• Susan C McMillan, Cindy Tofthagen, and Mary Ann Morgan.
• College of Nursing, University of South Florida, Tampa, FL, USA. smcmilla@hsc.usf.edu
• Oncol Nurs Forum. 2008 Jul 1;35(4):603-11.

Purpose/ObjectivesTo describe the pain experience of outpatients with cancer and explore the relationships with sleep disturbance, depression, and patient functioning.DesignDescriptive, cross-sectional study.SettingOutpatient clinics at a large comprehensive cancer center in the southeastern United States.Sample85 patients with a pain intensity level of at least 3.MethodsSecondary analysis of baseline data.Main Research VariablesPain intensity and distress, pain interference, sleep disturbance intensity, and distress and depression.FindingsThe sample included men and women with a mean age of 54 years and 13 years of education. Mean present pain intensity on the Brief Pain Inventory scale was 4.6; mean pain at its worst was 8.3. Mean pain intensity measured with the Memorial Symptom Assessment Scale was 2.4 and pain distress was 2.2. Pain intensity and pain distress had a strong, positive correlation. The mean interference score for the group was 42.8. More than 63% of patients reported a problem with sleep disturbance. Distress from sleep disturbance was significantly correlated with pain intensity and pain distress. Pain interference also was correlated with sleep disturbance intensity and sleep disturbance distress. Pain severity, pain distress, pain right now, and pain interference total scores all were significantly correlated with depression scores.ConclusionsPatients with cancer continue to experience pain during outpatient treatment and report sleep and depressive symptoms related to it.Implications For NursingImprovements continue to be needed in assessment and treatment of pain.

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