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The Relationships between Mood Disturbances and Pain, Hope, and Quality of Life in Hospitalized Cancer Patients with Pain on Regularly Scheduled Opioid Analgesic

机译:定期接受阿片类镇痛药物治疗的住院癌痛患者的情绪障碍与疼痛,希望和生活质量的关系

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摘要

Objective: The study purposes were to describe the percentage of patients in one of four mood groups (i.e., neitheranxiety nor depression [NEITHER], only anxiety [ANX], only depression [DEP], both anxiety and depression[BOTH]) and to evaluate how differences in mood states are related to pain, hope, and quality of life (QOL).Methods: Oncology inpatients (n=225) completed Brief Pain Inventory, Herth Hope Index (HHI), and theEuropean Organization for Research and Treatment of Cancer Core QOL Questionnaire-C30. Research nursescompleted Symptom Severity Checklist, Karnofsky Performance Status score, and medical record reviews. Datawere analyzed using x^2, Kruskal-Wallis, one-way analyses of variance (ANOVAs), and analyses of covariance(ANCOVA).Results: Thirty-two percent of patients were categorized in the NEITHER group, 12% in the ANX group, 12% inthe DEP group, and 44% in the BOTH group. Younger patients and women were more likely to be in the BOTHgroup. While only minimal differences were found among the mood groups on pain intensity scores, patients inthe NEITHER group in general, reported lower pain interference scores than those in the other three groups.Significant differences were found in HHI scores between the patients in the NEITHER group and the BOTHgroup. In addition, patients with both mood disorders reported significantly poorer QOL scores.Conclusions: Because 44% of the patients had both anxiety and depression, clinicians need to evaluate patientsfor the co-occurrence of these two symptoms, evaluate its impact on pain management, hope, and QOL, anddevelop appropriate interventions to manage these symptoms.
机译:目的:研究目的是描述四个情绪组(即既不焦虑也不抑郁[NEITHER],仅焦虑[ANX],仅抑郁[DEP],焦虑和抑郁[BOTH])之一的患者百分比,评估情绪状态的差异如何与疼痛,希望和生活质量(QOL)相关联。方法:肿瘤住院患者(n = 225)完成了简短的疼痛量表,Herth Hope Index(HHI)和欧洲研究和治疗组织癌症核心QOL问卷-C30。研究护士完成了症状严重度清单,卡诺夫斯基绩效状态评分和病历审查。使用x ^ 2,Kruskal-Wallis,单向方差分析(ANOVA)和协方差分析(ANCOVA)分析数据。结果:NEITHER组中有32%的患者被分类,ANX组中有12%的患者被分类。 ,在DEP组中占12%,在BOTH组中占44%。年轻的患者和女性更有可能在BOTH组中。虽然情绪组之间在疼痛强度评分上只有极小的差异,但NEITHER组的患者总体上报告的疼痛干扰评分低于其他三组.NEITHER组的患者和HIT评分之间的显着差异BOTHgroup。此外,两种情绪障碍患者的QOL评分均明显较差。结论:由于44%的患者同时患有焦虑症和抑郁症,因此临床医生需要评估患者这两种症状的同时发生情况,评估其对疼痛管理的影响,希望和QOL,并开发适当的干预措施来管理这些症状。

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