Miaskowski C, Dibble S L
Department of Physiological Nursing, University of California, San Francisco, USA.
Oncol Nurs Forum. 1995 Jun;22(5):791-7.
PURPOSE/OBJECTIVES: To determine the prevalence and causes of pain in a group of outpatients with breast cancer and to evaluate the effects of pain on the patient's activities of daily living (ADL), mood, and quality of life (QOL).
Descriptive and correlational.
Sixteen outpatient facilities that are part of the Oncology Nursing Research Network.
A convenience sample of 97 outpatients who were actively being treated for breast cancer.
Patients completed a demographic questionnaire, a cancer pain questionnaire, the Profile of Mood States, and the Multidimensional Quality of Life Scale--Cancer. Patients' medical records were reviewed.
Pain intensity, pain duration, changes in ADL, changes in mood, and changes in QOL.
Forty-seven percent of the patients with breast cancer reported experiencing cancer-related pain. Patients with cancer-related pain had significantly higher mood disturbance scores and significantly lower QOL scores.
Pain is a significant problem for outpatients with breast cancer that negatively affects mood, QOL, and functional status.
Future research is needed to determine the most effective strategies for treating pain associated with breast cancer. In addition, oncology nurses should perform ongoing assessments of patients' pain and the impact of the pain on various aspects of patients' lives.
目的/目标：确定一组乳腺癌门诊患者疼痛的患病率及原因，并评估疼痛对患者日常生活活动（ADL）、情绪和生活质量（QOL）的影响。
描述性和相关性研究。
肿瘤护理研究网络的16个门诊机构。
97名正在接受乳腺癌积极治疗的门诊患者的便利样本。
患者完成一份人口统计学调查问卷、一份癌症疼痛问卷、情绪状态剖面图和多维生活质量量表——癌症版。查阅患者的病历。
疼痛强度、疼痛持续时间、ADL变化、情绪变化和QOL变化。
47%的乳腺癌患者报告经历过与癌症相关的疼痛。患有与癌症相关疼痛的患者情绪障碍得分显著更高，QOL得分显著更低。
疼痛是乳腺癌门诊患者的一个重要问题，对情绪、QOL和功能状态有负面影响。
需要进一步研究以确定治疗与乳腺癌相关疼痛的最有效策略。此外，肿瘤护士应持续评估患者的疼痛以及疼痛对患者生活各个方面的影响。
