Tabriz Elahe Ramezanzade, Mohammadi Reza, Roshandel Gholam Reza, Talebi Razieh
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Science, Mashhad, Iran.
Sayyad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Indian J Palliat Care. 2019 Jan-Mar;25(1):61-65. doi: 10.4103/IJPC.IJPC_137_18.
The current study was conducted aiming at the investigation of pain beliefs and perceptions and their relationship with coping strategies, stress, anxiety, and depression in patients with cancer.
Study design: This was a descriptive-correlational and cross-sectional study. Data collection tools - Demographic questionnaire, Pain Beliefs and Perceptions Inventory, Pain Coping Strategies Questionnaire (Rosenstiel and Keefe), and Depression, Anxiety, and Stress Scale were used in this study. The dataset was analyzed using descriptive and infreretial statistics that included the chi-square and one-way ANOVA with software SPSS v.16 analysis.
Findings of the study indicated that the most common belief about pain in patients is pain permanence. In addition, the most commonly used strategies for coping pain in patients were praying/hoping (25.82 ± 7.86) and self-statements (22.3 ± 10.34). Results indicated that there is a significant difference between pain coping strategies and pain control ( = 0.02). No significant difference was observed between the pain beliefs and the coping strategies ( = 0.15). Depression and anxiety level of patients was estimated as moderate, and their stress was estimated as mild. It was specified that there is a significant difference between self-blame belief and depression of patients ( = 0.01).
Understanding and identifying emotional-psychological variables in patients with chronic pains may provide a basis for implementing educational cognitive-behavioral programs for patients and the ground for increasing the ability to control the pain in nonpharmacological methods leading to promoting quality of life in these patients.
开展本研究旨在调查癌症患者的疼痛信念与认知及其与应对策略、压力、焦虑和抑郁之间的关系。
研究设计：这是一项描述性关联横断面研究。本研究使用的数据收集工具包括人口统计学问卷、疼痛信念与认知量表、疼痛应对策略问卷（罗森斯蒂尔和基夫编制）以及抑郁、焦虑和压力量表。使用社会科学统计软件包（SPSS）v.16软件对数据集进行描述性和推断性统计分析，包括卡方检验和单因素方差分析。
研究结果表明，患者对疼痛最常见的信念是疼痛持续存在。此外，患者最常用的应对疼痛的策略是祈祷/希望（25.82±7.86）和自我陈述（22.3±10.34）。结果表明，疼痛应对策略与疼痛控制之间存在显著差异（P = 0.02）。在疼痛信念与应对策略之间未观察到显著差异（P = 0.15）。患者的抑郁和焦虑水平被评估为中度，压力被评估为轻度。明确指出患者的自责信念与抑郁之间存在显著差异（P = 0.01）。
了解和识别慢性疼痛患者的情绪心理变量可为为患者实施教育性认知行为项目提供依据，也可为提高非药物方法控制疼痛的能力奠定基础，从而提高这些患者的生活质量。
