Severity, interference, qualities, and correlates of severe pain: Descriptive cross-sectional study on pain experience of cancer patients in Sri Lanka.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-12-19 DOI:10.1177/17423953231221845

N P Edirisinghe, P T R Makuloluwa, A A T D Amarasekara, C S E Goonewardena

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引用次数: 0

Abstract

Objective: Pain is the most debilitating and subjective experience of cancer patients. This study examines the severity, interference, characteristics, and associations of severe pain in Sri Lankan cancer patients.

Methods: A descriptive study was conducted in Sri Lanka on 384 patients at age 18 or older who had cancer pain for 3 months or more due to the initial lesion, secondaries, radiation, or chemotherapy. Patients with non-cancerous pain or brain metastases were excluded. Data was collected using a validated Sinhala version of the Short-Form Brief Pain Inventory and the Short-Form McGill Pain Questionnaire-2. Logistic regression was used to identify severe pain correlations.

Results: The mean of the "worst pain" experience was 7.97, and 73.2% reported their "worst pain" as severe. The "normal works" (62.5%) and "sleep" (58.3%) were severely influenced by pain. "Aching pain," was the most reported pain quality. A statistically significant association was shown between severe pain and male gender (adjusted odds ratio (AOR) = 1.723), being in marriage (AOR = 1.947), absence of family commitments (AOR = 1.8), and pain of 3 months or more duration (AOR = 1.76).

Conclusion: The experiences of cancer pain vary, with the majority suffering from severe pain.

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剧烈疼痛的严重程度、干扰、性质和相关因素：斯里兰卡癌症患者疼痛经历的横断面描述性研究。

目的：疼痛是癌症患者最痛苦的主观感受。本研究探讨了斯里兰卡癌症患者剧烈疼痛的严重程度、干扰、特征和关联：在斯里兰卡对 384 名年龄在 18 岁或 18 岁以上的患者进行了描述性研究，这些患者因初始病变、二次病变、放疗或化疗而导致癌症疼痛达 3 个月或 3 个月以上。非癌性疼痛或脑转移患者不包括在内。数据收集采用了经过验证的僧伽罗语版简短疼痛量表和简短麦吉尔疼痛问卷-2。采用逻辑回归法确定严重疼痛的相关性：结果："最严重疼痛 "体验的平均值为 7.97，73.2% 的人称其 "最严重疼痛 "为剧烈疼痛。正常工作"（62.5%）和 "睡眠"（58.3%）受到疼痛的严重影响。"酸痛 "是报告最多的疼痛质量。严重疼痛与男性性别（调整后的几率比（AOR）= 1.723）、已婚（AOR = 1.947）、无家庭负担（AOR = 1.8）和疼痛持续 3 个月或以上（AOR = 1.76）之间存在明显的统计学关联：结论：癌症疼痛的经历各不相同，大多数人都遭受过剧烈疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.