br Results br Table presents
Table 1 presents a sociodemographic and clinical description of both patient groups. Regarding sex, education, and place of residence, patients did not differ significantly between
groups (inpatient unit vs home). In the area of age, a tendency towards higher values in the home-care group was found. Performance status measured with Karnofsky was found to be significantly different, with patients in home care being slightly less active (a lower Karnofsky score). The average duration of pain was not significantly different between both patient groups.
The results (Table 2) show that patients from the 2 groups did not differ in terms of pain intensity or pain interference (BPI-Short Form). Patients from these 2 groups also did not differ in terms of depression intensity (HADS). The only difference between patient groups lies in dis-parate beliefs about particular aspects of pain. In comparison to patients staying at an inpatient unit, patients in home care expressed beliefs about better treatment control in relation to pain (t = 2.242, P < 0.05). Patients treated at home also experienced more intense distress related to pain (t = 2.142, P < 0.05).
In the regression model, age, pain intensity, and place of treatment proved to be predictors of patients’ beliefs about possible treatment control in terms of pain (Table 3). The statistically significant model allows for explaining approximately 31% of variance for the analyzed variable (R2 = 0.309). Patients convinced that treatment of pain is more controllable were younger, they Yoda1 experienced less intense pain and they were treated at home. Anxiety and depression intensity were of no significance.
Please cite this article as: A. Zdun-Ryzewska,˙ G. Chojnacka-Szawłowska and K. Basinski´ et al., Cognitive and emotional representations of pain in cancer patients at an inpatient unit and home palliative care, Current Problems in Cancer, https://doi.org/10.1016/j.currproblcancer.2019.01.005
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A. Zdun-Ryzewska,˙ G. Chojnacka-Szawłowska and K. Basinski´ et al. / Current Problems in Cancer xxx (xxxx) xxx 5
Beliefs about pain (PCU-palliative care unit, HC-home care).
Variable M SD M SD t P
PCU PCU HC HC
Regression model of treatment control in relation to pain.
Coe cient Estimate β P
In the field of palliative care of cancer patients, a growing demand and progressive improve-ment create a necessity for better understanding of patients’ needs and key factors important to enhance quality of care.14,15 One of patients’ major needs is receiving an effective treatment of pain and other symptoms. Pain is the symptom most commonly associated with cancer and significantly affecting patients’ and caregivers QoL.16
In annuals study, no differences were observed in pain intensity between patients at inpatient palliative care unit and home care, which may signify that in both groups, patients received proper care and effective symptom treatment including pain management. Although statistically insignificant, higher scores were observed among patients treated at home regarding pain inter-ference with life activities and pain at its worst. Lower probability of experiencing severe pain in hospitals has been indicated in other studies, along with emphasizing no difference in the pro-portion of patients free from pain between the 2 types of care. Authors of the study suggest that conclusions on better coping with pain in hospital conditions should be drawn circumspectly and always with patient’s age taken into account.17