1. A Multivariate Analysis of Pain and Distress in Adults Undergoing BMAB.
- Author
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Moore, Amy E., Trotta, Rebecca L., Palmer, Steven C., Cunningham, Regina S., and Polomano, Rosemary C.
- Subjects
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BENZODIAZEPINES , *THERAPEUTIC use of narcotics , *ANALGESICS , *ANALYSIS of variance , *BIOPSY , *CHI-squared test , *STATISTICAL correlation , *PSYCHOLOGICAL distress , *LONGITUDINAL method , *RESEARCH methodology , *MULTIVARIATE analysis , *HEALTH outcome assessment , *PAIN , *QUESTIONNAIRES , *REGRESSION analysis , *RESEARCH funding , *STATISTICS , *T-test (Statistics) , *TRANQUILIZING drugs , *MULTIPLE regression analysis , *MCGILL Pain Questionnaire , *DESCRIPTIVE statistics , *BRIEF Pain Inventory ,BONE marrow examination ,RESEARCH evaluation - Abstract
Clinicians routinely perform bone marrow aspiration and biopsy (BMAB) to diagnose cancer and evaluate disease status; however, few studies address pain and distress with BMAB. A prospective descriptive–correlational design examined patients' (N = 152) ratings of pain intensity (numeric rating scale, 0-10) and distress (distress thermometer) at baseline and 5 min and 1 hr postprocedure. Data were analyzed using descriptive statistics, chi-square, and linear regression models. Mean postprocedure pain intensity at 5 min was moderate, 5.56 (SD = 3.03), and opioid use was associated with decreased pain at 1 hr (p <.001). Preprocedure administration of anxiolytics had no significant effect on distress reduction (p =.88). Being female, first-time biopsy, and increased preprocedure pain were significant predictors of postprocedure distress (p <.001). Treating anxiety alone may not be sufficient to lessen pain and distress. Individualized plans of care should be based on patient risk and response to procedure. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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