Assessment of pain, acceptance of illness, adjustment to life with cancer and coping strategies in breast cancer patients.
Assessment of pain, acceptance of illness, adjustment to life with cancer and coping strategies in breast cancer patients.
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DOI：
10.1007/s12282-015-0620-0
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发表时间：
2016-07
期刊：
影响因子：
--
通讯作者：
Deptała A
中科院分区：
文献类型：
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作者：
Czerw A;Religioni U;Deptała A
乳腺癌是女性最常见的恶性肿瘤。过去 40 年来，被诊断患有乳腺癌的患者数量增加了四倍。乳腺癌是波兰 65 岁及以上女性最常见的死亡原因之一。该研究的目的是评估乳腺癌患者的应对策略、疼痛管理、疾病接受度和癌症调整，并评估社会经济变量对上述问题的影响。该研究纳入了 193 名在华沙玛丽亚居里研究所肿瘤中心接受门诊化疗（经典化疗、激素治疗、分子靶向治疗）期间诊断出乳腺癌的患者。我们应用了纸笔访谈（PAPI）技术。问卷调查包括人口统计问题（社会经济变量）和以下四项心理测试：BPCQ（疼痛控制信念问卷），测量影响患者疼痛管理的因素的影响，CSQ（应对策略问卷），旨在评估疼痛应对策略，AIS（疾病接受量表）问卷，测量疾病接受程度，以及迷你MAC（癌症心理调整）量表。 BPCQ结果显示，乳腺癌患者大多相信医生控制疼痛；该组的平均成绩为 17.09，测试值因教育程度和专业地位而异。疼痛应对策略问卷的最高平均分记录在积极应对自我陈述分量表中（平均分 = 21.81），而最低平均分记录在灾难性分量表中（平均分 = 10.60）。在这里，教育和收入在解释所记录的差异方面被证明是最重要的。 AIS 的平均得分为 28.45，区分结果的关键因素是收入。就 mini-MAC 而言，我们报告了战斗精神分量表的最高分（23.43）。量表的平均结果因社会经济变量而略有差异。乳腺癌患者大多认为控制疼痛的就是医生。在应对疼痛的策略中，最高平均分记录在积极应对自我陈述分量表中。我们发现，对疾病的接受程度取决于受访者的收入。收入越高，对疾病的接受程度就越高。
Breast cancer is the most common malignant neoplasm in women. Over the past 40 years, the number of patients diagnosed with breast cancer quadrupled. Breast cancer is one of the most frequent causes of death in women aged 65 and more in Poland. The purpose of the study was to evaluate coping strategies, pain management, disease acceptance and adjustment to cancer in patients diagnosed with breast cancer and to assess the effect of socioeconomic variables on the above mentioned issues. The study included 193 patients diagnosed with breast cancer during outpatient chemotherapy (classical chemotherapy, hormone therapy, molecularly targeted therapies) at the Center of Oncology, Maria Skłodowska-Curie Institute in Warsaw. We applied the Paper and Pencil Interview (PAPI) technique. The questionnaire interview consisted of demographic questions (socioeconomic variables) and the following four psychometric tests: BPCQ (Beliefs about Pain Control Questionnaire), measuring the influence of factors affecting pain management in patients, CSQ (Coping Strategies Questionnaire), designed to evaluate pain coping strategies, AIS (Acceptance of Illness Scale) questionnaire, measuring disease acceptance, and the mini-MAC (Mental Adjustment to Cancer) scale. The results of BPCQ show that breast cancer patients mostly believe that doctors control pain; the mean result for the group was 17.09 and test values were differentiated by education and professional status. The top average score in the pain coping strategies questionnaire was recorded in the positive coping self-statement subscale (mean score = 21.81), whereas the lowest, in the catastrophizing subscale (mean score = 10.60). Here, education and income proved most significant in accounting for the differences recorded. The mean score on the AIS was 28.45, and the key factor differentiating the results was income. As far as the mini-MAC is concerned, we reported the highest score in the fighting spirit subscale (23.43). The average results in the scale were slightly differentiated by socioeconomic variables. Breast cancer patients mostly believe that those who control pain are doctors. Amongst the strategies of coping with pain, the top average score was recorded in the positive coping self-statement subscale. We found out that the level of disease acceptance depends on respondent’s income. The higher the income, the greater the acceptance of illness.