Pain in Head and Neck Cancer Patients and Its Interference on Daily Function
Date Issued
2015
Date
2015
Author(s)
Teng, Hui-Yen
Abstract
Head and neck cancer (HNC) patients suffered from treatment-induced pain during survival period. The purpose of this study was to (1) examine the severity and characteristics of pain, and daily function, (2) examine the correlation of pain and daily function, and (3) examine the predictors of daily function in HNC patients. A cross-sectional study was conducted. Participants were recruited from the otolaryngology outpatient department of a medical center in northern Taiwan between August 2014 and May 2015. A set of questionnaires was used to interview, questionnaires including background information from, McGill Pain Questionnaire short-form (MGPQ), Brief Pain Inventory (BPI), and WHO Disability Assessment Schedule 2.0. (WHODAS 2.0). All calculations were made using SPSS for Window. The data analysis was conducted with descriptive statistics (frequency, mean, standard deviation, and percentage), Pearson’s product moment correlation, one-way ANOVA, and logistic regression. A total of 119 HNC patients were recruited in this study. The results showed that (1) half of participants experienced pain at post-treatment, most of the patients was treatment-induced pain. 73% of the patients received surgery, and the larger area of surgery was significantly associated with severe pain, (2) the location of pain focused on shoulder and oral cavity, respectively; the characteristics of pain were tender, sharp, and throbbing, (3) Patients had mild-to-moderate levels of pain, especially significantly interfere with daily function within 6 months, and more than half of patients reported pain lasting more than 6 months, and (4) Patients’ pain impact on daily function, and the top four dimensions according to descending were participation in society, getting around, getting alone with people, and understanding and communication, respectively. Healthcare providers should pay attention for HNC patients’ pain after completing treatment, actively assess the severity and characteristics of pain and interfere with daily function, and reduce the impairment of daily function in HNC patients during post-treatment. The result of this research can provide into clinical HNC survivors’ care, in order to assess disability by pain, and become reference to the study in the future.
Subjects
head and neck cancer
pain
daily function
SDGs
Type
thesis
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