Liang Shu-Yuan, Tung Heng-Hsin, Wu Shu-Fang, Tsay Shiow-Luan, Wang Tsae-Jyy, Chen Kang-Pan, Lu Yu-Yin
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Pain Manag Nurs. 2013 Dec;14(4):336-342. doi: 10.1016/j.pmn.2011.08.004. Epub 2011 Dec 30.
Pharmacologic agents are considered to be a cornerstone of cancer pain management. Patients' concerns about use of analgesics are likely to lead to poor pain management. The purpose of this study was to describe participants' responses to their beliefs regarding pain and prescribed opioids. Ninety-two outpatients age ≥18 years who had taken prescribed opioid analgesics for cancer-related pain in two teaching hospitals in the Taipei area completed the Pain Opioid Analgesics Beliefs Scale-Cancer. An important finding of this study is that large numbers of patients had misconceptions about using opioids for pain. Between 33.7% and 68.5% of the patients in this study held negative beliefs about opioids and beliefs about pain. Specifically, 68.5% of the patients agreed that "opioid medication is not good for a person's body." Many patients (62%) agreed that "the more opioid medicine a patient used, the greater the possibility that he/she might rely on the medicine forever," and 61.0% agreed that "if a patient starts to use opioid medicine at too early a stage, the medicine will have less of an effect later." Two-thirds (66.3%) of the sample agreed that adult patients should not use opioid medicine frequently. The findings provide empirical support for the need for better programmatic efforts to improve beliefs of pain and analgesics in Taiwanese oncology outpatients.
药物制剂被认为是癌症疼痛管理的基石。患者对使用镇痛药的担忧可能导致疼痛管理不善。本研究的目的是描述参与者对其关于疼痛和处方阿片类药物信念的反应。92名年龄≥18岁、在台北地区两家教学医院服用过用于癌症相关疼痛的处方阿片类镇痛药的门诊患者完成了癌症疼痛阿片类镇痛药信念量表。本研究的一项重要发现是，大量患者对使用阿片类药物治疗疼痛存在误解。本研究中33.7%至68.5%的患者对阿片类药物和疼痛信念持有负面看法。具体而言，68.5%的患者同意“阿片类药物对人的身体不好”。许多患者（62%）同意“患者使用的阿片类药物越多，他/她永远依赖该药物的可能性就越大”，61.0%的患者同意“如果患者过早开始使用阿片类药物，该药物后来的效果会更差”。三分之二（66.3%）的样本同意成年患者不应频繁使用阿片类药物。这些发现为台湾肿瘤门诊患者改善疼痛和镇痛药信念的更好的项目努力提供了实证支持。
