改善农村癌症老年人的疼痛自我管理
Megan J Shen1, Tammy Stokes2, Sarah Yarborough1
1Division of Clinical Research, Fred Hutchinson Cancer Center, Seattle, Washington.
JAMA network open
|July 17, 2024
概括
一个适应的癌症健康授权无痛生活 (CA-HELP) 干预证明可行和可接受的农村老年人患有癌症,改善疼痛管理和沟通. 这项研究突出了CA-HELP在解决贫困人口治疗不足的癌症疼痛方面的潜力.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 未经治疗的癌症疼痛是农村地区老年人面临的重大公共卫生问题.
- 需要有效的干预措施来改善这种脆弱的人群的疼痛管理.
研究的目的:
- 评估适应癌症健康授权无痛生活 (CA-HELP) 干预措施的可行性和可接受性.
- 评估CA-HELP干预后疼痛结果的变化,包括自我管理,自我有效性和患者报告的疼痛.
主要方法:
- 一个涉及老年人 (≥65岁) 在田纳西州农村环境中患有癌症的案例系列研究.
- 参与者接受了适应CA-HELP干预,包括工作簿和护士辅导电话.
- 评估了可行性,可接受性和前后结果措施 (疼痛自我管理,自我有效性,疼痛,误解).
主要成果:
- 该干预表明了高可行性 (100%的积累和完成) 和可接受性 (80-100%的积极评级).
- 在疼痛自我管理和自我有效性中观察到显著的改善,用于向临床医生传达疼痛.
- 患者报告的疼痛和关于疼痛的误解在干预后显著下降.
结论:
- 适应的CA-HELP干预对农村环境中的癌症老年人来说是可行的和可以接受的.
- 该干预措施在改善与疼痛相关的结果和该人口的沟通方面表现有前途.
- 在服务不足的农村社区,CA-HELP为治疗不足的癌症疼痛提供了潜在的解决方案.
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