SOCIODEMOGRAPHIC CHARACTERISTICS INFLUENCE PAIN PERCEPTION IN NON-SMALL CELL LUNG CANCER PATIENTS
Autori:
Suzana Kukulj, Marina Serdarević, Katherina Bernadette Sreter, Ivana Ević, Bernard Budimir, Filip Popović, Gordana Drpa
Sažetak
Uvod: Karcinom pluća najčešća je maligna bolest u muškaraca, a u žena se nalazi na trećem mjestu. Nedvojbeno je da oboljeli, uz ostale simptome, trpe bol. Svrha rada: Istraživanje je provedeno kako bi se utvrdilo postoji li utjecaj sociodemografskih karakteristika na percepciju boli mjerenoj analogno-vizualnom ljestvicom među oboljelima od karcinoma pluća ne-malih stanica. Metode: Ovo primijenjeno, opservacijsko, unicentrično istraživanje imalo je dva kraka: 1) presječni krak, i 2) prospektivni, kohortni krak. Rezultati: U istraživanje je ukupno uključen 41 bolesnik s medijanom dobi 61 (56–68) godina. Ovo istraživanje pokazalo je da subjektivna percepcija boli jest povezana s dobi i urbaniziranošću mjesta boravka te kako su s intenzivnijim subjektivnim osjećajem boli bile povezane mlađa dob (≤ 60 godina vs. > 60 godina, p=0,026) i gradska naselja (grad vs. selo, p=0,031). Dob je bila neovisno i statistički značajno povezana i s relativnom promjenom boli nakon terapije (Wald=5,914; ss=1; p=0,015). Zaključci: Koliko dob, spol, način življenja, mjesto stanovanja pa i sam mentalitet mogu utjecati na doživljaj boli vrijedno je uzeti u obzir kako bi se takvim pacijentima omogućila što bolju skrb i kvaliteta života u godinama borbe s malignom bolešću.
Summary
Background: Lung cancer is the most common malignant disease in men and the third most common in women worldwide. Pain in these patients is a leading and debilitating symptom, among others. Objectives: The aim of this research was to determine the relationship between the sociodemographic characteristics and pain perception, as measured by visual analogue scale for pain, in patients with non-small cell lung cancer. Methods: This observational, single centre study included both a cross-sectional and prospective cohort design. Results: Forty-one patients with a median age of 61 years (range 56–68) were included. This study showed that subjective perception of pain is related to age and place of residence. Younger patients (≤ 60 years old, p=0.026) and those residing in cities (p=0.031) reported feeling worse pain. Age was independently and statistically associated with the relative relief of pain after analgesic therapy (Wald=5.914; ss=1; p=0.015). Conclusion: Age, lifestyle, place of residence, and mentality should be considered when evaluating pain perception in patients suffering from chronic pain related to malignant disease in order to provide the best possible medical treatment with the goal of improving quality of life.
