بررسی اثربخشی آموزش مهارتهای مقابله با استرس بر کیفیت زندگی و میزان درد در بیماران مبتلا به سرطان پستان

نوع مقاله: علمی- پژوهشی

نویسندگان

1 مربی گروه روانشناسی، دانشگاه پیام نور، تهران،ایران

2 دانشگاه پیام نور

چکیده

مقدمه: بیماری سرطان مشکلات فراوانی در ابعاد جسمانی، روان‌شناختی و اجتماعی ازجمله تحمل درد و کاهش کیفیت زندگی ایجاد می‌کند. این مطالعه با هدف اثربخشی آموزش مهارت‌های مقابله با استرس بر میزان درد، کیفیت زندگی بیماران مبتلا به سرطان پستان ساکن در شهرستان دزفول انجام شد. روش: این تحقیق یک مطالعه نیمه آزمایشی با طرح پیش‌آزمون ـ پس‌آزمون با گروه کنترل همراه با پیگیری است. برای این منظور طی دعوت‌نامه‌ای غیررسمی از 34 بیمار که دارای شرایط مطالعه بودند ثبت‌نام به عمل آمد. این بیماران به‌صورت تصادفی به دو گروه 17 نفری آزمایش و کنترل تقسیم شدند. گروه آزمایش تحت آموزش برنامه 8 هفته‌ای 5/1 ساعته مهارت‌های مقابله با استرس (لازاروس و فولکمن، 1984) قرار گرفت و گروه کنترل تا پایان برنامه، برنامه درمانی عادی خود را دریافت نمودند. هر دو گروه قبل و بعد از اجرای برنامه، پرسشنامه مختصر شدت درد و پرسشنامه کیفیت زندگی را تکمیل کردند. یافته ­ها: نتایج توصیفی نشان‌دهنده وضعیت بهتر گروه آزمایش در متغیرهای کیفیت زندگی و ابعاد آن و درد و ابعاد آن، نسبت به گروه کنترل بود. نتیجه‌گیری: نتایج تحلیل کوواریانس چند متغیره نیز با کنترل اثر پیش‌آزمون، نشان داد که آموزش مهارت‌های مقابله با استرس باعث بهبود در کیفیت زندگی و ابعاد عملکردی و علائم آن در بیماران مبتلا به سرطان سینه شده است. همچنین این برنامه در کاهش شدت درد و کاهش تداخل درد در عملکرد روزمره این بیماران شده است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effect of coping skills training program on pain and quality of life in breast cancer patient

نویسنده [English]

  • mehrdad akbari 1
چکیده [English]

Objective: Breast cancer can cause of many problems in physical, mental and social performance, including pain and can cause reduced quality of life. The aim of this study is the effect of coping skills training program on pain and quality of life in breast cancer patients residing in the city of Dezful. Method: Method of this study is a quasi-experimental research design with pretest - posttest control group. During an informal invitation 34 patients were enrolled in the study were eligible. The patients were randomly divided into experiment and control groups (each group include 17 subjects). Experiment group were received 8 sessions 1.5 h weekly of coping skills program (Lazaruss, Folkman, 1984). Participants completed brief pain questionnaire (BPI) and quality of life questionnaire (European Organization for Research and Treatment of Cancer (EORTC)) before and after starting the program. Findings: The results of the descriptive analysis showed that experimental group have better in global quality of life and its dimensions, also experiment group reduced in both severity pain and interference in daily functioning than the control group. Conclusion: MANCOVA analysis demonstrates that coping training caused enhancement of quality of life and diminish the pain in experiment group.

کلیدواژه‌ها [English]

  • Coping skills
  • Pain
  • Quality of Life
  • breast cancer
 Albert, U.  S., Koller, M., Wagner, U. & Schulz, K. D. (2004). "Survival chances and psychological aspects of quality of life in patients with localized early stage breast cancer". Inflammation Research. 53 (Suppl. 2):36–S141.

