The lens model - Assessment of cancer pain in a Chinese context

被引:26
作者
Chung, JWY
Wong, TKS
Yang, JCS
机构
[1] Hong Kong Polytech Univ, Dept Nursing & Hlth Sci, Hong Kong, Hong Kong, Peoples R China
[2] Univ Hong Kong, Dept Anaesthesiol, Hong Kong, Hong Kong, Peoples R China
关键词
cancer pain; Chinese; lens model;
D O I
10.1097/00002820-200012000-00008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Obtaining a result closest to patients' reports about pain is crucial in pain management. The literature in the West supports the view that there are cultural differences in perception, interpretation, and expression of pain. However, there has been minimal review in Chinese communities. Therefore, the concepts of cancer pain among Chinese patients with cancer were explored by data source triangulation. There were 33 informants: 18 adult Chinese patients with cancer who were in pain, 7 physicians, and 8 nurses. The interview dialogue was transcribed into written Chinese, followed by coding and categorization. There were no predetermined themes for categorization. The dialogue was coded according to the contextual meaning. The nature and number of categories depended entirely on the coding. Five dimensions were identified: functional, pharmacologic, pain belief and meanings, psychosocial, and emotional. With reference to the five dimensions, a lens model was constructed to explain the cancer pain experience in a Chinese concert. In the lens model, two lenses were used to illustrate the relations of the dimensions and cancer pain experience in the Chinese context. The pain experience was named as total pain intensity. The Functional, pharmacologic, psychosocial, and emotional dimensions were the independent variables. The pain beliefs and meanings dimension was the mediating variable, and the dependent variable was the total pain intensity in the assessment of cancer pain.
引用
收藏
页码:454 / 461
页数:8
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