Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2013
Randomized Controlled TrialInternet-based dyspnea self-management support for patients with chronic obstructive pulmonary disease.
People with chronic obstructive pulmonary disease experience dyspnea with activities despite optimal medical management. ⋯ The DSMPs did not significantly reduce dyspnea with activities compared with attention control. However, the high participant satisfaction with the DSMPs combined with positive changes in other outcomes, including self-efficacy for managing dyspnea and exercise behavior, highlight the need for additional testing of individually tailored technology-enabled interventions to optimize patient engagement and improve clinically relevant outcomes.
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J Pain Symptom Manage · Jul 2013
ReviewPsychosocial effects of cancer cachexia: a systematic literature search and qualitative analysis.
Cancer cachexia is debilitating and affects most patients with advanced cancer. Because treatment options are poor, the psychosocial effects of cancer cachexia always should be assessed and psychosocial support provided. ⋯ The concept of psychosocial effects in cancer cachexia has the potential to sensitize health care professionals to cachexia-related problems and inform their clinical management of the condition.
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J Pain Symptom Manage · Jul 2013
ReviewDo corticosteroids provide analgesic effects in cancer patients? A systematic literature review.
Corticosteroids are frequently used in cancer patients for their analgesic properties. The evidence for analgesic effects of corticosteroids in palliative care has not been established. ⋯ Corticosteroids may have a moderate analgesic effect in cancer patients. The paucity of relevant studies was striking; consequently, the evidence was graded as "very low." More studies addressing the analgesic efficacy in cancer patients are required.
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J Pain Symptom Manage · Jul 2013
Cross-cultural adaptation and validation of the Brazilian version of the Wisconsin Brief Pain Questionnaire.
Chronic pain is a common complaint among patients with muscular disease. The Wisconsin Brief Pain Questionnaire (WBPQ) has been used to quantify pain severity and pain interference with daily functions. ⋯ We found the WBPQ-B to be a reliable and valid instrument for pain assessment of Brazilians who have muscular disease. The survey presents similar psychometric properties to the original version.
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J Pain Symptom Manage · Jul 2013
Validity and reliability of the Swedish version of the Memorial Symptom Assessment Scale (MSAS): an instrument for the evaluation of symptom prevalence, characteristics, and distress.
There are few scales in Swedish that assess symptoms in the dimensions of frequency, severity, and distress. ⋯ The Swedish version of the MSAS presents as a valid and reliable measure for assessing symptom distress, severity, and frequency in Swedish patients diagnosed with primary and recurrent breast cancer.