Ferrell B R, Grant M, Chan J, Ahn C, Ferrell B A
City of Hope National Medical Center, Duarte, CA, USA.
Oncol Nurs Forum. 1995 Sep;22(8):1211-8.
PURPOSE/OBJECTIVES: To examine the impact of pain education on family members providing home care to elderly patients with cancer.
Quasiexperimental.
Homes of selected patients from two California medical centers.
Fifty family caregivers of patients experiencing cancer-related pain.
The pain education program included three components: pain assessment, pharmacologic interventions, and nonpharmacologic interventions. Patients and their family caregivers were evaluated prior to initiation of the program and at one and three weeks following the interventions.
Quality of life (QOL); knowledge and attitudes about pain; and caregiver burden.
Findings based on measures of QOL and caregiver burden demonstrated the physical and psychological impact of family caregiving and pain management. Comparison between elderly patients with cancer and family caregivers revealed the pain experience's significant impact on family members caring for a loved one in pain.
The pain education program was effective in improving knowledge and attitudes regarding pain management.
Pain management is a priority for nurses, and use of interventions such as structured pain education improves QOL outcomes for elderly patients and their family caregivers.
目的/目标：探讨疼痛教育对为老年癌症患者提供居家护理的家庭成员的影响。
准实验性研究。
加利福尼亚州两家医疗中心选定患者的家中。
50名照顾患癌症相关疼痛患者的家庭护理人员。
疼痛教育项目包括三个部分：疼痛评估、药物干预和非药物干预。在项目启动前以及干预后1周和3周对患者及其家庭护理人员进行评估。
生活质量（QOL）；对疼痛的知识和态度；以及护理人员负担。
基于生活质量和护理人员负担测量的结果表明了家庭护理和疼痛管理对身体和心理的影响。老年癌症患者与家庭护理人员之间的比较显示，疼痛经历对照顾疼痛亲人的家庭成员有重大影响。
疼痛教育项目在提高有关疼痛管理的知识和态度方面是有效的。
疼痛管理是护士的首要任务，使用结构化疼痛教育等干预措施可改善老年患者及其家庭护理人员的生活质量结果。
