Characteristics of Cancer Related Pain and Coping in Head and Neck Cancer Patients
Date Issued
2010
Date
2010
Author(s)
Hsieh, Pei-Yun
Abstract
Head and neck cancer patients frequently complained of many discomforts, such as chronic pain, rigidness, myofasical pain and so on. These complications are known to influence patient’s quality of life. However, there is little research that has been done to discover the impacts of myofascial pain on head and neck cancer patients. The purposes of the study are to exam (1) the myofascial pain prevalence, locations and intensity among patient diagnosed with head and neck cancer, (2) the correlation between pain, coping and depression. This is a cross-sectional study conducted in a medical center in northern Taiwan. A total of 136 head and neck cancer patients were recruited. Instruments used to collect data from participants were Brief Pain Inventory (BPI), Mc Gill Pain Questionnaire (MPQ), Neck Dissection Impairment Index (NDII), Hospital Anxiety and Depression Scale (HADS), and Brief Pain Coping Inventory (BPCI). Data were analyzed using independent t-test, ANOVA, and Pearson’s correlation. The findings showed that (1) there is no significant differences in pain intensity between nasopharyngeal cancer and oral cavity cancer patients. (2) The major pain characteristic is aching. (3) Pain intensity has high correlation with life interference. (4) The highest incidence of myofascial pain area is trapezius muscle, followed by levator scapulae. (5) Myofascal pain intensity is significantly correlated to patients’ severity of depression and life interfernence. (6) Oral cavity cancer patients have higher depression scores than those diagnosed with nasopharyngeal cancer. (7) Patients who received two kinds of neck dissection reported higer depression scores than those without neck dissection surgey or only SND did. (8) Patients mainly adopted medicine to cope with their pain. These study results provide evidence about the status quo of pain among HNC patients during the survival period. We also reveal that myofascial pain impacts life function and mood of these patients. Overall we hope that these findings will rouse clinical staff paying much attention to ease patients’ myofascal pain, and further understand its physical and emotional impacts on those.
Subjects
Head and neck cancer
Myofascial pain
Coping
Depression
SDGs
Type
thesis
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