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癌症疼痛与生活质量。

Cancer Pain and Quality of Life.

作者信息

Rodriguez Carmen, Ji Ming, Wang Hsiao-Lan, Padhya Tapan, McMillan Susan C

机构信息

Carmen Rodriguez, PhD, ANP-BC, AOCN, is associate professor, University of South Florida-College of Nursing, Tampa. Ming Ji, PhD, is professor, University of South Florida-College of Nursing, Tampa. Hsiao-Lan Wang, PhD, RN, CMSRN, ACSM EP-C, is associate professor, University of South Florida-College of Nursing, Tampa. Tapan Padhya, MD, is professor, College of Medicine, University of South Florida-Health, H. Lee Moffitt Cancer Center, Tampa. Susan C. McMillan, PhD, ARNP, FAAN, is distinguished professor, University of South Florida-College of Nursing, Tampa.

出版信息

J Hosp Palliat Nurs. 2019 Apr;21(2):116-123. doi: 10.1097/NJH.0000000000000507.

Abstract

Cancer pain is an unrelenting symptom with the potential to alter the quality of life of patients. To adequately manage pain, nurses caring for cancer patients need to fully understand each patient's pain experience. The purpose of this study was to identify the intensity, distress, frequency, or constancy of pain in patients treated for cancer or cancer symptoms and to better understand patient barriers to pain management. This cross-sectional study included patients (N = 105) treated for cancer or cancer symptoms at 2 outpatient medical centers. Assessments included the Pain Barriers Scale, the Cancer Symptom Scale, and the Multidimensional QOL Scale-Cancer. Descriptive statistics and Spearman correlations were used to analyze the data. Sixty-nine percent of patients reported present pain of moderate to severe intensity that caused distress, was frequent/constant, or interfered with their lives. Patients with the greatest pain distress reported the greatest intensity of pain (r = 0.77) and the greatest interference (r = 0.78) with daily lives. Cancer pain was associated with significant distress and interference with life activities and occurred frequently or constantly for many study patients.

摘要

癌症疼痛是一种持续不断的症状,有可能改变患者的生活质量。为了充分管理疼痛,护理癌症患者的护士需要充分了解每位患者的疼痛经历。本研究的目的是确定接受癌症或癌症症状治疗的患者的疼痛强度、痛苦程度、频率或持续性,并更好地了解患者在疼痛管理方面的障碍。这项横断面研究纳入了在2个门诊医疗中心接受癌症或癌症症状治疗的患者(N = 105)。评估包括疼痛障碍量表、癌症症状量表和多维生活质量量表-癌症版。采用描述性统计和Spearman相关性分析数据。69%的患者报告目前存在中度至重度疼痛,这种疼痛导致痛苦、频繁/持续出现或干扰了他们的生活。疼痛痛苦程度最高的患者报告疼痛强度最大(r = 0.77),对日常生活的干扰也最大(r = 0.78)。癌症疼痛与严重的痛苦和对生活活动的干扰相关联,并且在许多研究患者中频繁或持续出现。

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