University of Connecticut School of Nursing, Storrs, Conneticut.
University of Connecticut School of Nursing, Storrs, Conneticut.
Pain Manag Nurs. 2022 Aug;23(4):486-493. doi: 10.1016/j.pmn.2021.10.002. Epub 2021 Nov 15.
Cancer pain prevalence remains high, and variance in self-efficacy for managing pain may explain why some patients experience greater pain severity.
This study explored perceptions of self-efficacy in relation to cancer pain severity and treatment related characteristics.
A descriptive cross-sectional survey was administered to 50 cancer outpatients. Data analysis involved descriptive and correlational statistical analyses.
Self-efficacy to manage pain was significantly associated with time since diagnosis and ability to deal with frustration, and inversely associated with pain severity level. A large proportion of patients reported low satisfaction self-managing their pain. Most patients reported independently self-managing their cancer pain; however, satisfaction with pain management was low for a large proportion of patients. Time since cancer diagnosis and ability to deal with frustration due to cancer pain were positively associated with cancer pain self-efficacy, whereas pain self-efficacy had a significant inverse correlation with cancer pain severity.
Enhancing self-efficacy to self-manage under-treated cancer pain is important with implications for improving pain outcomes and quality of life. Further investigation on unmet needs and preferences for cancer pain self-management support is warranted.
癌症疼痛的患病率仍然很高，而自我效能感在管理疼痛方面的差异可能解释了为什么有些患者经历更严重的疼痛。
本研究探讨了与癌症疼痛严重程度和治疗相关特征相关的自我效能感的认知。
对 50 名癌症门诊患者进行了描述性横断面调查。数据分析包括描述性和相关性统计分析。
管理疼痛的自我效能感与诊断后时间和应对挫折的能力显著相关，与疼痛严重程度水平呈负相关。很大一部分患者报告对自我管理疼痛的满意度低。大多数患者报告独立地自我管理癌症疼痛；然而，很大一部分患者对疼痛管理的满意度较低。癌症诊断后时间和因癌症疼痛而产生的应对挫折的能力与癌症疼痛自我效能感呈正相关，而癌症疼痛自我效能感与癌症疼痛严重程度呈显著负相关。
增强自我效能感以自我管理治疗不足的癌症疼痛很重要，这对改善疼痛结局和生活质量有影响。需要进一步调查未满足的需求和对癌症疼痛自我管理支持的偏好。
