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经历不同类型癌症相关疼痛的患者在治疗结果上的差异。

Differences in outcomes among patients experiencing different types of cancer-related pain.

作者信息

Burrows M, Dibble S L, Miaskowski C

机构信息

UCSF-Mount Zion Medical Center, USA.

出版信息

Oncol Nurs Forum. 1998 May;25(4):735-41.

PMID:9599356
Abstract

PURPOSE/OBJECTIVES: To determine differences in pain characteristics, mood states, and quality of life (QOL) in outpatients with different types of cancer-related pain (i.e., somatic, visceral, or neuropathic) compared to outpatients who were pain-free.

DESIGN

Descriptive, comparative.

SETTING

Sixteen outpatient facilities that are part of the Oncology Nursing Research Network.

SAMPLE

A convenience sample of 129 outpatients who experienced cancer-related pain and 169 pain-free patients, all of whom were actively being treated for cancer.

METHODS

All patients completed a demographic questionnaire, the Multidimensional Quality of Life Scale-Cancer, and the Profile of Mood States, Patients with pain completed a Cancer Pain Questionnaire and the McGill Pain Questionnaire. Patients' medical records were reviewed.

MAIN RESEARCH VARIABLES

Types of cancer-related pain (i.e., somatic visceral, or neuropathic), pain intensity, pain duration, quality of pain, QOL, and mood states.

FINDINGS

No differences were found in any pain characteristics or any pain indices from the word descriptors of the McGill Pain Questionnaire. Patients with somatic and visceral pain had significantly higher fatigue scores than pain-free patients. In addition, patients with somatic and visceral pain had significantly lower physical well-being, nutrition, and total QOL scores and more symptom distress than pain-free patients.

CONCLUSIONS

The type of cancer-related pain appears to influence the mood states and QOL of outpatients with cancer.

IMPLICATIONS FOR NURSING PRACTICE

Oncology nurses need fo determine the type of pain the patient is experiencing and the impact of the pain on the patient's mood and QOL.

摘要

目的/目标:确定不同类型癌症相关疼痛(即躯体性、内脏性或神经性)的门诊患者与无疼痛门诊患者在疼痛特征、情绪状态和生活质量(QOL)方面的差异。

设计

描述性、比较性。

地点

肿瘤护理研究网络的16个门诊机构。

样本

129名经历癌症相关疼痛的门诊患者和169名无疼痛患者的便利样本,所有患者均正在积极接受癌症治疗。

方法

所有患者完成一份人口统计学问卷、多维癌症生活质量量表和情绪状态量表,疼痛患者完成癌症疼痛问卷和麦吉尔疼痛问卷。查阅患者的病历。

主要研究变量

癌症相关疼痛的类型(即躯体性、内脏性或神经性)、疼痛强度、疼痛持续时间、疼痛性质、生活质量和情绪状态。

结果

从麦吉尔疼痛问卷的文字描述中未发现任何疼痛特征或疼痛指标存在差异。躯体性和内脏性疼痛患者的疲劳评分显著高于无疼痛患者。此外,躯体性和内脏性疼痛患者的身体状况、营养和总体生活质量得分显著低于无疼痛患者,且症状困扰更多。

结论

癌症相关疼痛的类型似乎会影响癌症门诊患者的情绪状态和生活质量。

对护理实践的启示

肿瘤护士需要确定患者所经历的疼痛类型以及疼痛对患者情绪和生活质量的影响。

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