abstract：:Thoracentesis plays an important role in cancer patients with symptomatic effusions, although its effect is short-lived and symptoms recur in almost all patients. Early video-thoracoscopic surgical pleurodesis may provide added benefit to a group of patients with advanced cancer presenting with symptomatic malignant p...

journal_title：Journal of pain and symptom management

authors： Marrazzo A,Noto A,Casà L,Taormina P,Lo Gerfo D,David M,Mercadante S

更新日期：2005-07-01 00:00:00

abstract：:This study compared the effects of nebulized versus subcutaneous morphine on the intensity of dyspnea in cancer patients. Patients with a resting dyspnea intensity > or =3 on a 0-10 scale (0=no dyspnea, 10=worst possible dyspnea) who received regular oral or parenteral opioids were included. On day 1, patients receive...

journal_title：Journal of pain and symptom management

authors： Bruera E,Sala R,Spruyt O,Palmer JL,Zhang T,Willey J

更新日期：2005-06-01 00:00:00

abstract：:The purpose of this randomized, controlled, home care intervention was to test the effectiveness of two nurse-targeted, e-mail-based interventions to increase home care nurses' adherence to pain assessment and management guidelines, and to improve patient outcomes. Nurses from a large urban non-profit home care organi...

journal_title：Journal of pain and symptom management

authors： McDonald MV,Pezzin LE,Feldman PH,Murtaugh CM,Peng TR

更新日期：2005-05-01 00:00:00

abstract：:The effects of opioids usually parallel the plasma concentrations but with a temporal shift. This temporal shift differs between opioids. It is small with alfentanil or remifentanil and very long with the active metabolite of morphine, morphine-6-glucuronide (M6G). The mathematical and experimental techniques for mode...

journal_title：Journal of pain and symptom management

authors： Lötsch J

更新日期：2005-05-01 00:00:00

abstract：:Because no rigorously validated, simple yet accurate continuous delirium assessment instrument exists, we developed the Nursing Delirium Screening Scale (Nu-DESC). The Nu-DESC is an observational five-item scale that can be completed quickly. To test the validity of the Nu-DESC, 146 consecutive hospitalized patients f...

journal_title：Journal of pain and symptom management

authors： Gaudreau JD,Gagnon P,Harel F,Tremblay A,Roy MA

更新日期：2005-04-01 00:00:00

abstract：:New effective analgesics are needed for the treatment of pain. Buprenorphine, a partial mu-opioid agonist which has been in clinical use for over 25 years, has been found to be amenable to new formulation technology based on its physiochemical and pharmacological profile. Buprenorphine is marketed as parenteral, subli...

journal_title：Journal of pain and symptom management

authors： Johnson RE,Fudala PJ,Payne R

更新日期：2005-03-01 00:00:00

abstract：:We describe self-reported strategies used by persons living with HIV/AIDS in Botswana, Lesotho, South Africa, and Swaziland to manage common HIV-related symptoms. A questionnaire asked participants to list three to six symptoms they had recently experienced, the care strategies they had used to make them better, where...

journal_title：Journal of pain and symptom management

authors： Sukati NA,Mndebele SC,Makoa ET,Ramukumba TS,Makoae LN,Seboni NM,Human S,Holzemer WL

更新日期：2005-02-01 00:00:00

abstract：:The barriers to effective symptom management in hospice are not well described. We surveyed nurses of hospices affiliated with the Population-based Palliative Care Research Network (PoPCRN) to identify barriers to the effective management of common symptoms in terminally ill patients. 867/1710 (51%) nurses from 67 hos...

journal_title：Journal of pain and symptom management

authors： Johnson DC,Kassner CT,Houser J,Kutner JS

更新日期：2005-01-01 00:00:00

abstract：:Clinical trials of investigational therapy in patients with advanced cancer may not pay sufficient attention to quality of life (QOL) and supportive care issues, resulting in an adverse impact on the quality of care (QOC). We hypothesized that the simultaneous delivery of investigational therapy and a structured progr...

journal_title：Journal of pain and symptom management

authors： Meyers FJ,Linder J,Beckett L,Christensen S,Blais J,Gandara DR

更新日期：2004-12-01 00:00:00

abstract：:This study examined the relationship between patient and partner ratings of self-efficacy for symptom control and quality of life (QOL) among 40 African American prostate cancer survivors and their intimate partners. Data analyses revealed that cancer survivors who had rated their self-efficacy for symptom control hig...

journal_title：Journal of pain and symptom management

authors： Campbell LC,Keefe FJ,McKee DC,Edwards CL,Herman SH,Johnson LE,Colvin OM,McBride CM,Donattuci CF

