Coping With Pain Severity, Distress, and Consequences in Women With Ovarian Cancer.
Coping With Pain Severity, Distress, and Consequences in Women With Ovarian Cancer.
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DOI：
10.1097/ncc.0000000000000376
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发表时间：
2017
期刊：
影响因子：
2.6
通讯作者：
Donovan H
中科院分区：
文献类型：
--
作者：
Gilbertson-White S;Campbell G;Ward S;Sherwood P;Donovan H
自我调节可以帮助理解卵巢癌女性的疼痛管理工作。自我调节是以问题为中心的应对和以情绪为中心的应对的平行过程;以问题为中心的应对涉及旨在直接解决/减少问题的努力，而以情绪为中心的应对旨在管理负面情绪。描述用于管理疼痛严重程度、痛苦和后果的以问题和情绪为中心的应对策略的类型，并评估是否存在平行处理的证据（即，使用以问题和情绪为中心的策略的组合）。纳入了来自癌症症状横断面研究的女性（N=162），这些女性在过去一周内报告疼痛是最常见的症状。皮尔森相关性和t检验被用来评估变量之间的关系。在0-10量表上，平均（±SD）疼痛严重程度为5.5（±2.7）。平均4.6（±2.1）应对策略。积极管理和计划是最常见的问题为重点的策略;放松是最常见的情绪为重点的策略。尝试的应对策略、表达情感和寻求情感支持的总数较高，与疼痛困扰和后果评分较高相关，积极管理疼痛与疼痛严重程度较高相关。有卵巢癌病史的女性继续经历剧烈的疼痛。平行处理的部分支持被发现。这两种类型的应对策略的相对好处是不清楚的。需要对疼痛和应对策略的有效性进行彻底评估，以帮助妇女确定最适合她们的策略。
Self-regulation can be useful in understanding pain management efforts in women with ovarian cancer. Self-regulation is a parallel process of problem-focused and emotion-focused coping; problem-focused coping involves efforts aimed at solving/reducing the problem directly while emotion-focused coping is aimed at managing negative emotions. To describe the types of problem- and emotion-focused coping strategies used to manage pain severity, distress, and consequences, and to evaluate whether there was evidence of parallel processing (i.e. use of a combination of both problem- and emotion-focused strategies). Women (N=162) from a cross-sectional study of cancer symptoms who reported pain as a most noticed symptom in the past week were included. Pearson correlations and t-tests were used to evaluate relationships among the variables. Mean (±SD) pain severity was 5.5(±2.7) on a 0-10 scale. An average of 4.6(±2.1) coping strategies were reported. Actively manage and planning were the most frequent problem-focused strategies; relaxation was the most frequent emotion-focused strategy. Higher total number of coping strategies attempted, expressing emotions, and seeking emotional support were associated with higher pain distress and consequences scores and actively managing pain was associated with higher pain severity. Women with a history of ovarian cancer continue to experience severe pain. Partial support for parallel processing was found. The relative benefits of the two types of coping strategies are unclear. Thorough assessment of pain and the effectiveness of coping strategies is needed to help women identify strategies that work best for them.