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The cancer pain experience in Thai p...
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Wayne State University.
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The cancer pain experience in Thai patients: Meanings of cancer pain, control over pain, pain coping, and pain outcomes.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
The cancer pain experience in Thai patients: Meanings of cancer pain, control over pain, pain coping, and pain outcomes./
作者:
Petpichetchian, Wongchan.
面頁冊數:
209 p.
附註:
Adviser: Ada K. Jacox.
Contained By:
Dissertation Abstracts International62-03B.
標題:
Health Sciences, Nursing. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3010117
ISBN:
9780493199443
The cancer pain experience in Thai patients: Meanings of cancer pain, control over pain, pain coping, and pain outcomes.
Petpichetchian, Wongchan.
The cancer pain experience in Thai patients: Meanings of cancer pain, control over pain, pain coping, and pain outcomes.
- 209 p.
Adviser: Ada K. Jacox.
Thesis (Ph.D.)--Wayne State University, 2001.
This study was aimed at understanding the nature of the cancer pain experience, specifically the cognitive dimension of pain in a Thai sample. The study investigated the influences of perceived meaning of cancer pain, perceived control over pain, and pain coping on pain intensity, pain interference, and mood disturbance. A theoretical model derived from the gate control theory and Lazarus's theory was tested.
ISBN: 9780493199443Subjects--Topical Terms:
1017798
Health Sciences, Nursing.
The cancer pain experience in Thai patients: Meanings of cancer pain, control over pain, pain coping, and pain outcomes.
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Adviser: Ada K. Jacox.
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Source: Dissertation Abstracts International, Volume: 62-03, Section: B, page: 1324.
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Thesis (Ph.D.)--Wayne State University, 2001.
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This study was aimed at understanding the nature of the cancer pain experience, specifically the cognitive dimension of pain in a Thai sample. The study investigated the influences of perceived meaning of cancer pain, perceived control over pain, and pain coping on pain intensity, pain interference, and mood disturbance. A theoretical model derived from the gate control theory and Lazarus's theory was tested.
520
$a
Participants were 300 adult outpatients with cancer-related pain receiving care at one of five institutions in northern, central, and southern Thailand. Study instruments included the Brief Pain Inventory (Short Form), the Profile of Mood States (Short Version), the Perceived Meaning of Cancer Pain Inventory, the Pain Control Scale of the Survey of Pain Attitude, and the Pain Coping Strategies Scale. The instruments were back translated and culturally validated by Thai experts. A pilot study was conducted with 20 subjects followed by modifications of the instruments and the collection procedure. Structural equation modeling analysis was used to test research hypotheses. The measurement model and structural model were examined. The overall model fit was assessed and re-specification of the model was theoretically and statistically judged and tested again to allow a meaningful interpretation.
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Results revealed that perceived meaning of cancer pain was a significant factor in influencing pain intensity, pain interference, and mood disturbance. Perceived control over pain influenced only pain interference. Perceived meaning did not show a significant effect on pain coping. Perceived control showed a positive effect on pain coping. The combined contribution of perceived meaning and perceived control played an important role in the pain experience. Pain coping did not influence subjects' levels of pain intensity, pain interference, or mood states. Additionally, stage of cancer was a significant factor in determining cognitive pain appraisals. The interrelationships among pain intensity, pain interference, and mood disturbance were demonstrated. These findings have implications for nursing practice in planning interventions to alleviate pain and related outcomes by changing cognitive appraisals of pain, especially for advanced cancer patients. Thai patients received inadequate medical treatments for pain relief. Implications for the Thai health care system were discussed. Future research was recommended.
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