Differences in pain knowledge in cancer patients with and without pain.

Differences in pain knowledge in cancer patients with and without pain.
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有疼痛和无疼痛的癌症患者的疼痛知识差异。

DOI：
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发表时间：
1997
期刊：
Cancer Practice
影响因子：
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通讯作者：
M. Wallhagan
M. Wallhagan
中科院分区：
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文献类型：
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作者：
K. Yeager;C. Miaskowski;S. Dibble;M. Wallhagan

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目的 作者确定：1)有无癌相关疼痛的肿瘤科门诊患者对疼痛的知识是否存在差异；2)选定的患者特征(年龄、性别、教育程度、卡诺夫斯基表现状态、疼痛强度和疼痛持续时间)与肿瘤科门诊有癌相关疼痛的患者的疼痛知识之间是否存在关系。 学习说明 369名肿瘤科门诊患者完成了几份自我报告问卷，包括人口统计学问卷、衡量疼痛和疼痛管理知识的疼痛体验量表、卡诺夫斯基表现量表和衡量疼痛强度和疼痛持续时间的描述性数字评级量表。 结果 癌症相关疼痛的患者比无疼痛的患者更了解疼痛及其管理(P&lt；0.004)。然而，在两组中，平均知识得分都低于60%。与年轻患者相比，患有癌症相关疼痛的老年患者对疼痛的了解更少(P&lt；0.0001)。此外，受过更多教育和报告疼痛强度得分较高的癌症疼痛患者对疼痛和疼痛管理有更多的知识。最后，患有癌症疼痛的女性比男性更了解疼痛和疼痛管理。 临床意义 这项研究的结果表明，有疼痛和无疼痛的肿瘤患者需要更多关于疼痛的教育和有效的疼痛管理策略。
PURPOSE The authors determined: 1) whether there were differences in knowledge about pain between oncology outpatients with and without cancer-related pain and 2) whether there were relationships between selected patient characteristics (age, gender, education, Karnofsky performance status, pain intensity, and pain duration) and the knowledge about pain of oncology outpatients with cancer-related pain. DESCRIPTION OF STUDY Three hundred sixty-nine oncology outpatients completed several self-report questionnaires including a demographic questionnaire, a pain experience scale that measured knowledge about pain and pain management, the Karnofsky performance scale, and descriptive numeric rating scales that measured pain intensity and pain duration. RESULTS Patients with cancer-related pain knew significantly more about pain and its management than pain-free patients (P < 0.004). However, in both groups, mean knowledge scores were below 60%. Older patients with cancer-related pain had less knowledge about pain than younger patients (P < 0.0001). In addition, patients with cancer pain who had more education and those with higher reported pain intensity scores had more knowledge about pain and pain management. Finally, women with cancer pain had more knowledge than men about pain and pain management. CLINICAL IMPLICATIONS Results of this study suggest that oncology patients with and without pain need more education about pain and effective pain management strategies.