接受足部反射疗法试验的晚期乳腺癌女性的疼痛和精神结局。
Pain and Spirituality Outcomes Among Women With Advanced Breast Cancer Participating in a Foot Reflexology Trial.
机构信息
Michigan State University.
Shanghai Pudong Development Bank.
出版信息
Oncol Nurs Forum. 2021 Jan 4;48(1):31-43. doi: 10.1188/21.ONF.31-43.
OBJECTIVES
To examine pain and spirituality, demographic and clinical factors associated with pain and spirituality, the contribution of spirituality to experiences of pain over time, and how pain and spirituality relate to engagement with a caregiver-delivered intervention.
SAMPLE & SETTING: Women with advanced breast cancer (N = 256) enrolled in a home-based randomized controlled trial of foot reflexology.
METHODS & VARIABLES: Secondary analyses were conducted with baseline and postintervention data. Stepwise model building, linear mixed-effects modeling, and negative binomial regression were used.
RESULTS
Participants who were younger, not married or partnered, not employed, or receiving hormonal therapy had increased odds of higher pain levels. Those who were older, non-White, or Christian had increased odds of higher spirituality. Spirituality's contribution to pain was not significant over time.
IMPLICATIONS FOR NURSING
Women in this sample experienced moderate pain, on average, at baseline. Women with specific demographic and clinical characteristics may require additional support with pain management and spiritual care.
目的
探讨疼痛与灵性、与疼痛和灵性相关的人口统计学和临床因素、灵性随时间推移对疼痛体验的贡献，以及疼痛和灵性如何与接受护理人员提供的干预措施相关。
样本和设置
参加足部反射疗法家庭为基础的随机对照试验的 256 名晚期乳腺癌女性。
方法和变量
采用基线和干预后数据进行二次分析。采用逐步模型构建、线性混合效应模型和负二项回归。
结果
年龄较小、未婚或未伴侣、未就业或正在接受激素治疗的参与者疼痛程度更高的可能性增加。年龄较大、非白人和基督教徒的灵性水平更高的可能性增加。灵性对疼痛的贡献在时间上并不显著。
对护理的意义
该样本中的女性在基线时平均经历中度疼痛。具有特定人口统计学和临床特征的女性可能需要额外的疼痛管理和精神关怀支持。
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