| Summary: | 碩士 === 臺北醫學大學 === 護理學系 === 91 === The purpose of the study were to compare the effects of pain education, pain education plusing cognitive-reconstruction training, and usual care on cancer patients’ pain experiences. Quasi-experimental design was used in the current study. Eligible cancer patients with pain（N=39）, were randomly assigned to three groups, including（1）pain education group, 15 minutes education for 5 consecutive days（Experimental group I, n=14）,（2）pain education plus cognitive reconstruction training for 5 consecutive days（Experimental group II, n=13）,（3）control as usual care（control group n=12）. Data were collected by using Brief Pain Inventory- Taiwanese（BPI-T）, Pain and Opioid Analgesics Belief Scale- Cancer（POABS-CA）, Profile of Mood State Short Form（POMS- Anxiety , Depression ,and fatigue）, and Negative Thinking of Pain. Data were analyzed using paired t-test, ANOVA, and repeated measures ANOVA.
The results showed that（1）the average pain intensity, pain interfere, negative effect of pain belief, anxiety, depression and fatigue level were reduced in patients receiving the pain education and pain education plus cognitive reconstruction training,（2）there was significantly statistical increased self-control of pain in patients receiving the pain education plusing cognitive reconstruction training comparing to receiving pain education and control group,（3）the negative thinking of pain score were reduced significantly in patients receiving the pain education plus cognitive reconstruction training,（4）the anxiety and fatigue level was also increased in control group.
In conclusion the results suggest that pain education and cognitive reconstruction training are all effectively improving cancer patients’ pain problem. These interventions should be further applied to cancer pain management.
Key words：cancer pain、pain beliefs、pain interfere、anxiety、depression、fatigue、pain education、cognitive reconstruction、negative thinking of pain
|
|---|
