Clinical Psychology Unit, Hospital 'Città della Salute e della Scienza', Turin, Italy.
Department of Neuroscience, University of Turin, Turin, Italy.
Pain Manag. 2022 Nov;12(8):895-906. doi: 10.2217/pmt-2022-0015. Epub 2022 Sep 6.
To analyze pain considering its different bio-psycho-social-spiritual manifestations and to assess the effectiveness of the analgesic treatments in end-of-life cancer patients. The study was cross-sectional. A total of 376 end-of-life cancer inpatients participated in the research. Their socio-demographic and clinical data were collected and, during the first psychological consultancy, they filled in a set of validated rating scales assessing pain, anxiety, depression and quality of life. The results show that physical pain was well managed for almost all patients. Nevertheless, the majority showed clinically significant levels of psychological distress. Treating pain means caring for all its possible manifestations including psychological symptoms and reduced wellbeing. Thus, integrating pharmacological treatment with psycho-socio-spiritual interventions, in other words, psychological, social and spiritual support, could be effective and desirable.
分析疼痛时需考虑其不同的生物-心理-社会-精神表现，并评估在临终癌症患者中止痛治疗的效果。该研究为横断面研究。共有 376 名临终癌症住院患者参与了研究。收集了他们的社会人口统计学和临床数据，在第一次心理咨询时，他们填写了一套经验证的评分量表，评估疼痛、焦虑、抑郁和生活质量。结果表明，几乎所有患者的躯体疼痛都得到了很好的控制。然而，大多数患者都表现出了临床上显著的心理困扰。治疗疼痛意味着要关注所有可能的表现，包括心理症状和幸福感降低。因此，将药物治疗与心理-社会-精神干预相结合，也就是说，提供心理、社会和精神支持，可能是有效和可取的。
