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The cost of survival: an exploration of colorectal cancer survivors' experiences of pain

机译：生存费用：结直肠癌幸存者的痛苦经历探索

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Background: The Institute of Medicine report From Cancer Patient to Cancer Survivor' has drawn widespread attention to the experiences of cancer survivors. Research examining the symptom experiences of survivors are proliferative within the literature but limited by samples which include multiple tumor groups and varying inclusion criteria. This cross-sectional quantitative study seeks to examine pain and quality of life (QoL) in the context of colorectal cancer (CRC) survivorship, as defined by the Institute of Medicine.Material and methods: A purposive sample of CRC survivors (n=252) attending hospitals and cancer support centers in the Republic of Ireland were recruited between September 2014 and January 2016. Self-rated health (SRH), QoL and pain were assessed in the sample using the EuroQOL questionnaire, the Functional Assessment of Therapy-Colorectal (FACT-C) questionnaire, and symptom experience items.Results: One hundred participants (40%) indicated they had pain on the day of the survey or in the past week. Of those with pain, many also experienced a lack of energy (95%), bowel dysfunction (74%), sleep disturbance (76%) or interference with their ability to enjoy life (75%). Pain was associated with younger age, female gender, current chemotherapy treatment, and previous radiotherapy treatment. Although participants reported positive QoL scores, statistical analysis revealed pain was linked to significantly poorer SRH and overall QoL, and poorer physical, emotional, functional, social/family and CRC-specific wellbeing, compared to those who did not indicate pain.Discussion: Pain was experienced by almost two fifths of CRC survivors up to five years after treatment and was associated with poorer SRH and QoL. In light of these findings, healthcare professionals must endeavor to manage cancer survivors' needs in a manner which is cognizant of the burden of pain and in the context of other symptoms and morbidities experienced by long-term cancer survivors.
机译：背景：癌症患者对癌症患者的医学研究所幸存者普遍关注癌症幸存者的经验。研究检测幸存者的症状经验在文献中具有增殖性，而是由包含多种肿瘤群和不同纳入标准的样品限制。这种横截面的定量研究旨在检查直肠癌（CRC）生存的疼痛和生活质量（QOL），如医学研究所所定义的。材料和方法：CRC幸存者的有目的样品（n = 252 ）在2014年9月和2016年1月期间招聘了爱尔兰共和国的医院和癌症支持中心。使用Euroqol调查问卷在样品中评估了自我评估的健康（SRH），QoL和疼痛，治疗 - 结肠直肠的功能评估（ Iff-c）问卷和症状体验项目。结果：一百名参与者（40％）表示他们在调查当天或过去一周有疼痛。在那些疼痛的人中，许多人也经历了缺乏能量（95％），肠功能障碍（74％），睡眠干扰（76％）或干扰他们享受生活的能力（75％）。疼痛与年龄较小，女性性别，目前的化疗治疗以及以前的放疗治疗有关。虽然参与者报告了阳性QOL评分，但统计分析显示出疼痛与SRH和整体QoL显着较差，而且较差的身体，情感，功能，社会/家庭和CRC特定的健康，相比没有表明疼痛的人：痛苦在治疗后几乎五年的CRC幸存者经历了近五年的CRC幸存者，与SRH和QOL有关​​。鉴于这些调查结果，医疗保健专业人员必须努力以一种认识到疼痛负担和长期癌症幸存者所经历的其他症状和生命的方式来管理癌症幸存者的需求。

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  • 来源
    《Acta oncologica.》 |2017年第6期|共7页
  • 作者

    Drury Amanda; Payne Sheila; Brady Anne-Marie;

  • 作者单位

    Trinity Coll Dublin Sch Nursing &

    Midwifery Fac Hlth Sci Dublin Ireland;

    Univ Lancaster Div Hlth Res Int Observ End Life Care Lancaster England;

    Trinity Coll Dublin Sch Nursing &

    Midwifery Fac Hlth Sci Dublin Ireland;

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  • 正文语种 eng
  • 中图分类 肿瘤学;
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