癌症患者中与最剧烈疼痛强度相关的社会人口学和临床特征。
Sociodemographic and Clinical Characteristics Associated With Worst Pain Intensity Among Cancer Patients.
机构信息
Center on Alcohol, Substance use And Addictions (CASAA), Department of Psychology, University of New Mexico, Albuquerque, New Mexico.
Department of Health Services Research, Management and Policy College of Public Health and Health Professions University of Florida, Gainesville, Florida.
出版信息
Pain Manag Nurs. 2022 Aug;23(4):424-429. doi: 10.1016/j.pmn.2021.11.006. Epub 2022 Feb 25.
AIMS
Patients with cancer have pain due to their cancer, the cancer treatment and other causes, and the pain intensity varies considerably between individuals. Additional research is needed to understand the factors associated with worst pain intensity. Our study aim was to determine the association between worst pain intensity and sociodemographics and cancerspecific factors among patients with cancer.
DESIGN
A total of 1,280 patients with cancer recruited from multiple cancer centers over 25 years in the United States were asked to complete a questionnaire that collected respondents' demographic, chronic pain, and cancer-specific information.
SETTINGS
Worst, least, and current pain intensities were captured using a modified McGill Pain Questionnaire (pain intensity measured on 0-10 scale). A generalized linear regression analysis was utilized to assess the associations between significant bivariate predictors and worst pain intensity scores.Our study sample was non-Hispanic White (64.5%), non-Hispanic Black (28.3%), and Hispanic (7.2%). On average, participants were 59.4 (standard deviation = 14.4) years old. The average worst pain intensity score was 6.6 (standard deviation = 2.50). After controlling for selected covariates, being Hispanic (β = 0.6859), previous toothache pain (β = 0.0960), headache pain (β = 0.0549), and stomachache pain (β = 0.0577) were positively associated with worse cancer pain. Notably, year of enrollment was not statistically associated with pain.
CONCLUSIONS
Our study sample was non-Hispanic White (64.5%), non-Hispanic Black (28.3%), and Hispanic (7.2%). On average, participants were 59.4 (standard deviation = 14.4) years old. The average worst pain intensity score was 6.6 (standard deviation = 2.50). After controlling for selected covariates, being Hispanic (β = 0.6859), previous toothache pain (β = 0.0960), headache pain (β = 0.0549), and stomachache pain (β = 0.0577) were positively associated with worse cancer pain. Notably, year of enrollment was not statistically associated with pain. Findings identified being Hispanic and having previous severe toothache, stomachache, and headache pain as significant predictors of worst pain intensity among patients with cancer. After controlling for selected covariates, we did not note statistical differences in worst pain during a 25-year period. Therefore,studies focused on improving the management of pain among patients with cancer should target interventions for those with Hispanic heritage and those with past history of severe common pain.
目的
癌症患者会因癌症、癌症治疗和其他原因而感到疼痛，个体之间的疼痛强度差异很大。需要进一步研究以了解与最严重疼痛强度相关的因素。我们的研究目的是确定癌症患者中最严重疼痛强度与社会人口统计学和癌症特异性因素之间的关系。
设计
在美国 25 年间，从多个癌症中心共招募了 1280 名癌症患者，要求他们完成一份问卷，收集受访者的人口统计学、慢性疼痛和癌症特异性信息。
设置
使用改良的麦吉尔疼痛问卷（疼痛强度在 0-10 刻度上测量）来捕捉最严重、最轻微和当前的疼痛强度。利用广义线性回归分析评估显著双变量预测因素与最严重疼痛强度评分之间的关联。我们的研究样本为非西班牙裔白人（64.5%）、非西班牙裔黑人（28.3%）和西班牙裔（7.2%）。参与者的平均年龄为 59.4（标准差=14.4）岁。平均最严重疼痛强度评分为 6.6（标准差=2.50）。在控制了选定的协变量后，西班牙裔（β=0.6859）、既往牙痛（β=0.0960）、头痛（β=0.0549）和胃痛（β=0.0577）与更严重的癌症疼痛呈正相关。值得注意的是，入学年份与疼痛无统计学关联。
结论
我们的研究样本为非西班牙裔白人（64.5%）、非西班牙裔黑人（28.3%）和西班牙裔（7.2%）。参与者的平均年龄为 59.4（标准差=14.4）岁。平均最严重疼痛强度评分为 6.6（标准差=2.50）。在控制了选定的协变量后，西班牙裔（β=0.6859）、既往牙痛（β=0.0960）、头痛（β=0.0549）和胃痛（β=0.0577）与更严重的癌症疼痛呈正相关。值得注意的是，入学年份与疼痛无统计学关联。研究结果确定西班牙裔和既往严重牙痛、胃痛和头痛是癌症患者最严重疼痛强度的重要预测因素。在控制了选定的协变量后，我们没有注意到在 25 年期间最严重疼痛存在统计学差异。因此，针对癌症患者疼痛管理的研究应针对具有西班牙裔背景和既往严重常见疼痛史的患者进行干预。
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