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.
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.
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。
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