Patients and family members: The role of knowledge and attitudes in cancer pain
Patients and family members: The role of knowledge and attitudes in cancer pain
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DOI：
10.1016/0885-3924(96)00124-8
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发表时间：
1996-10-01
影响因子：
4.7
通讯作者：
Johnson, KM
中科院分区：
文献类型：
--
作者：
Elliott, BA;Elliott, TE;Johnson, KM
癌症疼痛理论上包括感觉、情感和认知维度，这意味着患者和家庭成员基于这些因素感知和报告癌症疼痛。本文报告的研究调查了特定知识和态度（认知因素）与患者和家属对癌症疼痛报告之间的关系。通过对122名患者及其家属的访谈，调查了认知因素与癌症疼痛报告之间的关系。使用简明疼痛量表测量疼痛;使用作者以前开发的表格测量知识和态度。患者和家属报告的患者疼痛和性能状态是高度相关的，虽然家庭成员一贯报告更多的疼痛和残疾。使用回归分析，认知因素与患者疼痛的家庭报告密切相关（R-2 = 0.27），但对解释患者自己报告的疼痛贡献不大（R-2 = 0.06）。对患者疼痛评估的进一步理解取决于对其他认知因素以及感觉和情感因素的进一步调查。家属对疼痛的评估与适当的知识和态度有显著相关。
Cancer pain, theoretically comprises sensory, affective, and cognitive dimensions, implying that patients and family members perceive and report cancer pain based on these factors. The study reported here investigated the relationship between specific knowledge and attitudes (cognitive factors), and patients' and family members' reports of pain, due to cancer The relationship between cognitive factors and reports of cancer pain was investigated in interviews with 122 patients and their family members. Pain was measured using the Brief Pain Inventory; knowledge and attitudes were measured using a form previously developed by the authors. Patients' and family members' reports of patient pain and performance status were highly correlated, although family members consistently reported more pain and disability. Using regression analysis, cognitive factors were strongly related to family reports of patients pain (R-2 = 0.27), but contributed little to explaining pain reported by patients themselves (R-2 = 0.06). Improved understanding of patients' pain assessments depends on further investigation of other cognitive factors and of sensory and affective factors. Family members' assessments of pain are significantly related to appropriate Knowledge and attitudes.