Filipponi Chiara, Masiero Marianna, Pizzoli Silvia Francesca Maria, Grasso Roberto, Ferrucci Roberta, Pravettoni Gabriella
Department of Oncology and Hemato-Oncology, University of Milan, Milan, 20122, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, Milan, 20141, Italy.
Cancer Manag Res. 2022 Jul 12;14:2173-2184. doi: 10.2147/CMAR.S355653. eCollection 2022.
Cancer-related chronic pain (CP) represents a critical clinical issue through the disease, severely compromising the quality of life (QoL) of patients and the family environment. The current review employed a narrative method to synthesize the main results about the impact of cancer-related CP on QoL, adopting a multidimensional and threefold vision: patients, caregivers, and patient-caregiver perspective. Evidence emphasizes the importance of considering a bidirectional perspective (patient-caregiver) to understand better the pain experience throughout the cancer continuum and its consequences on QoL of patients and caregivers. Moreover, a holistic and multidimensional approach to cancer-related CP and its impact on QoL of patients and caregivers is still needed, in which the interconnection between physical, psychological, and social factors should be analyzed. Theoretical and methodological issues for orienting future social and family research initiatives were discussed.
癌症相关的慢性疼痛（CP）是贯穿疾病始终的一个关键临床问题，严重损害患者的生活质量（QoL）以及家庭环境。本综述采用叙述性方法，从患者、照护者以及患者 - 照护者这一多维的三重视角，综合有关癌症相关慢性疼痛对生活质量影响的主要结果。有证据强调，考虑双向视角（患者 - 照护者）对于更好地理解癌症全过程中的疼痛体验及其对患者和照护者生活质量的影响至关重要。此外，对于癌症相关慢性疼痛及其对患者和照护者生活质量的影响，仍需要一种整体的、多维的方法，其中应分析身体、心理和社会因素之间的相互联系。文中还讨论了为指导未来社会和家庭研究倡议的理论和方法问题。
