在癌症患者的疼痛灾难化
Sebastiano Mercadante1, Patrizia Ferrera1, Alessio Lo Cascio1
1Main Regional Center of Pain Relief and Supportive/Palliative Care, La Maddalena Cancer Center, Via San Lorenzo 312, 90146 Palermo, Italy.
Cancers
|February 10, 2024
概括
疼痛灾难化,特别是反,与最初的疼痛强度有关. 综合性息治疗有效地减少了整体症状负担,减轻了与反有关的疼痛表达.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
背景情况:
- 疼痛灾难化涉及与疼痛相关的负面认知.
- 了解它对息治疗结果的影响至关重要.
研究的目的:
- 调查疼痛灾难化在疼痛表达和结果中的作用.
- 评估综合性息护理对这些因素的影响.
主要方法:
- 使用埃德蒙顿症状评估系统 (ESAS) 和疼痛灾难化量表 (PCS) 评估患有失控疼痛的患者.
- 在基线 (T0) 和治疗后一周 (T7) 记录症状强度,阿片类药物使用和个性化症状目标 (PSG).
- 评估患者的总体印象 (PGI) 和在T7.的PSG (PSGR) 的实现.
主要成果:
- 95名患者完成了这项研究;所有患者都报告治疗后症状强度下降.
- 化,灾难化的一个子尺度,与基线疼痛强度显著相关 (p=0.034).
- 在T7的整体灾难化和疼痛强度,PSG,PSGR或PGI之间没有发现显著的关联.
结论:
- 综合性息治疗显著降低了症状负担.
- 虽然最初的疼痛强度与反有关,但息治疗减轻了这种关联.
- 灾难化,除了反,没有预测息治疗后的结果.
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