老年女性乳腺癌幸存者的自我倡导、以患者为中心的沟通、疼痛强度与阿片类药物污名化之间的关联。
Associations Among Self-Advocacy, Patient-Centered Communication, Pain Intensity, and Opioid Stigma in Older Adult Female Breast Cancer Survivors.
作者信息
Alsbrook Karen E, Hagan Thomas Teresa, DeVito Dabbs Annette, Diego Emilia, Scott Paul W, Hacker Eileen Danaher, Wesmiller Susan W
机构信息
Karen E. Alsbrook.
Teresa Hagan Thomas.
出版信息
Oncol Nurs Forum. 2025 Apr 23;52(3):168-178. doi: 10.1188/25.ONF.168-178.
OBJECTIVES
To describe the relationships among patient self-advocacy, patient-centered communication, pain intensity, and opioid stigma in female breast cancer survivors aged 65 years or older.
SAMPLE & SETTING: 73 women in a longitudinal study of symptoms experienced during the first year and as many as three years after breast cancer surgery.
METHODS & VARIABLES: This prospective, cross-sectional study employed a descriptive, correlational design. Participants completed instrument assessments measuring self-advocacy, patient-centered communication, pain intensity, and opioid stigma.
RESULTS
Self-advocacy correlated moderately positively with patient-centered communication. Patient-centered communication correlated moderately positively with informed decision-making.
IMPLICATIONS FOR NURSING
Nurses can empower patients with the necessary skills to self-advocate for their needs and facilitate a patient-centered clinical environment to improve outcomes.
目的
描述65岁及以上女性乳腺癌幸存者的患者自我维权、以患者为中心的沟通、疼痛强度和阿片类药物污名化之间的关系。
样本与研究背景
73名女性参与了一项纵向研究，该研究关注乳腺癌手术后第一年及长达三年期间经历的症状。
方法与变量
这项前瞻性横断面研究采用描述性、相关性设计。参与者完成了测量自我维权能力、以患者为中心的沟通、疼痛强度和阿片类药物污名化的工具评估。
结果
自我维权能力与以患者为中心的沟通呈中度正相关。以患者为中心的沟通与知情决策呈中度正相关。
对护理的启示
护士可以赋予患者必要的技能，使其能够自我主张自身需求，并营造以患者为中心的临床环境以改善治疗效果。
Zotero 插件