Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA.
Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA.
J Pain Symptom Manage. 2019 Oct;58(4):685-689. doi: 10.1016/j.jpainsymman.2019.07.010. Epub 2019 Jul 17.
Family caregivers play a vital role in managing the pain of hospice patients with cancer; however, caregivers' knowledge of pain management principles and experiences as pain managers vary widely. Differences in cultural values and access to resources suggest that rural and urban hospice family caregivers may differ with regard to their pain knowledge and experience, but this has not been empirically investigated.
We sought to determine if rural and urban hospice family caregivers differed in terms of their knowledge of cancer pain management principles and their experiences managing cancer pain.
Our study consisted of a secondary analysis of baseline, cross-sectional data from hospice family caregivers (N = 196) participating in an ongoing cluster randomized crossover pragmatic trial. We performed multivariable regression to model associations between caregivers' demographic characteristics and their scores on the Family Pain Questionnaire (FPQ), which included subscales measuring pain knowledge and experience.
When controlling for other demographic variables, rural caregivers' scores on the FPQ knowledge subscale were worse (P = 0.01) than their urban counterparts. FPQ experience subscale scores and FPQ total scores were not statistically significantly different between the two groups.
Rural hospice family caregivers report greater pain knowledge deficits than urban hospice family caregivers, although the two groups report comparable pain management experiences. Additional research is needed to better explain observed differences.
家庭护理人员在管理癌症临终患者的疼痛方面发挥着至关重要的作用；然而，护理人员对疼痛管理原则的了解程度和作为疼痛管理者的经验差异很大。文化价值观和资源获取方面的差异表明，农村和城市的临终关怀家庭护理人员在疼痛知识和经验方面可能存在差异，但这尚未得到实证研究的证实。
我们旨在确定农村和城市的临终关怀家庭护理人员在癌症疼痛管理原则的知识和管理癌症疼痛的经验方面是否存在差异。
我们的研究包括对正在进行的群组随机交叉实用试验中参与的临终关怀家庭护理人员（N=196）的基线、横断面数据进行的二次分析。我们进行多变量回归，以对家庭疼痛问卷（FPQ）得分与护理人员人口统计学特征之间的关联进行建模，FPQ 包括衡量疼痛知识和经验的子量表。
在控制其他人口统计学变量的情况下，农村护理人员 FPQ 知识子量表的得分（P=0.01）差于城市护理人员。FPQ 经验子量表得分和 FPQ 总分在两组之间没有统计学上的显著差异。
农村临终关怀家庭护理人员报告的疼痛知识缺陷比城市临终关怀家庭护理人员多，尽管两组报告的疼痛管理经验相当。需要进一步研究以更好地解释观察到的差异。