Altschuler, A., Rosenbaum, E., Gordon, P., Canales, S. &, Avins, L. A. (2012). "Audio recordings of mindfulness-based stress reduction training to improve cancer patients’ mood and

quality of life—a pilot feasibility study". Support Care Cancer 20: 1291–1297.
Apolone, G., Bertetto, O., Caraceni, A. & etal (2006). "Pain in cancer. An outcome research project to evaluate the epidemiology, the quality and the effects of pain treatment in cancer patients". Health and Quality of Life Outcomes, 4,7

Asghari, A, & Nicholas, M.K. (2004). "Pain during mammography: the role of coping strategies". Pain, 108, 170-179.

Baer, R. A. (2003). "Mindfulness training as a clinical intervention: A conceptual and empirical review". Clinical Psychology: Science and Practice, 10, 125–143.

Bennett, M., ayment, C., Hjermstad, M., Aass, N., Caraceni, A. & Kaasa, S. (2012). "Prevalence and aetiology of neuropathic pain in cancer patients: A systematic review". PAIN, 153, 359–365.

Bjelic-Radisic, V., Jensen. T. P., Kuljanic, K., Ann-Charlotte, V., Singer, S. Chie, W., Nordin, A. & Greimel, E. (2012). "Quality of life characteristics inpatients with cervical cancer". European Journal of Cancer, 48, 3009– 3018.

Brown SC, Hart G, Chastain DP, et al (2009). "Reducing distress for children during invasive procedures: Randomized clinical trial of effectiveness of the Pedi Sedate". Paediatr Anaesth. 19(8): 725-731.

Craciun, B. (2013). "Coping Strategies, Self-criticism and Gender Factor in Relation to Quality of Life". Social and Behavioral Sciences, 78, (13), 466-470

Carroll, L., Mercado, A.C., Cassidy, J.D. & Cjte, P.A. (2002). "A population based study of factors associated with combinations of active and passive coping with neck and low back pain". J Rehabil Med 2002; 34(2): 67-72.

Cherny, N. (200). "The management of cancer pain". Cancer J Clin, 50:70-116

Cleeland, C.S. (1991). "Pain assessment in cancer, in Osoba D (ed): Effect of Cancer on Quality of Life". Boca Raton, FL, CRC Press, 293-305

 Cleeland, C.S., Nakamura, Y., Mendoza, T.R., Edwards, K.R., Douglas, J. & Serlin, R.C. (1996). "Dimensions of the impact of cancer pain in a four country sample: New information from multidimensional scaling". Pain 67:267-273.

DeGood, D.E. & Tait, R.C. (2001). "Assessment of pain beliefs and pain coping In: Turk, D. C., Melzack, R. (Eds)". Handbook of pain Assessment, Second Edition (pp. 320-345), New York: Guilford Press.

Dick, D.B. & Rashiq, S. (2008). "Chronic low back pain: Review of treatment and standards". J Behav AnalHealth Sports Fit Med 1: 19-25.

Distefano, M., Riccardi, S., Capelli, G., Costantini, B., Petrillo, M. & Ricci, C. (2008). "Quality of life and psychological distress in locally advanced cervical cancer patients administered pre- operative chemo radiotherapy". Gynecol Oncol, 111 (1): 144 -50.

 Eccleston, C. & Crombez, G. (1999). "Pain demands attention: a cognitive affective model of the interruptive function of pain". Psychol Bull, 125: 356-66.

 Holen, J.C., Lydersen, S.,  Klepstad, P., Loge, J.H. & Kaasa, S. (2008). "The Brief Pain Inventory: Pain’s interference with

functions is different in cancer pain compared with noncancer chronic pain". Clin J Pain 24:219-225.
Hearn, J. & Higginson, I.J. (2003). "Cancer pain epidemiology: a systematic review. In: Bruera ED, Portenoy RK, editors. Cancer Pain: Assessment and Management". London: Cambridge University Press; 19–37.

International Association for the Study of Pain. (1986). "Classification of Chronic Pain, Descriptions of Chronic Pain Syndroms and Definition of Pain Terms". Pain 31-222.

Johnson, B. (2001). "Physiology of pain". London: Bailliere Tineall; P. 203-210.

Kaasa, S., Apolone, G., Klepstad, P., Loge, J.H., Hjermstad, M.J., Corli, O., Strasser, F., Heiskanen, T., Costantini, M., Zagonel, V., Groenvold, M., Fainsinger, R., Jensen, M.P., Farrar, J.T., McQuay, H., Rothrock, N.E., Cleary, J., Deguines, C. & Caraceni, A. (2011). "Expert conference on cancer pain assessment and classification— the need for international consensus: Working proposals on international standards". BMJ Support Palliat Care 1:281-287.

