口腔癌患者癌痛水平与疼痛信念的相关性研究

Correlationship Study of Pain Intensity and Pain Beliefs among Oral Cancer Patients

目的探讨口腔癌患者癌痛水平和疼痛信念间的相关性。方法 2013年7月至2014年2月便利取样选择上海市某三级甲等综合性医院口腔颌面-头颈肿瘤科120例口腔癌住院患者,采用一般状况调查表、癌症疼痛情况调查表及疼痛信念与感知量表进行问卷调查。结果口腔癌患者当前疼痛评分均分为(3.39±2.34)分,疼痛信念总分为(1.45±5.74)分。疼痛信念的4个维度中,"认为会持续疼痛"的得分最高,其余依次为"认为疼痛不可解除"、"自责感"和"感到疼痛很神秘"。患者疼痛信念的总分、"认为疼痛会持续"、"认为疼痛不可解除"和"自责感"等维度得分与当前癌痛水平均存在正相关(均P<0.05)。结论口腔癌患者的癌痛程度以轻、中度为主,患者对于疼痛的感受及认知总体上合理,不正确的疼痛信念会影响到疼痛的水平。临床护士应加强对口腔癌患者疼痛信念的关注度及健康教育,指导患者正确认识疼痛,应对疼痛,以提升其生活质量。

Objective To discuss the correlationship between pain intensity and pain beliefs in oral cancer patients.Methods During July 2013 to February 2014,a total of 120 oral cancer inpatients were randomly selected from an oral maxillofacial surgery department in a Class Ⅲ Grade Ⅰ hospital in Shanghai,and investigated by Cancer Pain Inventory,Pain Beliefs and Perceptions Inventory （PBPI） and general scale.Results The current pain intensity of oral cancer patients was （3.39±2.34）.The total score of PBPI was （1.45±5.74）.The highest score of pain beliefs was the ‘permanence of pain’,followed by ‘constancy of pain’,‘ self-accusation’ and ‘ considering the pain is mysterious’.The total score of pain relief,continuous pain,constancy of pain and self-accusation were positively correlated with cancer pain （all P＜0.05）.Conclusions The current pain intensity is mild to moderate degree among oral cancer patients.The pain beliefs in oral cancer patients are reasonable.The incorrect pain beliefs can affect pain level.The clinical nurses should strengthen the attention in pain belief and health education for patients with oral cancer,and guide the patients to correctly understand pain,to face the pain and improve quality of life.