Reply to Ali.
Reply to Ali.
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回复阿里。
DOI：
10.1097/j.pain.0000000000002996
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发表时间：
2023
期刊：
影响因子：
7.4
通讯作者：
Schreiber,KristinL
中科院分区：
文献类型：
--
作者：
Azizoddin,DesireeR;Wilson,JennaM;Schreiber,KristinL
我们要感谢Ali博士对我们关于住院癌症患者疼痛和阿片类药物给药的文章的评论。3 . Ali博士重要地扩展了我们的研究结果，即心理社会因素与住院癌症患者更严重的日常疼痛有关。具体来说，他们扩展了我们的建议，即非药物行为干预可能对医院环境中的癌症和疼痛患者特别有益。阿里指出，一个特别简单的行为改变是可以实现的——减少住院期间的睡眠中断。保护睡眠质量对于减轻住院期后的疼痛可能也很重要。我们之前曾报道过，基线睡眠障碍是乳腺癌手术后持续疼痛的独立预测因素，并且在癌症手术后的第一年，睡眠和疼痛继续相互关联。在一组癌症慢性疼痛患者的门诊队列中，我们也观察到睡眠障碍是与更严重的疼痛和干扰相关的一致因素。因此，旨在促进睡眠卫生的干预措施可能是未来旨在改善癌症疼痛结果的研究的有效途径。
We would like to acknowledge and thank Dr. Ali for their comments regarding our article on pain and opioid administration in hospitalized patients with cancer. 3 Dr. Ali importantly extends the discussion about our findings that psychosocial factors are associated with more severe daily pain among hospitalized cancer patients. Specifically, they expand upon our recommendations that nonpharmacologic behavioral interventions may be especially beneficial for patients with cancer and pain in the hospital setting.Dr. Ali points to one particularly simple behavioral change that could be implemented—reducing sleep disruptions during hospitalization. Protecting the quality of sleep is likely important for reducing pain beyond the inpatient period as well. We have previously reported that baseline sleep disturbance is an independent predictor of persistent pain after breast cancer surgery 5 and that sleep and pain continue to be interconnected throughout the first year after an index cancer surgery. 2, 3 Among an outpatient cohort of chronic pain patients with cancer, we also observed that sleep disturbance was a consistent factor associated with worse pain severity and interference. 1 Thus, interventions aimed at promoting sleep hygiene may be a fruitful avenue for future research aimed at improving cancer pain outcomes.