描述疼痛体验：全天服用阿片类药物的多发性骨髓瘤非裔美国患者。
Characterizing Pain Experiences: African American Patients With Multiple Myeloma Taking Around-the-Clock Opioids.
机构信息
University of Pittsburgh.
Emory University.
出版信息
Clin J Oncol Nurs. 2020 Oct 1;24(5):538-546. doi: 10.1188/20.CJON.538-546.
Abstract
BACKGROUND
Despite known disparities by race, studies to date have not focused on pain characterization among African American patients with multiple myeloma.
OBJECTIVES
This study aimed to characterize the pain experience, beliefs about pain and pain control, and additional symptoms among African American patients with multiple myeloma taking around-the-clock opioids.
METHODS
This study employed secondary analysis of baseline data from a completed longitudinal study of opioid adherence. Descriptive statistics were used to characterize the sample, pain experience, beliefs regarding pain and pain control, and related symptoms.
FINDINGS
Participants (N = 34) experienced everyday pain and additional symptoms, and half experienced depression. Pain management barriers included dislike of pills, fear of addiction, and bothersome side effects from pain and medication. Additional larger studies can incorporate multilevel factors contributing to high symptom burden.
摘要
背景
尽管存在众所周知的种族差异，但迄今为止的研究并未关注非裔美国多发性骨髓瘤患者的疼痛特征。
目的
本研究旨在描述正在服用全天候阿片类药物的非裔美国多发性骨髓瘤患者的疼痛体验、对疼痛和疼痛控制的信念以及其他症状。
方法
本研究采用已完成的阿片类药物依从性纵向研究的基线数据进行二次分析。采用描述性统计方法对样本、疼痛体验、对疼痛和疼痛控制的信念以及相关症状进行描述。
结果
参与者（N=34）经历了日常疼痛和其他症状，其中一半人患有抑郁症。疼痛管理障碍包括不喜欢药丸、害怕成瘾以及疼痛和药物的副作用令人烦恼。更大规模的进一步研究可以纳入导致高症状负担的多层面因素。
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本文引用的文献
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Cancer Nurs. 2020 May/Jun;43(3):E121-E131. doi: 10.1097/NCC.0000000000000786.
2
Cancer statistics, 2020.癌症统计数据，2020 年。
CA Cancer J Clin. 2020 Jan;70(1):7-30. doi: 10.3322/caac.21590. Epub 2020 Jan 8.
3
Racial disparities in treatment patterns and outcomes among patients with multiple myeloma: a SEER-Medicare analysis.多发性骨髓瘤患者治疗模式和结局的种族差异：SEER-医疗保险分析。
Blood Adv. 2019 Oct 22;3(20):2986-2994. doi: 10.1182/bloodadvances.2019000308.
4
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Haematologica. 2020 Jun;105(6):1650-1659. doi: 10.3324/haematol.2019.222299. Epub 2019 Sep 12.
5
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