Tailoring treatment approaches to the individualized needs of cancer patients with pain
Tailoring treatment approaches to the individualized needs of cancer patients with pain
复制标题
根据癌症疼痛患者的个性化需求定制治疗方法
作者：
J. Dalton;C. Lambe
认知行为和行为干预已经成功地用于治疗与癌症无关的慢性疼痛，是一种可接受的治疗心理生物学因素，包括与癌症患者疼痛相关的情感表达。然而，由于诸如疾病进展和潜在反应性结果的测量等混杂因素，测试复杂多维方案的有效性是困难的。患者被纳入理论上强个体化治疗方案5周，在第9周和第17周进行随访观察。每周策略的选择有助于实现患者选择的预处理目标。干预措施旨在达到心理生物学结果，如减少不准确的期望，增加使用积极的比较和积极的自我陈述，减少自主神经觉醒，提高自我效能。两个案例研究提供了治疗需求和临床护理现实的个体差异的例子。
Cognitive-behavioral and behavioral interventions, which have been successfully used to manage chronic pain unrelated to cancer, are an acceptable treatment for the psychobiological factors, including the expression of feelings, associated with pain in cancer patients. However, testing the effectiveness of complex multidimensional programs is difficult because of confounding factors such as progression of disease and measurement of potentially reactive outcomes. Patients were enrolled in theoretically strong individualized treatment programs for 5 weeks, with follow-up observation at 9 and 17 weeks. Weekly strategies were chosen to contribute to the achievement of patient-selected pretreatment goals. Interventions were designed to achieve psychobiological outcomes such as a decrease in inaccurate expectations, an increase in the use of positive comparisons and positive self-statements, a decrease in autonomic arousal, and promotion of self-efficacy. Two case studies provide examples of individual differences in treatment needs and the realities of clinical care.