Ward S E, Berry P E, Misiewicz H
School of Nursing, University of Wisconsin-Madison 53792-2455, USA.
Res Nurs Health. 1996 Jun;19(3):205-11. doi: 10.1002/(SICI)1098-240X(199606)19:3<205::AID-NUR4>3.0.CO;2-O.
Patients receiving curative treatment for cancer have concerns about reporting pain and using analgesics. These concerns are associated with underutilization of analgesics. To extend knowledge about such concerns to the context of palliative care, the concerns of hospice patients and family caregivers were compared. Within 5 days of admission to hospice, 35 patients with cancer and their caregivers each completed a measure of eight concerns such as fear of addiction, worry about tolerance, and worry about side effects. There was no correlation between caregiver and patient concerns and means for the two groups were similar, indicating that within a given dyad either the patient or the caregiver may have greater concerns. The findings highlight the need for patient and caregiver education about reporting pain and using analgesics.
接受癌症根治性治疗的患者在报告疼痛和使用镇痛药方面存在顾虑。这些顾虑与镇痛药使用不足有关。为了将此类顾虑的相关知识扩展到姑息治疗领域，对临终关怀患者及其家庭照护者的顾虑进行了比较。在入住临终关怀机构的5天内，35名癌症患者及其照护者各自完成了一项关于八项顾虑的测评，如害怕成瘾、担心耐受性以及担心副作用等。照护者和患者的顾虑之间没有相关性，两组的均值相似，这表明在特定的二元组合中，患者或照护者可能有更大的顾虑。研究结果凸显了对患者和照护者进行关于报告疼痛和使用镇痛药教育的必要性。
