突破性癌症疼痛的范围审查:多维患者需求和影响因素
Qingyi Li1,2, Yanlei Sheng1,2, Xinyu Liu1,2
1Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Asia-Pacific journal of oncology nursing
|January 16, 2026
概括
突破性癌症疼痛 (BTcP) 显著影响患者的身体,心理,社会和环境维度. 本综述利用舒适理论绘制了这些复杂的需求,指导了更好的临床评估和干预措施,以改善患者舒适度.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 护理理论护理理论
背景情况:
- 突破性癌症疼痛 (BTcP) 是癌症治疗中普遍存在的问题,严重影响患者的生活质量.
- 现有的BTcP研究是分散的,缺乏统一的理论框架来理解其多方面的影响.
研究的目的:
- 系统地审查和整合有关BTCP患者多维需求和影响因素的研究.
- 应用Kolcaba的舒适理论作为概念化BTcP需求和指导干预的框架.
- 探索BTcP管理的理论基础和实际途径.
主要方法:
- 采用了一个范围审查方法,搜索多个数据库,直到2025年1月.
- 30项研究的定性整合包括使用舒适理论的四个维度 (身体,心理,社会,环境) 和三个阶段 (需求评估,干预,评估) 的研究.
主要成果:
- BTcP的影响是多维的,形成一个复杂的网络,跨物理,心理,社会和环境领域的相互连接的需求.
- 主要发现包括对功能状态,睡眠,心理健康,生活质量,社会/经济因素,照顾者负担和系统支持的影响.
- 确定了符合舒适理论框架的两个干预措施的初步证据.
结论:
- 这项研究提供了使用舒适理论对BTCP影响的第一个概念地图,突出了超越疼痛本身的影响.
- 舒适理论框架提供了一种全面的方法来评估和干预BTcP管理.
- 未来的研究应优先考虑开发和评估针对BTcP患者各种舒适需求的干预措施.
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