123例癌症患者癌性疼痛管理障碍的影响因素

目的 调查癌症患者癌性疼痛管理障碍的现状,并探讨其影响因素。 方法 采用一般资料问卷、疼痛管理障碍量表、疼痛知识问卷、一般自我效能感量表、疼痛自我管理行为量表,调查123例不同癌症类别、不同疾病进展分期均存在癌性疼痛的患者。采用多元线性回归分析确定癌症患者疼痛障碍的影响因素。 结果 癌症患者癌性疼痛管理障碍总均分为(2.63±0.43)分,处于偏高水平,疼痛知识水平得分为(52.0±15.13)分;一般自我效能感得分为(2.55±0.55)分;疼痛自我管理行为总分为(28.42±4.45)分。多元回归线性分析显示,文化程度、职业、费用来源、一般自我效能感、疼痛知识水平、疼痛自我管理是癌症患者癌性疼痛管理障碍的主要影响因素(P均<0.05),共解释总变异的37.5%。 结论 癌性疼痛管理障碍程度较高的患者,需要医护人员进行针对性的干预,从而降低疼痛管理障碍程度。

Influencing factors of cancer pain management disorder in 123 cancer patients

Objective To investigate the influencing factors of cancer pain management disorder in cancer patients. Methods A total of 123 patients with cancerous pain in different cancer categories and stages of disease progression were surveyed with the General Data Questionnaire, Pain Management Disorder Scale, Pain Knowledge Questionnaire, General Self-Efficacy Scale, and Pain Self-Management Behavior Scale. The influencing factors of pain management disorder were determined with multiple linear regression analysis. Results The total average score of pain management disorder was(2.63±0.43), which was at a high level, the score of pain knowledge level was(52.0±15.13)%, the general self-efficacy score was(2.55±0.55), and the overall pain self-management behavior score was(28.42±4.45). Multiple linear regression analysis showed that educational level, occupation, source of expenses, general self-efficacy, pain knowledge and self-management of pain were the influencing factors of pain management disorder(P<0.05), explaining 37.5% of the total variation. Conclusion Cancer patients with serious pain management disorder need targeted intervention.