The effect of peripheral neuropathy on daily life activities in patients receiving chemotherapy

Ezgi Bicakci, M. Akgün
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Abstract

Objective: The aim of this study is to determine the relationship between pain and pain related factors associated with peripheral neuropathy and daily life activities in patients receiving chemotherapy. Methods: The study used a descriptive and cross-sectional design to examine 80 patients who came to the outpatient chemotherapy unit of two university hospitals to receive chemotherapy drugs such as taxane, platinum analogs and vinca alkaloids. The data were collected by using face-to-face interview method through “General Information Form”, “S-LANSS Pain Scale” that is a bedside test for distinctive diagnosis of neuropathic pain and “Health Assessment Questionnaire (HAQ)” which is a scale prepared by the researcher and measures daily activities to evaluate physical disability. Results: In the group with neuropathic pain, HAQ scores ( p = .003; p < .01) and S-LANSS scores ( p = .005; p < .01) of the patients who did not have hand-foot complaints prior to the treatment but experienced hand-foot discomfort with the beginning of chemotherapy treatment, were found to be statistically significantly higher. There was a statistically significant positive relation between HAQ score and S-LANSS pain score at the level of 61.2% ( r = 0.612; p = .001; p < .01). Conclusions: It was concluded that the symptoms of Chemotherapy-Induced Peripheral Neuropathy (CIPN) and related pain and pain-related factors negatively affect the level of doing daily life activities.
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周围神经病变对化疗患者日常生活活动的影响
目的:本研究的目的是确定接受化疗的患者的疼痛和与周围神经病变相关的疼痛相关因素与日常生活活动之间的关系。方法:采用描述性和横断面设计,对80名来两所大学医院门诊化疗室接受紫杉烷、铂类似物和长春花生物碱等化疗药物治疗的患者进行检查。通过“一般信息表”、“S-LANSS疼痛量表”(一种用于神经性疼痛鉴别诊断的床边测试)和“健康评估问卷(HAQ)”(由研究人员编制并测量日常活动以评估身体残疾的量表),采用面对面访谈法收集数据。结果:在神经性疼痛组中,治疗前没有手足不适但化疗开始时出现手足不适的患者的HAQ评分(p=0.003;p<0.01)和S-LANSS评分(p=0.005;p<0.01)在统计学上显著较高。HAQ评分与S-LANSS疼痛评分之间存在统计学上显著的正相关关系,其水平为61.2%(r=0.612;p=0.001;p<0.01)。结论:化疗诱导的周围神经病变(CIPN)症状及相关疼痛和疼痛相关因素对日常生活活动水平产生负面影响。
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