Department of Medical Oncology, Chinese PLA General Hospital, Beijing, No. 28, Fuxing Road, Haidian district, Beijing 100853, China.
Department of Medical Oncology, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, China.
Sci Rep. 2017 Jan 11;7:39397. doi: 10.1038/srep39397.
We evaluated the pain associated with cancer and its impact on pain management, anxiety, and depression in Chinese patients using a controlled cross-sectional study. One hundred and twenty-six cancer outpatients were evaluated from January 2012 to June 2014; 64 reported pain and 62 did not. Patients with cancer eligible for this study were older than 18 years and able to effectively communicate with medical personnel. Patients were administered a questionnaire regarding their medical status. The information collected was used along with patient charts to complete a socio-demographic and clinical characteristic summary for each patient. Results showed that patients who reported pain had mean State-Trait Anxiety Inventory (STAI) scores of 46.38 for state anxiety and 44.64 for trait anxiety, as well as a mean BDI (Beck Depression Inventory) score of 19.17. The pain-free patient group had mean STAI scores of 40.73 for state anxiety and 42.87 for trait anxiety, and a mean BDI score of 15.35. In conclusion, patients who reported pain were more prone to anxiety and depression, with pain severity being a strong predictor of anxiety. Adequate pain assessment and adjustment proved necessary for pain management.
我们采用对照性的横断面研究评估了癌症相关疼痛及其对中国癌症患者疼痛管理、焦虑和抑郁的影响。2012 年 1 月至 2014 年 6 月，我们对 126 名癌症门诊患者进行了评估，其中 64 名患者有疼痛症状，62 名患者无疼痛症状。符合该研究条件的癌症患者年龄大于 18 岁，能够与医务人员有效沟通。患者填写了一份关于其身体状况的问卷，所收集的信息与患者的病历相结合，为每位患者完成了一份社会人口统计学和临床特征总结。结果表明，有疼痛症状的患者状态特质焦虑量表（STAI）的状态焦虑评分均值为 46.38，特质焦虑评分为 44.64，贝克抑郁量表（BDI）评分为 19.17。无疼痛症状的患者组状态焦虑评分为 40.73，特质焦虑评分为 42.87，BDI 评分为 15.35。综上，有疼痛症状的患者更容易出现焦虑和抑郁，且疼痛严重程度是焦虑的一个强预测因素。充分的疼痛评估和调整对疼痛管理非常必要。
