scholarly journals Is it possible to detect an improvement in cancer pain management? A comparison of two Norwegian cross-sectional studies conducted 5 years apart

2015 ◽  
Vol 24 (6) ◽  
pp. 2565-2574 ◽  
Author(s):  
Morten Thronæs ◽  
Sunil X. Raj ◽  
Cinzia Brunelli ◽  
Sigrun Saur Almberg ◽  
Ola Magne Vagnildhaug ◽  
...  
2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20699-e20699
Author(s):  
G. Bagçivan ◽  
N. Tosun ◽  
S. Kömürcü ◽  
A. Özet ◽  
N. Akbayrak

e20699 Background: The most important issue, which may be preventing effective cancer pain management, have generally been the barriers originating from misbelieve or misunderstandings, which lead patients to be reluctant to report pain and receive the appropriate analgesic. It is the first study about this issue in Turkey. Methods: This study was planned as a descriptive and cross-sectional. The sample was 170 patients with cancer, who used or is still using analgesic medication for pain related to cancer. Demographic Questionnaire, Brief Pain Inventory and BQ-II were used for data collection. The reliability coefficient for the total scale and subscales (Cronbach's α) were calculated. Test and retest results were compared to determine the scales validity for Turkish patients. All statistical analyses were performed with the SPSS 15.0.The value p≤0.05 was considered ‘statistically significant’. Results: As a result of the factor analysis made for BQ-II, seven factors that make up for 66.451% of the total variance were found. Cronbach's alpha value was 0.87 for the BQ-II. According to the points given by patients to the items in BQ-II, it was seen that they have beliefs that may be barriers to optimal pain management mostly in “addiction” and minimally in “physical side effects” subscale. It was ascertained that male, not married patients, patients with a chronic disease other than cancer, patients whose “average pain” level is >5 and who use inadequate analgesic have more beliefs that may be barriers to optimal pain management. Conclusions: BQ-II was a valid and reliable scale for Turkish defining patient related barriers in cancer pain management. Items suggested by patients such as “family related barriers” and “family members’ role and responsibilities” could be added to the BQ-II for future studies. No significant financial relationships to disclose.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Naoki Sakakibara ◽  
Hiroko Komatsu ◽  
Mikako Takahashi ◽  
Hideko Yamauchi ◽  
Teruo Yamauchi ◽  
...  

Author(s):  
Akua A. Abruquah ◽  
Robert P. Biney ◽  
Ernest B. Osei-Bonsu ◽  
Kofi M. Boamah ◽  
Eric Woode

Background: Adequate cancer pain assessment using valid and reliable pain assessment tools is essential for effective cancer pain management. This study evaluated the common types, effectiveness as well as adherence to prescribed analgesics in oncology outpatients in a tertiary oncology centre in Ghana.Methods: This descriptive cross-sectional study involved 204 oncology outpatients with different confirmed cancer diagnosis attending clinic at the Oncology Directorate of a Tertiary Hospital in Ghana. The research instruments used were the medical folders of patients, a hospital-based electronic drug database system; hospital administration management systems (HAMS) and the Brief Pain Inventory Long-Form (BPI-LF).Results: More than half (63.7%) of the participants reported moderate pain, 37.8% received opioid analgesics: 31.4% strong opioids and 6.4% weak opioids. Less than one-fourth (21.6%) had complete pain relief and 18.1% felt they needed a stronger pain medication. A little more than one-fourth (28.4%) of participants took their pain medications 1-2 times per day. Almost half (45.6%) of participants did not experience side effects from taking pain medications and 27.9% needed more information about their pain medications.Conclusions: Enhancing effective cancer symptom management approaches in healthcare practitioners and incorporating existing knowledge and guidelines on cancer pain management into routine clinical practice should be done to enhance efficient pain relief. 


2021 ◽  
Vol 29 (03) ◽  
pp. 79-82
Author(s):  
Tahira Rehmat ◽  
Ruqia Begum ◽  
Samina Manzoor ◽  
Samina Farooqi

Objectives: To explore barriers perceived by oncology nurses in cancer pain management. Methods: A descriptive Cross sectional study was conducted in oncology department of four tertiary care hospitals of Punjab which include Mayo hospital Lahore, Jinnah hospital Lahore, Allied hospital Faisalabad and Nishtar hospital Multan. Sample of 72 nurses working in oncology departments of four tertiary care hospitals were selected by using purposive sampling. Self-administered questionnaire was used to collect data. The data analysis was performed using SPSS version 20 and micro soft excel. Results: The results identified that system related barriers were found more prevalent. From system related barriers inappropriate nurse –patient ratio was found most prevalent barriers as 95.9% (n=72) respondent were agree for this barrier Conclusion: nurses face lot of barriers in pain management that hinder their efficiency to control pain.


