神经性疼痛影响化疗引起周围神经病变的乳腺癌幸存者的生活质量

IF 1.6 4区 医学 Q2 NURSING Pain Management Nursing Pub Date : 2024-06-01 DOI:10.1016/j.pmn.2023.12.013
You-Wun Jheng R.N., M.S.N. , Ya-Ning Chan R.N., Ph.D. , Chih-Jung Wu R.N., Ph.D. , Ming-Wei Lin Ph.D. , Ling-Ming Tseng M.D. , Ya-Jung Wang R.N., Ph.D.
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引用次数: 0

摘要

背景尽管化疗引起的周围神经病变对乳腺癌幸存者的生活质量有很大影响,但目前明显缺乏全面的研究。本研究探讨了化疗诱发周围神经病变的乳腺癌幸存者生活质量的预测因素。方法使用多元回归分析评估神经病理性疼痛、睡眠障碍、抑郁和生活质量,以确定生活质量的预测因素。结果研究表明,改善抑郁(B = -10.87,p <.001)和神经性疼痛(B = -8.33,p = .004)可提高化疗引起周围神经病变的乳腺癌幸存者的生活质量。此外,个人的婚姻状况和乳腺癌家族史也被确定为预测因素。结论本研究揭示了化疗诱发周围神经病变的乳腺癌幸存者的生活质量决定因素,提倡全面护理,解决抑郁和神经性疼痛问题,以获得更好的治疗效果。
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Neuropathic Pain Affects Quality of Life in Breast Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy

Background

Despite the significant impact of chemotherapy-induced peripheral neuropathy on the quality of life for breast cancer survivors, there is a notable lack of comprehensive research. Therefore, a crucial need exists for further systematic investigation and inquiry into this matter.

Aims

This study examined predictors of quality of life in breast cancer survivors with chemotherapy-induced peripheral neuropathy.

Design

A cross-sectional, correlational design.

Settings

This study was conducted at a medical center in northern Taiwan and a teaching hospital in northeastern Taiwan.

Participants/Subjects

One hundred and thirty adult women with breast cancer, who have undergone chemotherapy and obtained a Total Neuropathy Scale-Clinical Version score>0, were enrolled.

Methods

Neuropathic pain, sleep disturbances, depression, and quality of life were evaluated using multiple regression analysis to identify quality of life predictors. Clinical importance was established using the minimally important difference of Functional Assessment of Cancer Therapy-Breast.

Results

The study indicated that improving depression (B = –10.87, p < .001) and neuropathic pain (B = –8.33, p = .004) may enhance the quality of life of breast cancer survivors with chemotherapy-induced peripheral neuropathy. Moreover, the individual's marital status and family history of breast cancer were identified as predictive factors.

Conclusions

This study illuminates quality of life determinants for breast cancer survivors with chemotherapy-induced peripheral neuropathy, advocating comprehensive care and addressing depression and neuropathic pain for better outcomes.

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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
期刊介绍: This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
期刊最新文献
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