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改善非裔美国癌症疼痛患者的功能状态：一项随机临床试验。

Improving Functional Status in African Americans With Cancer Pain: A Randomized Clinical Trial.

作者信息

Hazard Vallerand April, Hasenau Susan M, Robinson-Lane Sheria G, Templin Thomas N

机构信息

Wayne State University.

University of Michigan.

出版信息

Oncol Nurs Forum. 2018 Mar 1;45(2):260-272. doi: 10.1188/18.ONF.260-272.

DOI:10.1188/18.ONF.260-272
PMID:29466352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8376215/
Abstract

OBJECTIVES: To determine the efficacy of the Power Over Pain-Coaching (POP-C) intervention to improve functional status among African American outpatients with cancer pain.
.

SAMPLE & SETTING: 310 African American patients were recruited from an urban comprehensive cancer center. The study took place in the patients' homes.
.

METHODS & VARIABLES: A two-group randomized design with repeated measures was used. Data were analyzed with linear mixed effects regression analysis and structural equation change score models. Variables were pain, pain-related distress, functional status, perceived control over pain, and the following antecedents to control.

RESULTS: Functional status was improved in POP-C participants relative to control group participants (p < 0.05). Distress also was differentially decreased (p < 0.05). Pain intensity ratings decreased significantly in all patients (p < 0.05). The largest intervention effects were observed in the living with pain component. 
.

IMPLICATIONS FOR NURSING

Perceived control over pain was strongly related to functional status and is amenable to interventions using the POP-C intervention components described in this article.

摘要

目的

确定疼痛掌控指导（POP-C）干预措施对改善非裔美国癌症疼痛门诊患者功能状态的疗效。

样本与环境

从一家城市综合癌症中心招募了310名非裔美国患者。研究在患者家中进行。

方法与变量

采用两组重复测量随机设计。数据采用线性混合效应回归分析和结构方程变化得分模型进行分析。变量包括疼痛、疼痛相关困扰、功能状态、对疼痛的感知控制以及以下控制的先行因素。

结果

与对照组参与者相比，POP-C参与者的功能状态得到改善（p<0.05）。困扰也有差异地降低（p<0.05）。所有患者的疼痛强度评分均显著降低（p<0.05）。在疼痛生活方面观察到最大的干预效果。

对护理的启示

对疼痛的感知控制与功能状态密切相关，并且可以通过本文所述的POP-C干预成分进行干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/699aa5204f07/nihms-1728919-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/f84078e2d78c/nihms-1728919-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/e7d9c94774d4/nihms-1728919-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/8d97ab0bca4b/nihms-1728919-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/699aa5204f07/nihms-1728919-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/f84078e2d78c/nihms-1728919-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/e7d9c94774d4/nihms-1728919-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/8d97ab0bca4b/nihms-1728919-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/8376215/699aa5204f07/nihms-1728919-f0004.jpg

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