Dalton J A, Lambe C
University of North Carolina-Chapel Hill School of Nursing 27599-7298, USA.
Cancer Nurs. 1995 Jun;18(3):180-8.
Cognitive-behavioral and behavioral interventions, which have been successfully used to manage chronic pain unrelated to cancer, are an acceptable treatment for the psychobiological factors, including the expression of feelings, associated with pain in cancer patients. However, testing the effectiveness of complex multidimensional programs is difficult because of confounding factors such as progression of disease and measurement of potentially reactive outcomes. Patients were enrolled in theoretically strong individualized treatment programs for 5 weeks, with follow-up observation at 9 and 17 weeks. Weekly strategies were chosen to contribute to the achievement of patient-selected pretreatment goals. Interventions were designed to achieve psychobiological outcomes such as a decrease in inaccurate expectations, an increase in the use of positive comparisons and positive self-statements, a decrease in autonomic arousal, and promotion of self-efficacy. Two case studies provide examples of individual differences in treatment needs and the realities of clinical care.
认知行为干预和行为干预已成功用于管理与癌症无关的慢性疼痛，对于癌症患者疼痛相关的心理生物学因素（包括情感表达）而言，是一种可接受的治疗方法。然而，由于疾病进展和潜在反应性结果的测量等混杂因素，测试复杂多维项目的有效性很困难。患者参加了理论上强大的个体化治疗项目，为期5周，并在第9周和第17周进行随访观察。每周选择的策略有助于实现患者选择的治疗前目标。干预措施旨在实现心理生物学结果，如减少不准确的期望、增加积极比较和积极自我陈述的使用、降低自主唤醒水平以及促进自我效能感。两个案例研究提供了治疗需求个体差异和临床护理实际情况的示例。
