Pain and hope in patients with cancer - A role for cognition
Pain and hope in patients with cancer - A role for cognition
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DOI：
10.1097/00002820-200302000-00009
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发表时间：
2003-02-01
期刊：
影响因子：
2.6
通讯作者：
Chen, ML
中科院分区：
文献类型：
--
作者：
Chen, ML
希望在决定癌症患者对疾病的适应方面的重要性已经得到承认。疼痛和疾病转移等压力事件可能会影响患者的希望水平。这项研究有三个目的：1）检查疾病状态对疼痛的癌症患者的希望水平的影响;（2）比较疼痛和没有疼痛的癌症患者的希望水平;（3）确定疼痛的哪些方面与希望有关。患有各种癌症诊断的患者（n = 226）完成了Herth Hope指数。通过一个客观指标（疾病分期）和一个主观指标（感知治疗效果）测量疾病状态。使用癌症疼痛量表的感知意义来测量疼痛的认知维度，而疼痛强度和缓解用于表示疼痛的感觉维度。患者的疾病阶段不影响他们的希望水平，但他们对治疗效果的看法与此因素有关。疼痛患者和无疼痛患者的希望水平没有差异。对于那些疼痛的人，疼痛的认知维度（归因于疼痛的含义）与希望显著相关，而感觉维度（疼痛强度和缓解）则没有这种相关性。研究结果支持认知在促进癌症患者心理健康方面的作用。
The importance of hope in determining the adjustment of patients with cancer to their illness has been recognized. Stressful events such as pain and disease metastasis may have an impact on patients' hope levels. This study had three purposes: 1) to examine the effect of disease status on hope levels among patients with cancer who have pain; (2) to compare the level of hope between patients with cancer who have pain and those do not; and (3) to determine which dimensions of pain are associated with hope. Patients (n = 226) with various cancer diagnoses completed the Herth Hope Index. Disease status was measured by one objective indicator (disease stage) and one subjective indicator (perceived treatment effect). The Perceived Meanings of Cancer Pain Inventory was used to measure the cognitive dimension of pain, whereas pain intensity and relief were used to represent the sensory dimension of pain. The patients' disease stage did not affect their level of hope, but their perception of treatment effect was associated with this factor. No difference in level of hope was found between patients with pain and those without pain. For those with pain, the cognitive dimension of pain (meaning ascribed to pain) was significantly correlated with hope, whereas sensory dimensions (pain intensity and relief) showed no such correlation. The study results support the role of cognition in promoting the psychological well-being of patients with cancer.