School of Nursing, Oakland University, Rochester Hills, Michigan.
The Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, Vermont.
Pain Manag Nurs. 2022 Oct;23(5):640-645. doi: 10.1016/j.pmn.2022.02.004. Epub 2022 Mar 12.
High rates of pain impede quality of life for persons with advanced cancer. Research has identified barriers to cancer pain control. Little has been written, however, about the unique motivating goals and individual pain management behaviors of persons with cancer-related pain.
To describe motivating factors and pain management behaviors used.
Quantitative content analysis.
Outpatient palliative care Participants: 27 persons with cancer pain.
We analyzed deidentified audio recordings from participants who had completed motivational interviewing interventions to discuss functional pain goals. We organized data into a priori conceptual categories: (1) Pain as an Obstacle, (2) Life with Controlled Pain, (3) What Helped Pain Before, (4) Suggestions Used to Control Pain, and (5) Patient Help-Seeking. Unique behaviors, attitudes, and personal states were counted and organized categorically.
Medians for discussed concepts ranged from 0.5-3 occurrences across a sample of 108 interviews. The least discussed concept was Help-Seeking and the most frequently discussed was Controlled Pain based on personal motivations.
Current cancer pain assessment tools do not capture the unique complexities of cancer pain motivating behaviors, or personal functional goals, and thus hinder nurses' capacity to provide tailored care across patient encounters. Until a measure with specificity to capture unique patient goals is developed, nurses must rely on their own skills to comprehend if and how motivating factors could benefit individual cancer pain management plans.
晚期癌症患者的高疼痛率会影响生活质量。研究已经确定了癌症疼痛控制的障碍。然而，关于癌症相关疼痛患者的独特激励目标和个体疼痛管理行为的研究却很少。
描述激励因素和使用的疼痛管理行为。
定量内容分析。
门诊姑息治疗。
27 名癌症疼痛患者。
我们分析了完成动机访谈干预以讨论功能性疼痛目标的参与者的匿名音频记录。我们将数据组织成预先确定的概念类别：（1）疼痛作为障碍，（2）控制疼痛的生活，（3）之前有助于疼痛的情况，（4）用于控制疼痛的建议，以及（5）患者寻求帮助。独特的行为、态度和个人状态被计数并分类组织。
在对 108 次访谈的样本中，讨论过的概念中位数为 0.5-3 次。讨论最少的概念是寻求帮助，而根据个人动机，最常讨论的概念是控制疼痛。
目前的癌症疼痛评估工具无法捕捉癌症疼痛激励行为或个人功能目标的独特复杂性，从而阻碍了护士在患者就诊过程中提供个性化护理的能力。在开发出具有特异性以捕捉独特患者目标的测量工具之前，护士必须依靠自己的技能来理解激励因素是否以及如何有益于个体的癌症疼痛管理计划。
