癌痛病患的疼痛因應策略及其相關因素之探討

An Exploratory Study of Pain Coping Strategies and Related Factors in Cancer Pain Patients

蔡麗雲(Li-Yun Tsai) ； 顧乃平(Nai-Ping Ku)

《護理研究》 5卷2期 (1997/04) Pp. 137-148

https://doi.org/10.7081/NR.199704.0137

摘要

本研究目的主要探討癌痛病患的疼痛因應策略及其影響因素。籍由調查法，針對124位癌痛病患，以「健康控制重心量表」、「焦慮反應量表」、「憂鬰量表」及「疼痛因應策略量表」等問卷收集資料。重要研究發現：(l)癌痛病患以「祈禱／希望」、「自我陳述」及「疼痛行爲」爲使用頻率最高之因患策略。(2)癌痛病患的疼痛因應策略與年齡、性別、教育程度、宗教信仰、疼痛期間、平均疼痛程度、平均最痛程度、疼痛部位總數、疼痛表達方式、日常生活功能、健康控制重心傾向、焦慮程度及憂鬰程度等變項有關。(3)癌痛病患人口學特性、疾病特徽、健康控制重心及心理困擾對疼痛因應策略的預測方面，可以解釋「疼痛因慮策略」中各次量表總變異量的範圍爲19.60％－77％之間，其中以「憂鬰程度」、「焦慮程度」及「無宗教信仰」等三項可解釋「厄運策略」總變異量的63.77%爲最高。根據以上研究結果，本文亦提出建議並討論其在護理上的應用。

關鍵字

癌痛病患 ； 疼痛因應策略 ； 健康控制重心 ； 心理困擾

並列摘要

The purpose of this exploratory study was to investigate the relationships among pain coping strategies and related factors in cancer pain patients. The study was produced in a survey design with 124 subjects included. The test instruments used in the study were “Multidimensional Health Locus of Control Scale”, “Anxiety Scale”, “Depression Scale” and “Pain Coping Strategies Scale”. The major finding of this study were: (1) The pain coping strategies of most cancer pain patients were praying/hoping, self-expression, and pain behaviors. (2) Age, gender, religion, pain duration, average level of pain, average level of the most pain, number of pain sites, pain expression style, activities of daily living, health locus of control, anxiety and depression were significantly associated with pain coping strategies (p＜0.05). (3) Patients’ pain coping strategies could be predicted by demographic characteristics, characteristics of disease, health locus of control and psychological distress. The total variance range was 19.6% to 63.77%; whereas depression, anxiety and religion could predict greater reliance on catastrophe strategies in dealing with their pain. The nursing implications and further study were also suggested.

並列關鍵字

cancer pain patients ； pain coping strategies ； health locus of control ； psychological distress