123例癌症患者癌性疼痛管理障碍的影响因素  

Influencing factors of cancer pain management disorder in 123 cancer patients

作　　者：许小芬 朱晓 马伟 李娜[3] XU Xiaofen;ZHU Xiao;MA Wei;LI Na(Department of Chemotherapy,Qilu Hospital,Shandong University,Jinan 250012,Shandong,China;Department of Epidemiology,School of Public Health,Shandong University,Jinan 250012,Shandong,China;Department of Radiotherapy,Qilu Hospital,Shandong University,Jinan 250012,Shandong,China)

机构地区：[1]山东大学齐鲁医院化疗科,山东济南250012 [2]山东大学公共卫生学院流行病学系,山东济南250012 [3]山东大学齐鲁医院放疗科,山东济南250012

出　　处：《山东大学学报（医学版）》2022年第9期119-124,132,共7页Journal of Shandong University:Health Sciences

摘　　要：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。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.

关 键 词：癌性疼痛 疼痛管理 疼痛管理障碍 影响因素 

分 类 号：R473.73[医药卫生—护理学]