更新日期：2004-11-01 00:00:00

abstract：:This study describes a new clinical tool for needs assessment in palliative care: the Problems and Needs in Palliative Care questionnaire (PNPC). It was developed to support the provision of care tailored to the specific demands of patients, which only can be provided when their needs are clearly identified. To test v...

journal_title：Journal of pain and symptom management

authors： Osse BH,Vernooij MJ,Schadé E,Grol RP

更新日期：2004-10-01 00:00:00

abstract：:Increasing numbers of patients with refractory pain are receiving intrathecal drug delivery systems (IDDS). We describe a case to illustrate the clinical manifestations and management implications of inadvertent overdose with drugs used in IDDS, including opioids, clonidine, baclofen, and local anesthetics. An IDDS pa...

journal_title：Journal of pain and symptom management

authors： Coyne PJ,Hansen LA,Laird J,Buster P,Smith TJ

更新日期：2004-09-01 00:00:00

abstract：:The aim of this study was to examine the relationship of changes in hemoglobin levels to changes in fatigue and cognitive functioning in cancer patients undergoing chemotherapy treatment. Seventy-seven (77) patients completed a self-administered measure of fatigue and a battery of psychometrician-administered measures...

journal_title：Journal of pain and symptom management

authors： Jacobsen PB,Garland LL,Booth-Jones M,Donovan KA,Thors CL,Winters E,Grendys E

更新日期：2004-07-01 00:00:00

abstract：:The purpose of this study was to describe hospice social workers' perceptions of cases where hospice patients or their family members expressed a desire to hasten the patient's death. Surveys were mailed to hospice social workers (n=212) in two Southeastern states. Response rate was 36%. Of the 73 respondents, 56.2% h...

journal_title：Journal of pain and symptom management

authors： Arnold EM,Artin KA,Person JL,Griffith DL

更新日期：2004-06-01 00:00:00

abstract：:Accurate pain assessment is considered essential for effective management of cancer pain. The aim of this study was to evaluate the compliance of hospitalized patients with chronic cancer pain, referred to an inpatient palliative care consultation service, with self-assessment of pain intensity by means of a daily pai...

journal_title：Journal of pain and symptom management

authors： Caraceni A,Galbiati A,Brunelli C,Gorni G,Martini C,Zecca E,De Conno F

更新日期：2004-05-01 00:00:00

abstract：:A cross-sectional study was conducted among 249 Chinese cancer patients with multiple diagnoses to validate a Chinese version of the Brief Fatigue Inventory (BFI-C). Cronbach's coefficient alpha was 0.92 for fatigue severity items and 0.90 for fatigue interference items. Construct validity was explored by principal fa...

journal_title：Journal of pain and symptom management

authors： Wang XS,Hao XS,Wang Y,Guo H,Jiang YQ,Mendoza TR,Cleeland CS

更新日期：2004-04-01 00:00:00

abstract：:The aim of this qualitative study was to describe pain, coping strategies, and experienced outcome of coping with long-term pain conditions after a stroke. Forty-three participants were interviewed: 15 with central post-stroke pain (CPSP), 18 with nociceptive pain, and 10 with tension-type headache. Analysis of the da...

journal_title：Journal of pain and symptom management

authors： Widar M,Ek AC,Ahlström G

更新日期：2004-03-01 00:00:00

abstract：:Treatment of painful episodes in sickle cell disease (SCD) is sometimes complicated by disputes between patients and staff and patient behaviors that raise concerns about analgesic misuse. Those concern-raising behaviors could indicate either drug seeking caused by analgesic dependence or pseudoaddiction caused by und...

journal_title：Journal of pain and symptom management

authors： Elander J,Lusher J,Bevan D,Telfer P,Burton B

更新日期：2004-02-01 00:00:00

abstract：:A hospital-based quasi-experimental (pretest and post-test) study was conducted in Kaohsiung Veteran General Hospital, Taiwan. This study was to evaluate a continuing education program (CEP) on nurses' practices of cancer pain assessment and their acceptance of patients' pain reports with respect to four types of misc...

journal_title：Journal of pain and symptom management

authors： Ger LP,Chang CY,Ho ST,Lee MC,Chiang HH,Chao CS,Lai KH,Huang JM,Wang SC

更新日期：2004-01-01 00:00:00

abstract：:Technology is making the routine screening of symptoms and the measurement of quality of life (QoL) more feasible at the point of care. However, most existing symptom screening scales and QoL measures were not developed for clinical use and were not formatted and validated for administration through computerized mediu...

