Rustøen Tone, Gaardsrud Torill, Leegaard Marit, Wahl Astrid K
Center for Shared Decision Making and Nursing Research, Rikshospitalet University Hospital, Oslo, Norway.
Pain Manag Nurs. 2009 Mar;10(1):48-55. doi: 10.1016/j.pmn.2008.09.003.
Pain is a significant symptom in cancer patients. Understanding of patients' experiences in relation to pain management is important in evidence-based nursing in the field of pain. The aim of this study was to explore cancer patients' experiences of nursing pain management during hospitalization for cancer treatment. Eighteen cancer patients participated in the study, all with advanced cancer, including skeleton metastases. The female participants all had breast cancer, and the male participants all had prostate cancer. Data were collected by in-depth interviews, and qualitative description was used to entail low-inference interpretation to reach an understanding of the essence of pain and nursing pain management. Patients found it somewhat difficult to express their expectations of nursing pain management and competencies. However, 1) being present and supportive; 2) giving information and sharing knowledge; 3) taking care of medication; and 4) recognizing the pain emerged as themes in nursing pain management. Although patients believed that nurses were caring persons, they perceived differences between nurses in the ways they handled pain management. Furthermore, some patients experienced a lack of information from nurses in relation to pain management. Although cancer patients' experiences showed the importance of nurses in pain management, it seems that nurses should have a clearer role in cancer pain management in relation to counseling and patient education. The results from this study can increase nurses' awareness of their role in pain management as a first step in improving pain management for patients.
疼痛是癌症患者的一个重要症状。了解患者在疼痛管理方面的经历，对于疼痛领域的循证护理很重要。本研究的目的是探讨癌症患者在住院接受癌症治疗期间对护理疼痛管理的体验。18名癌症患者参与了该研究，均为晚期癌症患者，包括骨转移患者。女性参与者均患有乳腺癌，男性参与者均患有前列腺癌。通过深入访谈收集数据，并采用质性描述进行低推断解释，以了解疼痛及护理疼痛管理的本质。患者发现 somewhat difficult to express their expectations of nursing pain management and competencies. However, 1) being present and supportive; 2) giving information and sharing knowledge; 3) taking care of medication; and 4) recognizing the pain emerged as themes in nursing pain management. Although patients believed that nurses were caring persons, they perceived differences between nurses in the ways they handled pain management. Furthermore, some patients experienced a lack of information from nurses in relation to pain management. Although cancer patients' experiences showed the importance of nurses in pain management, it seems that nurses should have a clearer role in cancer pain management in relation to counseling and patient education. The results from this study can increase nurses' awareness of their role in pain management as a first step in improving pain management for patients.
