Effects of brief pain education on hospitalized cancer patients with moderate to severe pain
Effects of brief pain education on hospitalized cancer patients with moderate to severe pain
复制标题
DOI：
10.1007/s00520-004-0626-1
复制
发表时间：
2004-09-01
影响因子：
3.1
通讯作者：
Chen, ML
中科院分区：
文献类型：
--
作者：
Lai, YH;Guo, SL;Chen, ML
本随机对照研究的目的是评估结构化疼痛教育计划对住院癌症患者疼痛体验的影响。符合条件的癌性疼痛患者被随机分为实验组（每天接受疼痛教育10-15分钟，共5天，n=15）和标准护理对照组（n=15）。使用三种工具评估干预对六个疼痛相关变量的影响。疼痛强度、疼痛对日常生活的干扰、对阿片类药物的负面信念、对疼痛耐受性的信念、疼痛灾难化（个体倾向于关注和夸大疼痛刺激的威胁价值，并消极评价自己处理疼痛的能力）、对疼痛的控制感采用台湾版疼痛简易量表（BPI-T）、疼痛与阿片类镇痛信念量表-癌症量表（POABS-CA）进行评估。应对策略问卷（CSQ）中的灾难化子量表和疼痛控制感量表。结果表明，在完成治疗后，接受结构化疼痛教育的患者的平均疼痛强度、对阿片类药物的负面疼痛信念、疼痛耐力信念和疼痛灾难化显著低于对照组患者。此外，疼痛教育组的患者对疼痛的控制感显著增加。这些初步结果强烈提示，有组织的疼痛教育能有效改善肿瘤住院患者的疼痛体验，应在临床进一步推广。
The purpose of this randomized controlled study was to assess the effects of a structured pain education program on the pain experience of hospitalized cancer patients. Eligible cancer pain patients were randomly assigned to either an experimental group (receiving pain education 10-15 min per day for 5 days, n=15) or a standard care control group (n=15). The effects of the intervention on six pain-related variables were evaluated using three instruments. Pain intensity, pain interference with daily life, negative beliefs about opioids, beliefs about endurance of pain, pain catastrophizing (an individual's tendency to focus on and exaggerate the threat value of painful stimuli and negatively evaluate his or her own ability to deal with pain), and sense of control over pain were evaluated by the Brief Pain Inventory-Short Form Taiwanese version (BPI-T), Pain and Opioid Analgesic Beliefs Scale-Cancer (POABS-CA), and the Catastrophizing subscale and the sense of control over pain measure from the Coping Strategies Questionnaire (CSQ). The results indicated that, after completing treatment, patients who had received structured pain education had significantly less pain intensity on average, negative pain beliefs regarding opioids, pain endurance beliefs, and pain catastrophizing than patients in the control group. In addition, patients in the pain education group showed a significant increase in their sense of control over pain. These preliminary results strongly suggest that structured pain education can effectively improve the pain experience of hospitalized cancer patients and should be further implemented clinically.