journal_title：Journal of pain and symptom management

authors： Fortner B,Okon T,Schwartzberg L,Tauer K,Houts AC

更新日期：2003-12-01 00:00:00

abstract：:This trial compared pain, quality of life, and analgesic use in a sample of patients with cancer pain (n=24) who received either standard opioid management plus rest (Arm A) or standard opioid management plus Reiki (Arm B). Participants either rested for 1.5 hr on Days 1 and 4 or received two Reiki treatments (Days 1 ...

journal_title：Journal of pain and symptom management

authors： Olson K,Hanson J,Michaud M

更新日期：2003-11-01 00:00:00

abstract：:Opioids are thought to worsen the performance of psychomotor tasks due to their sedating and mental-clouding effects. As a result, some safety regulations currently restrict the use of opioids when driving or using heavy equipment. We investigated the psychomotor effects of long-term opioid use in 144 patients with lo...

journal_title：Journal of pain and symptom management

authors： Jamison RN,Schein JR,Vallow S,Ascher S,Vorsanger GJ,Katz NP

更新日期：2003-10-01 00:00:00

abstract：:Perception of discomfort in dying patients is a risk factor for distress and bereavement among relatives. This study determined the perception of discomfort, the frequency of observed behaviors, and their association among relatives and among nurses who care for unresponsive dying patients. Sixty unresponsive dying pa...

journal_title：Journal of pain and symptom management

authors： Bruera E,Sweeney C,Willey J,Palmer JL,Strasser F,Strauch E

更新日期：2003-09-01 00:00:00

abstract：:Children with cancer often receive less adequate pain management than adults. This survey was designed to examine current practices, knowledge, and attitudes pertaining to pediatric pain management in China. Based on the choice of opioid use and self-identification as having a conservative or liberal approach to pain ...

journal_title：Journal of pain and symptom management

authors： Wang XS,Tang JY,Zhao M,Guo H,Mendoza T,Cleeland CS

更新日期：2003-08-01 00:00:00

abstract：:We explored the effect of intravenous infusions of a bisphosphonate, pamidronate, in the management of chronic mechanical spinal pain, a worldwide public health problem in terms of lost workdays, medical treatment costs, and suffering. Bisphosphonates have an anti-nociceptive effect in animals. In humans, intravenous ...

journal_title：Journal of pain and symptom management

authors： Pappagallo M,Breuer B,Schneider A,Sperber K

更新日期：2003-07-01 00:00:00

abstract：:In the last few years, palliative care for advanced and terminal cancer patients has undergone considerable evolution. We determined the characteristics of patients admitted to the 4-bed Palliative Care Unit (PCU) of the National Cancer Institute (NCI) of Milan in 1987, 1993 and 2000 to evaluate how our diagnostic and...

journal_title：Journal of pain and symptom management

authors： De Conno F,Panzeri C,Brunelli C,Saita L,Ripamonti C

更新日期：2003-06-01 00:00:00

abstract：:The aim of this study was to evaluate the prevalence, severity, and management of pain in Korean patients with advanced cancer, and to identify the predictors of inadequate management of cancer pain in Korea. From 8 university hospitals, 655 patients with advanced cancer were surveyed. Information concerning analgesic...

journal_title：Journal of pain and symptom management

authors： Yun YH,Heo DS,Lee IG,Jeong HS,Kim HJ,Kim SY,Kim YH,Ro YJ,Yoon SS,Lee KH,Huh BY

更新日期：2003-05-01 00:00:00

abstract：:Oxcarbazepine is a second-generation antiepileptic drug (AED) with proven efficacy in managing partial epileptic seizures, with or without secondary generalization, in adults and children. The overlap between the underlying pathophysiologic mechanisms of some epilepsy models and neuropathic pain models supports the ra...

journal_title：Journal of pain and symptom management

authors： Carrazana E,Mikoshiba I

更新日期：2003-05-01 00:00:00

abstract：:The purpose of the study was to develop and preliminarily test the feasibility, validity, reliability, and factor structures of the Pain Opioid Analgesics Beliefs Scale-Cancer (POABS-CA) in hospitalized adults diagnosed with cancer in Taiwan. This scale was developed in three phases. In Phase I, item development was b...

journal_title：Journal of pain and symptom management

authors： Lai YH,Dalton JA,Belyea M,Chen ML,Tsai LY,Chen SC

更新日期：2003-04-01 00:00:00

abstract：:The relationship of trauma history to physical and emotional functioning in primary care pain patients was examined. Data were drawn from a mailed screening questionnaire for a larger study designed to evaluate an intervention for improving pain management in primary care. Results indicated that 50.4% of the pain pati...

