CAJ | 학술논문

目的了解胰腺癌患者的疼痛状况、疾病不确定感及希望水平,探讨疼痛与疾病不确定感、希望水平的相关性.方法采用一般资料、简明疼痛量表、Mishel疾病不确定感量表及希望因子量表对128例胰腺癌患者进行问卷调查.结果胰腺癌患者疼痛发生率为61.72％,疼痛程度得分为(5.43±3.05)分,且疼痛对患者的生活乐趣、睡眠、日常工作等影响程度较大.胰腺癌疼痛患者的疾病不确定感及希望水平均为中等,疼痛缓解程度与疾病不确定感成负相关,与希望水平成正相关；总体疼痛程度与疾病不确定感成正相关,与希望水平成负相关；总体疼痛影响程度与疾病不确定感成正相关,与希望水平成负相关.结论胰腺癌患者疼痛发生率较高；胰腺癌疼痛患者的疾病不确定感与希望水平较差,且疼痛影响患者的疾病不确定感与希望水平.因此,建议临床护士积极有效管理胰腺癌患者的疼痛,以降低患者疾病不确定感,提高其希望水平.
목적 료해이선암환자적동통상황、질병불학정감급희망수평,탐토동통여질병불학정감、희망수평적상관성.방법 채용일반자료、간명동통량표、Mishel질병불학정감량표급희망인자량표대128례이선암환자진행문권조사.결과 이선암환자동통발생솔위61.72％,동통정도득분위(5.43±3.05)분,차동통대환자적생활악취、수면、일상공작등영향정도교대.이선암동통환자적질병불학정감급희망수평균위중등,동통완해정도여질병불학정감성부상관,여희망수평성정상관；총체동통정도여질병불학정감성정상관,여희망수평성부상관；총체동통영향정도여질병불학정감성정상관,여희망수평성부상관.결론 이선암환자동통발생솔교고；이선암동통환자적질병불학정감여희망수평교차,차동통영향환자적질병불학정감여희망수평.인차,건의림상호사적겁유효관리이선암환자적동통,이강저환자질병불학정감,제고기희망수평.
Objective To explore the pain experience,illness uncertainty and hope level of pancreatic cancer patients and examine the relationships between them.Methods Participants completed a self-designed demographic questionnaire,Brief Pain Inventory,Mishel Uncertainty in Illness Scale Adult and Herth Hope Index.Results Most of the patients reported moderate to severe pain intensity and the incidence of pain was as high as 61.72％.The total pain interferences on patients' enjoying life,sleep,daily life were apparent.The illness uncertainty and hope level in pancreatic cancer patients in pain were in middle level.The percent of pain relief was negatively correlated with illness uncertainty,and positively correlated with hope level,the total pain intensity level and the total pain interference were positively correlated with illness uncertainty and negatively correlated with hope level.Condnsions The patients with pancreatic cancer experience moderate to severe pain that affects their illness uncertainty and hope level.The pain is correlated with illness uncertainty and hope level.It is advised that clinical nurses should take effective measures to relieve pain and to illness uncertainty and improve hope level of pancreatic cancer patients.