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A Multivariate Analysis of Pain and Distress in Adults Undergoing BMAB.
- Source :
- Clinical Nursing Research; Nov2020, Vol. 29 Issue 8, p530-542, 13p
- Publication Year :
- 2020
-
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]
- Subjects :
- BENZODIAZEPINES
THERAPEUTIC use of narcotics
ANALGESICS
ANALYSIS of variance
BIOPSY
BONE marrow examination
CHI-squared test
STATISTICAL correlation
PSYCHOLOGICAL distress
LONGITUDINAL method
RESEARCH methodology
MULTIVARIATE analysis
HEALTH outcome assessment
PAIN
QUESTIONNAIRES
REGRESSION analysis
RESEARCH evaluation
RESEARCH funding
STATISTICS
T-test (Statistics)
TRANQUILIZING drugs
MULTIPLE regression analysis
MCGILL Pain Questionnaire
DESCRIPTIVE statistics
BRIEF Pain Inventory
Subjects
Details
- Language :
- English
- ISSN :
- 10547738
- Volume :
- 29
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Clinical Nursing Research
- Publication Type :
- Academic Journal
- Accession number :
- 146424894
- Full Text :
- https://doi.org/10.1177/1054773818807996