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    題名: The relationship between pain management and psychospiritual distress in patients with advanced cancer following admission to a palliative care unit.
    作者: Lee, Ya-Ping
    Tsai, Jaw-Shiun
    Kuo, Chia-Sheng
    Huang, Sin-Bao
    Wu, Chih-Hsun
    吳治勳
    貢獻者: 心理系
    關鍵詞: Cancer pain;Psychospiritual distress;Advanced cancer;Hospice palliative care
    日期: 2015-12
    上傳時間: 2018-05-16 15:04:39 (UTC+8)
    摘要: Background: Although many cross-sectional studies have demonstrated the association between cancer pain and psychospiritual distress, the time-dependent relationship has not been fully explored. For that reason, this study aims to investigate the time-dependent relationship between psychospiritual distress and cancer pain management in advanced cancer patients. Methods: This is a prospective observational study. Two hundred thirty-seven advanced cancer patients were recruited from a palliative care unit in Taiwan. Demographic and clinical data were retrieved at admission. Pain and psychospiritual distress (i.e.: anxiety, depression, anger, level of family and social support, fear of death) were assessed upon admission and one week later, by using a “Symptom Reporting Form”. Patients were divided into two groups according to the pain status one week post-admission (improved versus not improved groups). Results: One hundred sixty-three (68.8 %) patients were assigned to the improved group, and 74 (31.2 %) patients were assigned to the not improved group. There were no differences in the psychospiritual variables between groups upon admission. In overall patients, all psychospiritual variables improved one week post-admission, but the improvement of depression and family/social support in the not improved group was not significant. Consistent with this, for depression scores, there was a statistically significant pain group x time interaction effect detected, meaning that the pain group effect on depression scores was dependent on time. Conclusions: We demonstrated a time-dependent relationship between depression and pain management in advanced cancer patients. Our results suggest that poor pain management may be associated with intractable depression. The inclusion of interventions that effectively improve psychospiritual distress may contribute to pain management strategies for advanced cancer patients. Keywords: Cancer pain, Psychospiritual distress, Advanced cancer, Hospice palliative care
    關聯: BMC Palliative Care, No.14, pp.69
    資料類型: article
    DOI: http://dx.doi.org/10.1186/s12904-015-0067-2
    顯示於類別:[心理學系] 期刊論文

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