Konstantis Apostolos, Exiara Triada
University College London Hospitals, UK.
J BUON. 2018 Dec;23(7):144-152.
Pain is one of the most common symptoms in cancer patients, and its management is a significant goal in supportive care. Many barriers interfere with its effective control. Nowadays, with a shift in care from the hospital to the home, there is an increasing tendency to involve family caregivers in pain management. Their beliefs may act as barriers to effective pain management in these homecare settings. This study aimed to validate and explore these beliefs using Barriers Questionnaire II (BQ II).
A cross-sectional survey of 202 individuals from a cohort of family caregivers in Greece.
The reliability index Cronbach, a value for the translated version of the BQ II, calculated >0.9. Most participants reported worries about the side effects of analgesics. They often assumed these effects were irreversible, and equally, there were concerns about addiction to these drugs. They agreed on the effectiveness of analgesics in treating cancer pain but disagreed that reporting pain is a distracting factor in active cancer treatment.
This is the first time BQ II has been used in this population. The results are consistent with the international academic studies in this area, but more research is needed. BQ II was found to be a valid and reliable scale for defining caregiver attitudes and barriers to effective pain management in homecare settings. Health professional training, interventions targeted to caregivers and trained home care teams may improve the quality of cancer care in these settings.
疼痛是癌症患者最常见的症状之一，对其进行管理是支持性护理的一个重要目标。许多障碍妨碍了对疼痛的有效控制。如今，随着护理从医院转向家庭，让家庭护理人员参与疼痛管理的趋势日益增强。他们的观念可能会成为这些家庭护理环境中有效疼痛管理的障碍。本研究旨在使用障碍问卷II（BQ II）来验证和探究这些观念。
对希腊一组家庭护理人员中的202人进行横断面调查。
BQ II翻译版本的可靠性指标克朗巴哈系数计算值>0.9。大多数参与者表示担心镇痛药的副作用。他们常常认为这些副作用是不可逆的，同样，也担心对这些药物上瘾。他们认同镇痛药在治疗癌症疼痛方面的有效性，但不认为报告疼痛是积极癌症治疗中的一个干扰因素。
这是首次在该人群中使用BQ II。结果与该领域的国际学术研究一致，但仍需要更多研究。发现BQ II是一种有效且可靠的量表，可用于确定家庭护理环境中护理人员对有效疼痛管理的态度和障碍。卫生专业人员培训、针对护理人员的干预措施以及训练有素的家庭护理团队可能会提高这些环境中的癌症护理质量。