Katz, N. (2002). "The impact of pain management on quality of life". J Pain Symptom Manage. 24(1): 38-7.

 

Kroenke, K., Theobald, D., Wu, J., Tu, W., & Krebs, E. (2012). "Comparative Responsiveness of Pain Measures in Cancer Patients". The Journal of Pain, 13, 8, 764-772.
Lazarus, R.S. & Folkman. S. (1984). "Stress, appraisal, and coping". New York: Springer.

 Lee, C. (2003).  "Pain in chronic disease". Nurs Stand. 7(3): 24-28.

Mirzamani, S.M., Sadidi, A., Sahrai, J. & Besharat, M.A." Anxiety and Depression in Patients with Lower Back Pain". Psychological Reports 2005; 96:553-558.

Morone, N. E., Lynch, C. S., Greco, C. M., Tindle, H. A. & Weiner, D. K. (2008). "I Feel Like a New Person". The Effects of Mindfulness Meditation on Older Adults with Chronic Pain: A Qualitative Narrative Analysis of Diary Entries. Journal of Pain, 9, 841–848.

Öster, I., Tavelin, B., Egberg K. T., Magnusson, E, Isaksson, U., Lindh, J. & Åström, S. (2014). "Art therapy during radiotherapy – A five-year follow-up study with women diagnosed with breast ancer". Journal of Arts in Psychotherapy, 41,1, 36-40

Palmer, N. R. A., Tooze, J. A., Turner, A., Xu, J. & Avis, N. E. (2013). "African American prostate cancer survivors’ treatment decision-making and quality of life". Patient Education and Counseling 90, 61–68.

Pettierew, M., Bell, R.. & Hunter, H. (2002). "Influence of psychological coping on survival and recurrence in people with cancer". British Medical Journal, 325, 1066-1075.

Prabhakar, A.R., Marwah, N. & Raju, O.S. (2007). "A comparison between audio and audio-visual distraction techniques in managing anxious pediatric dental patients". J Indian Soc Pedod Prev Dent 25(4): 177-182.

Price, M.A., Bell, M.L., Sommeijer, D. W., Friedlander, M., Stockler, M.R., DeFazio, A., Webb, P.M. & Butow, P.N. (2013). "Physical symptoms, coping styles and quality of life in recurrent ovarian cancer: A prospective population-based study over the last year of life". Journal of

Gynecologic Oncology, 130, (1) 162-168.
Reynolds, P., Huley, S., Tovers, M. & Jackson, M. (2005). "Use of coping strategies and breast cancer survival". American Journal of Epidemiology, 9,152.

Skevington, S.M. (1998). "Investigating the relationship between pain and discomfort and quality of life, using the WHOQOL". Pain. (76): 395-406.

Tavoli, A., Montazeri, A., Roshan, R., Tavoli, Z. & Melyani, M. (2008). "Depression and quality of life in cancer patients with and without pain: The role of pain beliefs". BMC Cancer 8:177,

Van'tspijker, A., Trisburg, R. W. & Duivenvoorden, H. (1997). "A meta-analytic review of 58 studies of cancer". Psychometric Medicine, 59, 280-293.

Uman, L.S., Chambers, C.T., McGrath, P.J. & et al. (2007). "Psychological interventions for needle-related procedural pain and distress in children and adolescents". Cochrane Libr. (3): 1-77.

Wang, Z.X., Sun, L.H. & Chen, A.P. (2008). "The efficacy of non-pharmacological methods of pain management in school-age children receiving vena puncture in a pediatric department: A randomized controlled trial intervention". Swiss Med Wkly. 138(39-40): 579-584.

Williams, A.C. & McCracken, L. (2004). "Cognitive-behavioral therapy for chronic pain: an overview with specific reference to fear and avoidance". In: Asmundson GJ,Vlaeyen JW, Crombez G, editors. Understanding and treating fear of pain. Oxford:  Oxford University Press; 2004. p. 293–312.