Kodiath M F, Kodiath A
Chronic Low Back Pain Clinic, Veterans Affairs Medical Center, San Diego, California 92161, USA.
Cancer Nurs. 1995 Jun;18(3):189-96.
Cancer is a major world health problem. Over 7 million new cases of cancer are diagnosed annually, and about half of the cases are in developing countries. Even though half of the world's cancer patients live in developing countries, < 10% of the resources committed to cancer control are available to them. Reports have shown that between 30-50% of cancer patient are either experiencing pain or being treated for it. The literature supports the idea that pain does not have the same debilitating effect in the Eastern cultures as it does in the Western cultures. Therefore, patients from both a Western and an Eastern culture were observed. This qualitative research, based on grounded theory, sampled 10 persons from India and 10 from the United States. Focused, open-ended interviews were used as the main manner of gathering data. There was a significant difference in the degree of pain experienced by each culture, which was related to available resources. The most significant finding was that the report of pain was not proportional to the quality of life and meaning found in this pain experience for each patient. This research indicates the need for health professionals to assess, implement a plan of care for, and evaluate the effectiveness of pain modalities for patients with chronic malignant pain. Health professionals need to pay attention to the experience of pain and its effect on the quality of life.
癌症是一个重大的全球健康问题。每年有超过700万例新发癌症病例被诊断出来，其中约一半病例发生在发展中国家。尽管全球一半的癌症患者生活在发展中国家，但用于癌症控制的资源中，只有不到10%可供他们使用。报告显示，30%至50%的癌症患者正在经历疼痛或正在接受疼痛治疗。文献表明，疼痛在东方文化中产生的衰弱影响与在西方文化中并不相同。因此，对来自西方文化和东方文化的患者都进行了观察。这项基于扎根理论的定性研究，从印度抽取了10人，从美国抽取了10人作为样本。聚焦式的开放式访谈被用作收集数据的主要方式。每种文化所经历的疼痛程度存在显著差异，这与可用资源有关。最显著的发现是，疼痛报告与每位患者在这种疼痛经历中所发现的生活质量和意义并不成正比。这项研究表明，健康专业人员需要对慢性恶性疼痛患者进行疼痛评估、实施护理计划并评估疼痛治疗方式的有效性。健康专业人员需要关注疼痛体验及其对生活质量的影响。
