摘要
【摘要】目的了解胰腺癌患者的疼痛状况、疾病不确定感及希望水平，探讨疼痛与疾病不确定感、希望水平的相关性。方法采用一般资料、简明疼痛量表、Mishel疾病不确定感量表及希望因子量表对128例胰腺癌患者进行问卷调查。结果胰腺癌患者疼痛发生率为61．72％，疼痛程度得分为（5．43±3．05）分，且疼痛对患者的生活乐趣、睡眠、日常工作等影响程度较大。胰腺癌疼痛患者的疾病不确定感及希望水平均为中等，疼痛缓解程度与疾病不确定感成负相关，与希望水平成正相关；总体疼痛程度与疾病不确定感成正相关，与希望水平成负相关；总体疼痛影响程度与疾病不确定感成正相关，与希望水平成负相关。结论胰腺癌患者疼痛发生率较高；胰腺癌疼痛患者的疾病不确定感与希望水平较差，且疼痛影响患者的疾病不确定感与希望水平。因此，建议临床护士积极有效管理胰腺癌患者的疼痛，以降低患者疾病不确定感，提高其希望水平。
Objective To explore the pain experience, illness uncertainty and hope level of pancre- atic cancer patients and examine the relationships between them. Methods Participants completed a self-designed demographic questionnaire,Brief Pain Inventory,Mishel Uncertainty in Illness Scale Adult and Herth Hope Index. Results Most of the patients reported moderate to severe pain intensity and the incidence of pain was as high as 61.72%. The total pain interferences on patients＂ enjoying life, sleep, daily life were apparent. The illness uncertainty and hope level in pancreatic cancer patients in pain were in mid- dle level. The percent of pain relief was negatively correlated with illness uncertainty, and positively correlated with hope level,the total pain intensity level and the total pain interference were positively correlated with ill- ness uncertainty and negatively correlated with hope level. Conclusions The patients with pancreatic cancer experience moderate to severe pain that affects their illness uncertainty and hope level. The pain is correlated with illness uncertainty and hope level. It is advised that clinical nurses should take effective measures to re- lieve pain and to illness uncertainty and improve hope level of pancreatic cancer patients.
出处
《中国实用护理杂志》
北大核心
2013年第17期20-23,共4页
Chinese Journal of Practical Nursing
关键词
胰腺癌
疼痛
疾病不确定感
希望
Pancreatic cancer
Pain
Illness uncertainty
Hope
