DEVELOPMENT OF A BEHAVIORAL MEASURE OF MOUTH PAIN, NAUSEA, AND WELLNESS FOR PATIENTS RECEIVING RADIATION AND CHEMOTHERAPY

被引：11
作者：
CHAPKO, MK
SYRJALA, KL
BUSH, N
JEDLOW, C
YANKE, MR
机构：
[1] Clinical Division, Fred Hutchinson Cancer Research Center, Seattle
[2] School of Nursing, University of Washington, Seattle, WA
来源：
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 1991年 / 6卷 / 01期
关键词：
MOUTH PAIN; NAUSEA; WELLNESS BEHAVIOR; SELF-REPORT; VERBAL BEHAVIOR; BONE MARROW TRANSPLANT;
D O I：
10.1016/0885-3924(91)90067-E
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Toxicities from the chemotherapy and irradiation preparative regimen for bone marrow transplantation include nausea, emesis, and oral pain. Behavioral measures were developed as alternatives to paper and pencil measures of these symptoms because patients are sometimes too ill, unavailable, or unwilling to complete self-report scales. Behavioral observations also provide supplements to self-report for these multidimensional symptoms. For 24 days during the acute phase of transplantation, nurses rated the behavior of adult patients on: (a) oral pain (for example, requests pain medication or refuses mouth examination), (b) nausea (for instance, retches or keeps emesis basin near), (c) wellness (for example, talks voluntarily or smiles), (d) verbal complaints of pain, and (e) verbal complaints of nausea. The behavioral measures demonstrated good interday reliability (range, 0.70-0.86) and construct validity as demonstrated by a multitrait, multimethod correlation matrix.
引用
收藏
页码：15 / 23
页数：9
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共 20 条
  • [1] Chapko, Syrjala, Schilter, Cummings, Sullivan, Chemoradiotherapy toxicity during bone marrow transplantation: time course and variation in pain and nausea, Bone Marrow Transplant, 4, pp. 181-186, (1989)
  • [2] Chapman, Syrjala, Sargur, Pain as a manifestation of cancer treatment, Semin Oncol Nurs, 1, pp. 100-108, (1985)
  • [3] Morrow, The assessment of nausea and vomiting, Cancer, 53, pp. 2267-2278, (1984)
  • [4] Syrjala, Chapman, Measurement of clinical pain: a review and integration of research findings, Advances in pain research and therapy, pp. 71-101, (1984)
  • [5] Vlaeyen, Van Eek, Groenman, Schuerman, Dimensions and components of observed chronic pain behavior, Pain, 31, pp. 65-75, (1987)
  • [6] Fordyce, Behavioral methods for chronic pain and illness, (1976)
  • [7] Fredericksen, Sterling, Ross, Methodology in the measurement of pain, Behavior Therapy, 9, pp. 486-488, (1978)
  • [8] Keefe, Block, Development of an observation method for assessing pain behavior in chronic low back pain patients, Behav Ther, 13, pp. 363-375, (1982)
  • [9] Le Resche, Facial expression in pain: a study of candid photographs, J Nonverbal Behav, 7, pp. 46-56, (1982)
  • [10] McDaniel, Anderson, Bradley, Et al., Development of an observation method for assessing pain behavior in rheumatoid arthritis patients, Pain, 24, pp. 165-184, (1986)
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