condition. Patients evaluated wound pain intensity and quality over the preceding week using the short-form McGill Pain Questionnaire (SF-MPQ). The association between SF-MPQ results, wound condition, and the time interval for wound care was evaluated using the Spearman's correlation coefficient. The protocol was approved by the Ethical Committee of the each facilities.
The median age of the 22 enrolled patients was 61.5 years, and the median time after diagnosis of malignant wound was 15.5 months. Overall, 77.3% of patients complained of pain. Malignant wound pain significantly correlated with the degradation of wound edges, granulation tissue, and the time interval for wound care.
We consider that it is necessary to provide pain-control care focused on the wound edge and granulation tissue of malignant wounds through the assessment of malignant wound pain and condition.
皮肤转移是乳腺癌患者最常见的转移之一。患有恶性伤口的患者会经历多种症状，包括严重的伤口疼痛。然而，与恶性伤口相关的疼痛特征尚未得到研究。由于对疼痛缺乏了解，护士在治疗这些患者时可能会陷入两难境地。本研究的目的是检查恶性伤口疼痛的性质和强度，并确定恶性伤口患者的伤口状况与疼痛之间的关联。
进行横断面研究。参与者从一家综合医院的乳腺中心招募。我们收集了患者的人口统计学和伤口管理数据，并评估了伤口状况。患者使用简式麦吉尔疼痛问卷（SF-MPQ）评估前一周的伤口疼痛强度和性质。使用Spearman相关系数评估SF-MPQ结果、伤口状况和伤口护理时间间隔之间的关联。该方案已获得各机构伦理委员会的批准。
22名入组患者的中位年龄为61.5岁，恶性伤口诊断后的中位时间为15.5个月。总体而言，77.3%的患者抱怨疼痛。恶性伤口疼痛与伤口边缘、肉芽组织的退化以及伤口护理的时间间隔显著相关。
我们认为有必要通过评估恶性伤口疼痛和状况，针对恶性伤口的边缘和肉芽组织提供疼痛控制护理。
