A Clinical Investigation: Study on Psychosocial Characteristics, Social Support and Intervention Strategies of Outpatient Cancer Pain Patients
- 1 Pain and Rehabilitation Department, Jiangsu Cancer Hospital (Institute of Jiangsu Cancer Prevention and Control, Cancer Hos-pital Affiliated to Nanjing Medical University), Nanjing, China
- 2 Cancer Specialist Nursing Clinic, Jiangsu Cancer Hospital (Institute of Jiangsu Cancer Prevention and Control, Cancer Hospital Affiliated to Nanjing Medical University), Nanjing, China
- 3 Department of Integrated Chinese and Western Medicine, Jiangsu Cancer Hospital (Institute of Jiangsu Cancer Prevention and Control, Cancer Hospital Affiliated to Nanjing Medical University), Nanjing, China
Abstract
Background and Objective: The presence of pain in cancer patients is a prevalent concomitant symptom, exerting significant impacts on their physical, psychological, and social functioning. However, the psychological and social aspects are often overlooked. This study aims to explore the factors influencing the provision of psychological and social support for patients experiencing cancer-related pain while proposing intervention measures to en hance treatment compliance, confidence levels, and overall quality of life . Materials and Methods: According to the inclusion and exclusion criteria, a total of 108 patients with moderate to severe advanced cancer pain who had received outpatient analgesia treatment for at least one month were selected as the study subjects. The psychological characteristics and social support of these patients were further examined using the Self-Rating Symptom Scale ( SCL-90) and Social Support Rating Scale (SSRS). The influencing factor s were compared with the national norms. Results: The total score of SCL-90 was significantly different from that of the domestic norm (P < 0.05), and the total score of social support was significantly different from that of the domestic norm (P < 0.01). In addition to hostile symptoms, Somatic, obsessive, sensitive, depression, anxiety, terror, paranoia, psychosis and other symptoms were correlated with subjective support (P < 0.05). Conclusion: Patients with cancer pain are more vulnerable to physical symptoms, psychological distress, lack of social support, and other contributing factors. Implementing standardized treatment protocols can effectively alleviate physical symptoms while al so emphasizing the importance of psychosocial interventions to addre ss negative emotions and enhance social support. By bolstering patient confid ence through these measures, we can ultimately improve treatment out comes and enhance patients’ overall quality of life.
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