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題名:癌痛病患疼痛控制信念、殘障信念、感覺特質及其相關性之探討
書刊名:榮總護理
作者:李淑貞賴裕和邱宗傑陳怡樺
作者(外文):Lee, Shu-chengLai, Yeur-hurChiou, Tzeon-jyeChen, Yi-hua
出版日期:2004
卷期:21:4
頁次:頁329-338
主題關鍵詞:癌症疼痛疼痛感覺特質疼痛控制信念疼痛殘障信念Cancer painPain sensory charactersPain control beliefPain disability belief
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:17
  • 點閱點閱:5
本研究之目的在探討癌痛病患的疼痛控制信念、疼痛殘障信念與疼痛感覺特質及其相關性。採橫斷式相關性研究,於北部某醫學中心腫瘤科病房之住院病人為收案對象,共選取94位癌痛病患,以簡明疼痛量表及疼痛態度量表(SOPA-35)收集資料,研究發現:1.個案疼痛強度在中度至重度間,疼痛緩解程度僅達68.3%,對病患的日常生活活動之干擾程度屬中度干擾。2.個案有較低的疼痛控制信念及較高的疼痛殘障信念。3.身體功能愈差者,其疼痛強度愈強,整體疼痛干擾愈大。4. 整體疼痛干擾愈大者,其認為有能力控制疼痛之信念愈低,病患愈會覺得疼痛使其如殘障般失能。5.疼痛部位數及疼痛時間與疼痛信念無關;疼痛強度(最劇烈疼痛強度及平均疼痛強度)愈強其疼痛控制信念愈低,疼痛殘障信念則愈高。研究結果顯示病患的疼痛強度及整體疼痛干擾在疼痛信念方面扮演著重要的角色,因此臨床照護上,應強化病患疼痛控制技巧,以矯正其對疼痛之負向看法,將有助於腫瘤病患改善疼痛問題及其生活品質。
The purpose of this study was to investigate pain control belief, pain disability belief, pain sensory characters, and their relationships in cancer patients. The cross­sectional study involved 94 cancer patients in the oncology ward of a teaching hospital in northern Taiwan. The Belief Pain Inventory (Short form), and Survey of Pain Attitude (SOPA-35) were used for collecting data. According to our results: (1) The clients' pain intensity ranged from moderate to severe, and the pain relief was only 68.3%. Pain interference to clients' daily activities presented it with moderate interference. (2) The participating patients had lower pain control beliefs and higher pain disability beliefs; (3) Diminution of physical function was associated with a higher pain intensity and total pain interference. (4) A higher total pain interference was associated with a lower pain control beliefs, and more severe total pain interference was associated with a higher probability of belief in pain disability; (5) The number of sites of pain and the duration of pain did not correlate with pain beliefs, whereas the increased intensity of pain (the worst pain intensity and average pain intensity) was associated with a lower pain control beliefs and higher beliefs of pain disability. Our study revealed that the pain beliefs played a very important role in total pain interference and pain intensity. Therefore, the reinforcement of pain control skills may improve the efficacy of negative pain belief and provide a better pain control and quality of life.
期刊論文
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2.梁淑媛、林佳靜、陳品玲、劉淑娟(20000800)。癌症病人及其家屬對癌痛及其影響感受之比較。新臺北護理期刊,2(2),17-29。  延伸查詢new window
3.Jensen, M. P.、Karoly, P.、Huger, R.(1987)。The development and preliminary validation of an instrument to assess patients' attitudes toward pain。Journal of Psychosomatic Research,31(3),393-400。  new window
4.胡月娟(19940600)。慢性病患者所承受的衝擊與因應行為。護理研究,2(2),140-152。new window  延伸查詢new window
5.Beck, S. L.、Falkson, G.(2001)。Prevalence and management of cancer pain in South Africa。Pain,94,75-84。  new window
6.Fishman, B.、Loscalzo, M.(1987)。Cognitive Behavioral interventions in management of cancer pain: Principles and applications。Medical Clinics of North America,71(2),271-287。  new window
7.Jensen, M. P.、Karoly, P.(1991)。Control beliefs, coping effort and adjustment to chronic pain。Journal of Consultative Clinical Psychology,9,431-438。  new window
8.Jensen, M. P.、Karoly, P.(1992)。Pain specific beliefs, perceived symptom severity, and adjustment to chronic pain。The Clinical Journal of Pain,8(2),123-130。  new window
9.Jensen, M. P.、Turner, J. A.、Romano, J. M.(2000)。Pain belief Assessment: A comparison of the short and long versions of the Survey of Pain Attitudes。The Journal of Pain,1(2),138-150。  new window
