Bibi Rukhsana, Maneewat Khomapak, Sangchan Hathairat, Sae-Sia Wipa
Master of Nursing Science in Adult and Gerontological Nursing, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Surgical Nursing Department, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Belitung Nurs J. 2022 Jun 28;8(3):258-265. doi: 10.33546/bnj.2022. eCollection 2022.
Breast cancer is the most commonly diagnosed cancer in women; it is also the second-leading cause of death from cancer. Persistent pain after breast cancer surgery is a serious clinical problem that negatively impacts the health-related quality of life of breast cancer survivors. Although persistent post-surgical pain following breast cancer surgery has long been under-reported; however, it is less explored in Pakistan's geographical background.
The study aimed to examine the persistent post-surgical pain after breast cancer surgery and its relationship to health-related quality of life among Pakistani women.
A descriptive correlational research design was employed in this study. The Brief Pain Inventory Short Form (BPI-SF) was used to assess the persistent post-surgical pain. The Functional Assessment of Cancer Therapy-Breast (FACT-B) was used to measure the health-related quality of life. Data were collected between February and May 2019 from Pakistani women who have undergone breast cancer surgery for at least three months and attended follow-up visits at two tertiary care hospitals in Pakistan. A Spearman's correlation coefficient was used for data analysis.
The study included 91 Pakistani women. The participants were all females, with an average age of 45.6 years ( 6.53). The majority received radical mastectomy ( = 84, 92.3%) with adjuvant therapy ( = 91, 100%). The prevalence of breast surgery-related persistent pain was 100%, with 63 (69.2%) rating the pain as moderate to severe and reported neuropathic pain. The data analysis revealed a statistically significant negative correlation between BPI-SF items and FACT-B dimensions ( = -.43, < 0.01). The participants appeared to show the highest score of the FACT-B in the social/family well-being ( = 16.58, = 3.44). The lowest score of the FACT-B was physical well-being ( = 6.98, = 6.38).
Persistent post-surgical pain has a negative impact on the health-related quality of life of Pakistani women breast cancer survivors, particularly on their physical well-being. Therefore, follow-up care of breast cancer survivors after treatment completion requires proper persistent pain-relief treatments and interventions to control pain and maintain health-related quality of life in oncology and research in this sphere. This basic knowledge from this study will enlighten the nurses and health care professionals to pay more attention to pain management and regular evaluation of persistent post-surgical pain after breast cancer surgery in order to improve their health-related quality of life.
乳腺癌是女性中最常被诊断出的癌症；它也是癌症死亡的第二大主要原因。乳腺癌手术后的持续性疼痛是一个严重的临床问题，会对乳腺癌幸存者与健康相关的生活质量产生负面影响。尽管乳腺癌手术后长期存在的术后疼痛一直未得到充分报道；然而，在巴基斯坦的地理背景下，对此的研究较少。
本研究旨在调查巴基斯坦女性乳腺癌手术后的持续性术后疼痛及其与健康相关生活质量的关系。
本研究采用描述性相关性研究设计。使用简明疼痛问卷简表（BPI-SF）评估持续性术后疼痛。使用癌症治疗功能评估-乳腺癌（FACT-B）来衡量与健康相关的生活质量。2019年2月至5月期间，从在巴基斯坦两家三级护理医院接受乳腺癌手术至少三个月并参加随访的巴基斯坦女性中收集数据。采用Spearman相关系数进行数据分析。
该研究纳入了91名巴基斯坦女性。参与者均为女性，平均年龄为45.6岁（6.53）。大多数人接受了根治性乳房切除术（n = 84，92.3%）并接受了辅助治疗（n = 91，100%）。与乳房手术相关的持续性疼痛患病率为100%，其中63人（69.2%）将疼痛评为中度至重度，并报告有神经性疼痛。数据分析显示，BPI-SF项目与FACT-B维度之间存在统计学上显著的负相关（r = -.43，p < 0.01）。参与者似乎在社会/家庭幸福感方面FACT-B得分最高（M = 16.58，SD = 3.44）。FACT-B得分最低的是身体健康（M = 6.98，SD = 6.38）。
持续性术后疼痛会对巴基斯坦女性乳腺癌幸存者与健康相关的生活质量产生负面影响，尤其是对她们的身体健康。因此，在治疗完成后，对乳腺癌幸存者的后续护理需要适当的持续性疼痛缓解治疗和干预措施，以控制疼痛并维持肿瘤学领域中与健康相关的生活质量并进行该领域的研究。本研究的这些基础知识将启发护士和医疗保健专业人员更加关注疼痛管理以及对乳腺癌手术后持续性术后疼痛的定期评估，以提高她们与健康相关的生活质量。
