Attitudinal Barriers to Effective Cancer Pain Management
Background & Aim: Pain can detrimentally affect physical functioning, psychological well-being and social interaction. Various attitudinal factors may be associated with inadequate pain control. Hence, studies should be undertaken to gain a better understanding of association between pain contro...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2012-03-01
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| Series: | حیات |
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| Online Access: | http://hayat.tums.ac.ir/article-1-41-en.html |
| _version_ | 1818576445326229504 |
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| author | Tahereh Najafi Ghezeljeh Agha Fatemeh Hosseini |
| author_facet | Tahereh Najafi Ghezeljeh Agha Fatemeh Hosseini |
| author_sort | Tahereh Najafi Ghezeljeh |
| collection | DOAJ |
| description | Background & Aim: Pain can detrimentally affect physical functioning, psychological well-being and social interaction. Various attitudinal factors may be associated with inadequate pain control. Hence, studies should be undertaken to gain a better understanding of association between pain control attitudes and use of analgesics and cancer pain intensity. This study aimed to determine relationship between pain control attitudes and use of analgesics and pain intensity in cancer patients with pain.
Methods & Materials: A descriptive cross-sectional study was conducted with 200 cancer patients who underwent chemotherapy or radiotherapy and experienced pain in previous 24 hours. The pain control attitudes, use of analgesics, worrisome about using analgesics and physical and psychological impacts of pain were measured using questionnaires. The cancer pain intensity was measured using the visual analogue scale. Validity and reliability of the instruments were evaluated. Data were analyzed using independent t-test and ANOVA.
Results: About 58% of patients agreed that they would wait before asking for help. Beside, the findings indicated that willing to tolerate pain and perceived control over pain were associated with the time and frequency of taking analgesic and pain intensity in previous 24 hours and last week. Also concerns about addiction to pain-relieving medications were related to the analgesic type and pain intensity within last week (P=0.03), and fear of injection was related to analgesic use and pain intensity within last week (P<0.001).
Conclusion: Many cancer patients had attitudes which could interfere with pain relieving. Suggestions are made for developing patient education programs, accessing effective cancer pain controls and decision making for cancer pain relief. |
| first_indexed | 2024-12-16T06:14:08Z |
| format | Article |
| id | doaj.art-db9447afc65b498ea94f67af19ed72c5 |
| institution | Directory Open Access Journal |
| issn | 1735-2215 2008-188X |
| language | fas |
| last_indexed | 2024-12-16T06:14:08Z |
| publishDate | 2012-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | حیات |
| spelling | doaj.art-db9447afc65b498ea94f67af19ed72c52022-12-21T22:41:20ZfasTehran University of Medical Sciencesحیات1735-22152008-188X2012-03-0118189101Attitudinal Barriers to Effective Cancer Pain ManagementTahereh Najafi Ghezeljeh0Agha Fatemeh Hosseini1 Dept. of Medical and Surgical Nursing, School of Nursing and Midwifery, Tehran Un iversity of Medical Sciences, Tehran, Iran MSc. in Biostatistics, Dept. of Biostatistics, School of Management and Information Technology, Tehran University of Medical Sciences, Tehran, Iran Background & Aim: Pain can detrimentally affect physical functioning, psychological well-being and social interaction. Various attitudinal factors may be associated with inadequate pain control. Hence, studies should be undertaken to gain a better understanding of association between pain control attitudes and use of analgesics and cancer pain intensity. This study aimed to determine relationship between pain control attitudes and use of analgesics and pain intensity in cancer patients with pain. Methods & Materials: A descriptive cross-sectional study was conducted with 200 cancer patients who underwent chemotherapy or radiotherapy and experienced pain in previous 24 hours. The pain control attitudes, use of analgesics, worrisome about using analgesics and physical and psychological impacts of pain were measured using questionnaires. The cancer pain intensity was measured using the visual analogue scale. Validity and reliability of the instruments were evaluated. Data were analyzed using independent t-test and ANOVA. Results: About 58% of patients agreed that they would wait before asking for help. Beside, the findings indicated that willing to tolerate pain and perceived control over pain were associated with the time and frequency of taking analgesic and pain intensity in previous 24 hours and last week. Also concerns about addiction to pain-relieving medications were related to the analgesic type and pain intensity within last week (P=0.03), and fear of injection was related to analgesic use and pain intensity within last week (P<0.001). Conclusion: Many cancer patients had attitudes which could interfere with pain relieving. Suggestions are made for developing patient education programs, accessing effective cancer pain controls and decision making for cancer pain relief.http://hayat.tums.ac.ir/article-1-41-en.htmlanalgesicsattitudinal barrierscancer painpain management |
| spellingShingle | Tahereh Najafi Ghezeljeh Agha Fatemeh Hosseini Attitudinal Barriers to Effective Cancer Pain Management حیات analgesics attitudinal barriers cancer pain pain management |
| title | Attitudinal Barriers to Effective Cancer Pain Management |
| title_full | Attitudinal Barriers to Effective Cancer Pain Management |
| title_fullStr | Attitudinal Barriers to Effective Cancer Pain Management |
| title_full_unstemmed | Attitudinal Barriers to Effective Cancer Pain Management |
| title_short | Attitudinal Barriers to Effective Cancer Pain Management |
| title_sort | attitudinal barriers to effective cancer pain management |
| topic | analgesics attitudinal barriers cancer pain pain management |
| url | http://hayat.tums.ac.ir/article-1-41-en.html |
| work_keys_str_mv | AT taherehnajafighezeljeh attitudinalbarrierstoeffectivecancerpainmanagement AT aghafatemehhosseini attitudinalbarrierstoeffectivecancerpainmanagement |