探讨胰腺癌患者健康-疾病转归体验与痛苦之间的关系。
Exploring the Relationship Between Health-Illness Transition Experiences and Distress Among Patients With Pancreatic Cancer.
机构信息
Memorial Sloan Kettering Cancer Center.
Hunter College.
出版信息
Oncol Nurs Forum. 2023 Aug 17;50(5):625-633. doi: 10.1188/23.ONF.625-633.
OBJECTIVES
To explore the correlation between health-illness transition (HIT) experiences and distress among patients with pancreatic cancer.
SAMPLE & SETTING: 55 patients with a diagnosis of pancreatic cancer receiving chemotherapy at a tertiary cancer center in New York.
METHODS & VARIABLES: A prospective correlational study was performed to explore the frequency, extent, and management of HITs. HITs were evaluated using the Measurement of Transitions in Cancer Scale, and distress was measured with the National Comprehensive Cancer Network Distress Thermometer.
RESULTS
All patients experienced at least one HIT. The extent of HITs decreased over time. Patients reported that they managed HITs moderately well. There was a significant correlation between unmanaged HITs and distress. As distress increased, the extent of the physical and emotional HITs increased and management worsened.
IMPLICATIONS FOR NURSING
HITs are ubiquitous among patients diagnosed with pancreatic cancer. Associated distress inhibits management. Nurses are well suited to assess for potential HITs and to support self-management of HITs.
目的
探讨胰腺癌患者健康-疾病过渡期（HIT）体验与痛苦之间的相关性。
样本和设置
55 名在纽约一家三级癌症中心接受化疗的胰腺癌确诊患者。
方法和变量
采用前瞻性相关研究来探讨 HIT 的频率、程度和管理。使用癌症过渡期测量量表评估 HIT，使用国家综合癌症网络痛苦温度计测量痛苦。
结果
所有患者均经历过至少一次 HIT。HIT 的程度随时间逐渐降低。患者报告称他们能够较好地管理 HIT。未管理的 HIT 与痛苦之间存在显著相关性。随着痛苦的增加，身体和情绪 HIT 的程度增加，管理也随之恶化。
对护理的意义
胰腺癌患者普遍存在 HIT。相关痛苦会抑制管理。护士非常适合评估潜在的 HIT，并支持 HIT 的自我管理。
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