journal_title：Journal of pain and symptom management

authors： Seville JL,Ahles TA,Wasson JH,Johnson D,Callahan E,Stukel T

更新日期：2003-03-01 00:00:00

abstract：:This report describes a pharmacokinetic study and a clinical study of three different formulations of oral tramadol: once-daily tramadol tablets 150 and 200 mg, and normal release tramadol capsules 50 mg 8-hourly. The randomized, open-label, crossover pharmacokinetic study included 22 subjects. The three treatments sh...

journal_title：Journal of pain and symptom management

authors： Bodalia B,McDonald CJ,Smith KJ,O'Brien C,Cousens L

更新日期：2003-02-01 00:00:00

abstract：:Activity in primary afferent fibers that usually mediate fine touch can evoke sensations of pain in conditions in which there is sensitization of central neurons. Input from these large diameter Abeta afferents may also sustain and exacerbate these central mechanisms. The role of these fibers in clinical pain syndrome...

journal_title：Journal of pain and symptom management

authors： Sang CN,Max MB,Gracely RH

更新日期：2003-01-01 00:00:00

abstract：:Breakthrough pain in patients with cancer is common, often unpredictable, and can rapidly become severe. Treatment using the oral administration of opioids is not optimal due to the slow onset of pain relief. Nasal administration of analgesics potentially offers more rapid pain relief. This study investigates the tole...

journal_title：Journal of pain and symptom management

authors： Pavis H,Wilcock A,Edgecombe J,Carr D,Manderson C,Church A,Fisher A

更新日期：2002-12-01 00:00:00

abstract：:To explore the factors that patients with malignant and nonmalignant pain consider when deciding whether to enroll in pain research studies, determine whether their views are different, and determine whether willingness to enroll in research is associated with pain severity, semi-structured interviews were conducted w...

journal_title：Journal of pain and symptom management

authors： Casarett D,Karlawish J,Sankar P,Hirschman KB,Asch DA

更新日期：2002-11-01 00:00:00

abstract：:This pilot cross-sectional study aimed to 1) explore pain beliefs and adherence to prescribed analgesics in Taiwanese cancer patients, and 2) examine how selected pain beliefs, pain sensory characteristics, and demographic factors predict analgesic adherence. Pain beliefs were measured by the Chinese version of Pain a...

journal_title：Journal of pain and symptom management

authors： Lai YH,Keefe FJ,Sun WZ,Tsai LY,Cheng PL,Chiou JF,Wei LL

更新日期：2002-10-01 00:00:00

abstract：:Decisions about care at the end of life are not only influenced by doctor-patient-family relationships and physician practice, but also by institutional "culture." An institutional assessment of the quality of care provided to dying hospitalized patients was undertaken to characterize and identify factors influencing ...

journal_title：Journal of pain and symptom management

authors： Jacobs LG,Bonuck K,Burton W,Mulvihill M

更新日期：2002-09-01 00:00:00

abstract：:We report on the adaptation and evaluation of a previously developed patient-centered instrument that we call the Quality of End-of-life care and Satisfaction with Treatment (QUEST) scale. In a separate group of 30 inpatients, test-retest reliability for QUEST items ranged from 63% agreement (kappa = 0.43) to 93% agre...

journal_title：Journal of pain and symptom management

authors： Sulmasy DP,McIlvane JM,Pasley PM,Rahn M

更新日期：2002-06-01 00:00:00

abstract：:Little is known of the palliative care needs and experiences of older adults. This study explored whether these needs differed from those of younger patients. We performed a retrospective data analysis of 1184 palliative care consultations in a major teaching hospital. There were statistically significant differences ...

journal_title：Journal of pain and symptom management

authors： Evers MM,Meier DE,Morrison RS

更新日期：2002-05-01 00:00:00

abstract：:Although colorectal cancer is one of the most preventable forms of visceral cancer, it remains the second leading cause of cancer death in the United States. Most colorectal cancers are believed to arise from adenomatous polyps, premalignant mucosal masses that account for up to two thirds of colorectal polyps. Early ...

journal_title：Journal of pain and symptom management

authors： Rex DK

更新日期：2002-04-01 00:00:00

abstract：:A retrospective analysis was performed to study the occurrence and treatment of death rattle (DR) in 107 consecutive dying patients on the palliative care unit of the University Hospital Leuven. The incidence of DR (23%) is lower than reported in literature, possibly due to low hydration. We found 2 types of rattle: "...

journal_title：Journal of pain and symptom management

authors： Wildiers H,Menten J

更新日期：2002-04-01 00:00:00