Survey on the Influence of Pain on Quality of Life in Breast Cancer Patients_Chinese Journal of Evidence-Based Medicine

Authors：

 WANG Shiping ¹ , MA Ling ¹ , Joanne Chung ²

1. West China School of Nursing, Sichuan University, Chengdu 610041, China2. School of Nursing, Hong Kong Polytechnic University, China;

Corresponding author：

WANG Shiping, Email: spjane514@163.com

Keywords：

Breast cancer; Pain; Quality of life; Cross-sectional survey

DOI：

10.7507/1672-2531.20080052

Video：

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Objective　 To identify the perception of pain among breast cancer patients and their quality of life, and to assess the influence of pain on their quality of life.
Methods　 We did a cross-sectional study. A face-to-face survey was administered to 200 breast cancer patients, using two scales: Chinese Cancer Pain Assessment Tool (CCPAT) and European Organization for Research and Treatment of Cancer Core Quality-of-Life Questionnaire (Version 3) [EORTIC QLQ-C30].
Results　 Among the 200 breast cancer patients, 84 suffered from pain, while 116 did not. In regard to quality of life, the scores of physical function, role function and social function were higher among women without pain than among those in the pain group (P lt;0.05). There were no significant differences in scores of emotional function, cognitive function and global quality of life between the two groups (P gt;0.05). There was a significant negative correlation between pain and quality of life in the pain group, the non-pain group and the whole sample (r=–0.731, P lt;0.001).
Conclusion　 Pain has negative effects on physical function, role function and social function of breast cancer patients. The exacerbation of pain is associated with a decreased global quality of life for breast cancer patients.

Citation： WANG Shiping,MA Ling,Joanne Chung. Survey on the Influence of Pain on Quality of Life in Breast Cancer Patients. Chinese Journal of Evidence-Based Medicine, 2008, 08(4): 233-236. doi: 10.7507/1672-2531.20080052 Copy

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13.	Bosompra K, Ashikaga T, Brien PJ, et al. Swelling, numbness, pain, and their relationship to arm function among breast cancer survivors: a disablement process model perspective. Breast Journal, 2002, 8(6): 338-348.
14.	方积乾. 生活质量测定方法及应用. 北京: 北京医科大学出版社, 2000. 288-294.
15.	叶琴琴, 杨玫. 疼痛对癌症患者生活质量影响的观察. 解放军护理杂志, 2003, 20(9): 41-42.

1. 雷秋模. 21世纪乳腺癌研究的方向及展望. 现代诊断与治疗, 2006, 17(2): 65-67.
2. 孙燕. 乳腺癌居京津沪女性恶性肿瘤发病首位. 首都医药, 2005, 7: 36-38.
3. Miaskowski C, Dibble SL. The problem of pain in outpatients with breast cancer. Oncol Nurs Forum, 1995, 22(5): 791-795.
4. Caffo O, Amichetti M, Ferro A, et al. Pain and quality of life after surgery for breast cancer. Breast Cancer Research & Treatment, 2003, 80(1): 39-48.
5. Amichetti M, Caffo O. Pain after quadrantectomy and radiotherapy for early-stage breast cancer: incidence, characteristics and influence on quality of life. Results from a retrospective study. Oncology, 2003, 65(1): 23-28.
6. 香港工业大学护理健康科学部, 香港大学麻醉部. 中国癌痛评估工具 (CCPAT) 的初步报告: 信度和效度. http://tumorh.gzsums.edu.cn/cn/nursing/hlky/pingu.htm.
7. 吴燕萍, 草惠英, 范育英, 等. 中国人癌症疼痛评估工具效度与信度的分析. 护士进修杂志, 2001, 16(10): 737.
8. 张鹏宇, 陈文华, 金先桥. 生存质量及其相关观念. 现代康复, 2000, 4(8): 1142-1143.
9. 万崇华, 陈明清, 张灿珍, 等. 癌症患者生命质量测定量表EORTC QLQ-C30中文版评介. 实用肿瘤杂志, 2005, 20(4): 353-355.
10. Sterman EA. Comprehensive approach to improving cancer pain management and patient satisfaction. Oncology Nursing Forum, 2003, 30(5): 857-861.
11. 庞洁译. 护士如何与医生讨论病人的疼痛控制. 国外医学. 护理学分册, 2000, 19(2): 65.
12. Spiegel D, Bloom JR. Pain in metastatic breast cancer. Cancer, 1983, 52(2): 341-345.
13. Bosompra K, Ashikaga T, Brien PJ, et al. Swelling, numbness, pain, and their relationship to arm function among breast cancer survivors: a disablement process model perspective. Breast Journal, 2002, 8(6): 338-348.
14. 方积乾. 生活质量测定方法及应用. 北京: 北京医科大学出版社, 2000. 288-294.
15. 叶琴琴, 杨玫. 疼痛对癌症患者生活质量影响的观察. 解放军护理杂志, 2003, 20(9): 41-42.

Chinese Journal of Evidence-Based Medicine

Survey on the Influence of Pain on Quality of Life in Breast Cancer Patients

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