癌症疼痛强度和在息治疗中的感知社会支持:1周前性研究
Yilong Yang1, Meng Cui2, Xinxin Zhao2
1Department of Health Policy and Management, School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China.
BMJ supportive & palliative care
|July 4, 2023
概括
癌症患者的感知社会支持 (PSS) 在一周的息治疗后显著降低了疼痛强度. 高水平的PSS与更大的疼痛缓解相关,突出其在癌症疼痛管理中的重要性.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
背景情况:
- 疼痛是癌症患者的一种复杂,多维的体验.
- 心理社会因素,包括感知到的社会支持 (PSS),显著影响幸福感.
- 公共卫生服务被认为是管理癌症患者健康结果的关键资源.
研究的目的:
- 检查感知社会支持 (PSS) 与疼痛强度之间的关系.
- 评估PSS对接受息治疗的末期癌症患者疼痛管理的影响.
主要方法:
- 在住院病房内对84名末期癌症住院患者进行前性研究.
- 在入院和1周后评估疼痛强度;在入院时评估PSS.
- 反复测量ANOVA用于分析PSS和癌症疼痛之间的相关性.
主要成果:
- 整体疼痛强度在1周后显著下降 (p=0.024),其中47.62%的人经历了疼痛缓解.
- 在PSS组和时间之间观察到显著的相互作用效应 (F=4.544,p=0.036).
- 高PSS患者的疼痛强度显著降低 (p=0.008),与低PSS患者不同 (p=0.609).
结论:
- 在入院时感知到的社会支持是1周内疼痛强度变化的预测指标.
- 在末期癌症患者中识别和利用PSS可以增强早期干预,以改善疼痛管理.
- 研究结果强调了心理社会支持在优化癌症患者息治疗方面的重要性.
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