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COVID-19期间患有慢性疼痛的癌症患者及其护理人员:一项描述性研究。

Cancer Patients with Chronic Pain and Their Caregivers during COVID-19: A Descriptive Study.

作者信息

Costeira Cristina, Paiva-Santos Filipe, Pais Nelson, Sousa Ana Filipa, Paiva Ivo, Carvalho Dulce Helena, Rocha Ana, Ventura Filipa

机构信息

ciTechCare, Rua de Santo André-66-68, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal.

Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal.

出版信息

Nurs Rep. 2023 Jun 26;13(3):934-945. doi: 10.3390/nursrep13030082.

Abstract

BACKGROUND

The sanitary measures imposed by COVID-19 intensified challenges in the pain management of cancer patients.

METHODS

A descriptive study was conducted in a chronic pain unit of an oncological hospital aiming to explore the experiences of cancer patients with chronic pain and their caregivers during the pandemic period, as well as identify strategies to improve care in chronic pain management. An electronic questionnaire was developed containing sociodemographic variables, the Depression, Anxiety and Stress Scale-21, and open-ended questions exploring the experiences and circumstances of pain management.

RESULTS

A total of 30 patients and 13 caregivers filled in the questionnaire. Patients revealed a higher level of depression, anxiety, and stress than caregivers, without statistically significant differences. Both groups mentioned having experienced difficulties in self-care, particularly in relation to sleep, nutrition, and recreation. In total, 83.7% patients needed pain relief medication related to uncontrolled pain. Both mentioned that they would have benefited from a digital application to ease the communication with the healthcare professionals of the chronic pain unit, as well as non-pharmacological interventions, such as therapeutic massage.

CONCLUSIONS

Recognizing that chronic pain leads to significant limitations, it is essential to implement and anticipate objective and effective responses in pain management.

摘要

背景

新冠疫情实施的卫生措施加剧了癌症患者疼痛管理方面的挑战。

方法

在一家肿瘤医院的慢性疼痛科开展了一项描述性研究,旨在探索癌症慢性疼痛患者及其照护者在疫情期间的经历,并确定改善慢性疼痛管理护理的策略。编制了一份电子问卷,其中包含社会人口统计学变量、抑郁、焦虑和压力量表-21,以及探索疼痛管理经历和情况的开放式问题。

结果

共有30名患者和13名照护者填写了问卷。患者的抑郁、焦虑和压力水平高于照护者,但无统计学显著差异。两组均提到在自我护理方面遇到困难,尤其是在睡眠、营养和娱乐方面。总计83.7%的患者因疼痛控制不佳需要止痛药物。双方均表示,数字应用程序有助于他们与慢性疼痛科的医护人员沟通,以及非药物干预措施,如治疗性按摩,会对他们有益。

结论

认识到慢性疼痛会导致严重限制,在疼痛管理中实施并预先采取客观有效的应对措施至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e9a/10366767/b823fc26ee54/nursrep-13-00082-g001.jpg

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