2017 ◽  
Vol 3 (3) ◽  
pp. 235-241 ◽  
Author(s):  
Harminder Singh ◽  
Raja Paramjeet Singh Banipal ◽  
Baltej Singh

Purpose The objective of this cross-sectional, noninterventional, 6-month observational study was to assess the adequacy of pain management in patients with cancer admitted to the Oncology Department of Guru Gobind Singh Medical College in Faridkot, India. Methods and Materials A total of 348 patients with cancer were recruited for evaluation of the prevalence of inadequate cancer pain management using the Brief Pain Inventory Pain Management Index. Results The current study included 127 males (36.5%) and 221 females (63.5%). The most prevalent cancer type was genitourinary; 268 patients (77%) had inadequately managed pain. A significant correlation was observed between poorly managed pain and age groups, analgesic used, and body mass index. Conclusion Our observation of inadequate pain management among 77% of patients indicates that pain management was insufficient in three quarters of the patients in this study. Accumulating data regarding the inadequacy of cancer pain management is crucial to improve symptom management. Better management of pain not only alleviates pain symptoms but also increases the quality of life for patients with cancer.


2021 ◽  
Vol 49 (1) ◽  
pp. 030006052097944
Author(s):  
Dan Li ◽  
Le Gao ◽  
Li-Yuan Ren ◽  
Xi Zeng ◽  
Er-Pin Cui ◽  
...  

Objective There are limited studies examining knowledge and attitudes among Chinese oncology nurses regarding cancer pain management. Methods We conducted a cross-sectional survey among oncology nurses from 26 hospitals in China. The nurses completed the Knowledge and Attitudes Survey Regarding Pain (KASRP) questionnaire. Multivariate models were used to identify factors associated with nurses’ KASRP score. Results A total of 982 nurses completed the KASRP (mean score = 21.56 ± 4.00), and 8 (0.81%) nurses had a passing score. The results of multivariate regression indicated that clinical rank and experience in cancer pain management were associated with good knowledge and attitudes regarding cancer pain management. Conclusion The Chinese nurses in our study did not have adequate knowledge of or positive attitudes related to cancer pain management. Clinical rank and experience caring for patients with cancer could be used to help identify nurses with inadequate knowledge and attitudes regarding treating cancer pain.


2021 ◽  
Author(s):  
Jiyi Xie ◽  
Cong Zhang ◽  
Shijun Li ◽  
Rong Dai ◽  
Bin Deng ◽  
...  

Abstract Purpose China is currently one of the countries with the largest increased number of new cancer cases in the world, but cancer pain management (CPM) is still inadequate. This study, through a questionnaire designed to show the knowledge, attitudes, and practices (KAP) status and differences towards CPM among healthcare workers (HCWs) in developed areas of China and explore areas and advantages of the role of pharmacists and mobile devices.Methods This study used data from a questionnaire on CPM from March to June 2019. The study population consisted of a total of 515 HCWs in four first-tier developed cities in China. The questionnaire has four major components, analysis of differences in KAP of different occupations through one-way analysis of variance (ANOVA).Results Among the respondents, the physicians had the highest knowledge scores towards CPM, pharmacists had the lowest practice scores. Around half of the respondents indicated that their hospital or department have a pharmacist participating in CPM. Physicians, and nurses were more likely to expect pharmacists to provide drug counseling. The HCWs interviewed most expect that the mobile-based pain management system can automatically screen and mark patients with pain.Conclusion From this study, it can be suggested that pharmacists and nurses in the CPM team should actively promote relevant knowledge. Besides, pharmacists should focus on improving practical ability such as increasing the frequency of pain assessment. Multidisciplinary collaboration and the introduction of mobile devices can improve and refine the CPM.


2019 ◽  
Vol 26 (2) ◽  
pp. 61-70
Author(s):  
Dhuha Y. Wazqar

Ineffective pain management has been recognized as a major problem faced by many patients with cancer. There is a lack of emphasis on cancer pain management in the undergraduate nursing curriculum which is one part of this problem. A descriptive cross-sectional study was carried out with a convenience sample of 135 nursing students at two universities in Jeddah, Saudi Arabia, to evaluate students’ current knowledge and attitudes toward cancer pain management. Data were collected using Pain Management Principles Assessment Test and Nurses’ Pain Management Attitudes Survey. The data were analyzed using IBM Statistical Package for the Social Sciences version 22, and P < 0.05 was interpreted as significant. Descriptive and inferential statistics and Pearson correlations were performed. Nursing students have insufficient knowledge (11.4 ± 2.92) and negative attitudes (68.8 ± 5.75) toward cancer pain management. None of the nursing students achieved complete, correct responses (31 or 100%) in the knowledge test. Students had poor knowledge regarding areas of pain physiology and assessment, pharmacologic and nonpharmacologic pain management such as cutaneous stimulation. A weak positive significant relationship between students’ knowledge and attitudes was also found (r = 0.225, P = 0.009). Continued work is required to develop specific strategies to effectively teach nursing students and enhance their knowledge and attitudes toward cancer pain management.


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