癌症疼痛因應量表之發展與癌症疼痛因應行為之探討

The purposes of this study were twofold: (l) to develop a reliable and valid “Cancer Pain Coping Strategies Questionnaire” for Taiwanese cancer patients, and (2) to explore the use of pain coping strategies among Taiwanese cancer patients. This study consisted of two steps. Study 1 was to explore the coping strategies used by Taiwanese patients suffering from cancer pain. In study 1, fifty patients were interviewed using a semi-structured interview guide and the result was analyzed by content analysis. Study 2 was to establish the reliability and validity of this questionnaire and to explore the use of pain coping strategies in a sample of 134 patients with cancer pain. The preliminary findings revealed that this questionnaire had acceptable internal consistency, test-rest reliability, and content validity; patients with cancer pain employed a variety of coping strategies to relieve their pain; there were some coping behaviors more likely to be used, such as use of medications, rest, and tolerating; some coping behaviors were less likely to be used, such as acupuncture, meditation, and use of heat/cold; finally, the adapted coping behaviors were found to be related to their demographic variables, pain intensity, and pain interference. These findings are discussed in terms of implications for nursing practice and future research.