10.Jensen, M. P.、Turner, J. A.、Romano, J. M.、Lawler, B. K.(1994)。Relationship of pain-specific beliefs to chronic pain adjustment。Pain,57,301-309。  new window
11.Jensen, M. P.、Turner, J. A.、Romano, J. M.、Karoly, P.(1991)。Coping with chronic pain: A critical review of the literature。Pain,47,249-283。  new window
12.Lai, Y. H.、Dalton, J. A.、Belyea, M.、Chen, M. L.、Tsai, L. Y.、Chen, S. C.(2003)。Development and testing of the Pain Opioid Analgesics Belief Scale in Taiwanese cancer patients。Journal of Pain and Symptom Management,25(4),376-385。  new window
13.Lai, Y. H.、Keefe, F. J.、Sun, W. Z.、Tsai, L. Y.、Cheng, P. L.、Chiou, J. F.、Wei, L. L.(2002)。Relationship between pain-specific beliefs and adherence to analgesic regimens in Taiwanese cancer patients。Journal of Pain and Symptom Management,24(4),415-423。  new window
14.Releigh, E. D.(1992)。Source of hope in chronic illness。Oncology Nursing Forum,19(3),443-448。  new window
15.Shutty, M. S.、DeGood, D. E.(1990)。Patient knowledge and beliefs about pain and its treatment。Rehabilitation Psychology,35(1),43-54。  new window
16.Strong, J.、Ashton, R.、Chant, D.(1992)。The measurement of attitudes towards and beliefs about pain。Pain,48,227-236。  new window
17.Sullivan, M. J. L.、Stanish, W.、Waite, H.、Sullivan, M.、Tripp, D. A.(1998)。Catastrophizing, pain, and disability in patients with soft tissue injuries。Pain,77,253-260。  new window
18.Tan, G.、Jensen, M. P.、Robinson-Whelen, S.、Thornby, J. I.、Monga, T. N.(2001)。Coping with chronic pain: A comparison of two measures。Pain,90,127-133。  new window
19.Turner, J. A.、Dworkun, S. F.、Mancl, L.、Huggins, K. H.、Truelove, E. L.(2001)。The role of beliefs, catastrophizing, and coping in functioning of patients with temporomandibular disorders。Pain,92,41-51。  new window
20.Turner, J. A.、Jensen, M. P.、Romano, J. M.(2000)。Do beliefs, Coping, and catastrophizing independently predict functioning in patients with chronic pain?。Pain,85,115-125。  new window
21.Well, N.(2000)。Pain intensity and pain interference in hospitalized patients with cancer。Oncology Nursing Forum,27(6),985-991。  new window
22.Williams, D. A.、Keefe, F. J.(1991)。Pain beliefs and the use of cognitive-behavioral pain coping strategies。Pain,46,185-190。  new window
23.Ger, L. P.、Ho, S. T.、Wang, J. J.、Cherng, C. H.(1998)。The Prevalence and Severity of Cancer Pain: A Study of Newly-Diagnosed Cancer Patients in Taiwan。Journal of Pain and Symptom Management,15(5),285-293。  new window
24.Lin, C. C.、Ward, S. E.(1995)。Patient-related barriers to cancer pain management in Taiwan。Cancer Nursing,18(1),16-22。  new window
會議論文
1.Keefe, F. J.(2000)。Can Cognitive-Behavioral Therapies Succeed Where Medical Treatments Fail?。W. A.:International Association for the Study of Pain。  new window
學位論文
1.蔡麗雲(1995)。癌痛病患的心理困擾、疼痛因應策略及其相關因素之探討(碩士論文)。國防醫學院。  延伸查詢new window
2.Lai, Y. H.(1996)。The use of cognitive behavioral pain coping strategies in Taiwanese cancer patients(博士論文)。University of North Carolina at Chapel,U. S. A.。  new window
圖書
1.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
圖書論文
1.McGuire, D. B.(1995)。The multiple dimensions of cancer pain: A framework for assessment and management。Cancer Pain Management。Boston:Jones and Barlett。  new window
2.Turk, D. C.、Meichenbaum, D. A.(1984)。Congitive-behavioral approach to pain management。Textbook of Pain。New York:Churchill Livingstone。  new window
 
 
 
 
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