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基于技术的癌症疼痛管理项目在亚裔美国乳腺癌幸存者中的初步疗效

The Preliminary Efficacy of a Technology-Based Cancer Pain Management Program Among Asian American Breast Cancer Survivors.

作者信息

Chee Wonshik, Lee Yaelim, Ji Xiaopeng, Chee Eunice, Im Eun-Ok

机构信息

Author Affiliations: Duke University, Durham, North Carolina (Drs W. Chee and Im and Ms E. Chee); Chung-Ang University, Seoul, Republic of Korea (Dr Lee); University of Delaware, Newark (Dr Ji).

出版信息

Comput Inform Nurs. 2020 Mar;38(3):139-147. doi: 10.1097/CIN.0000000000000577.

Abstract

With few existing technology-based programs to support cancer pain management, the need for culturally tailored programs to support ethnic minority cancer survivors has been highlighted. The purpose of this study was to explore the preliminary efficacy of the technology-based CAncer Pain management support Program for Asian American survivors of breast cancer, a technology-based cancer pain management program, in improving the cancer pain experience of Asian American breast cancer survivors. This pilot study adopted a randomized repeated-measures pretest/posttest control group design with a sample of 94 Asian American breast cancer survivors. Study measures included the Brief Pain Inventory-Short Form, Support Care Needs Survey-34 Short Form, and Mishel Uncertainty in Illness Scale-Community. Data were analyzed using descriptive and inferential statistics including repeated-measures analysis of covariance. Although there were no significant differences in pain, there were significant changes in perceived isolation (F = 9.937, P < .01), personal resources (F = 6.612, P < .05), support care need (F = 8.299, P < .01), and degree of uncertainty (F = 8.722, P < .01) in the intervention group from pretest to posttest. These findings support the positive effects of CAncer Pain management support Program for Asian American survivors of breast cancer on the cancer pain experience of Asian American breast cancer survivors.

摘要

由于现有的基于技术的癌症疼痛管理项目很少,因此突出了对文化定制项目的需求,以支持少数族裔癌症幸存者。本研究的目的是探讨基于技术的癌症疼痛管理支持项目(一项针对亚裔美国乳腺癌幸存者的基于技术的癌症疼痛管理项目)在改善亚裔美国乳腺癌幸存者癌症疼痛体验方面的初步疗效。这项试点研究采用了随机重复测量的前测/后测对照组设计,样本为94名亚裔美国乳腺癌幸存者。研究措施包括简明疼痛问卷简表、支持性护理需求调查-34简表和米舍尔疾病不确定感量表-社区版。使用描述性和推断性统计方法(包括重复测量协方差分析)对数据进行分析。虽然疼痛方面没有显著差异,但干预组从测试前到测试后在感知孤独感(F = 9.937,P <.01)、个人资源(F = 6.612,P <.05)、支持性护理需求(F = 8.299,P <.01)和不确定程度(F = 8.722,P <.01)方面有显著变化。这些发现支持了癌症疼痛管理支持项目对亚裔美国乳腺癌幸存者癌症疼痛体验的积极影响。

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