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癌症患者有效疼痛管理障碍的患者和家庭照护者观点定性研究

Barriers to Effective Pain Management in Cancer Patients From the Perspective of Patients and Family Caregivers: A Qualitative Study.

机构信息

Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.

Fatima College, Madinnat Zayed/Abu Dhabi, United Arab Emirates.

出版信息

Pain Manag Nurs. 2020 Jun;21(3):238-244. doi: 10.1016/j.pmn.2019.07.011. Epub 2019 Sep 4.

Abstract

BACKGROUND

Pain is one of the most common and undesired symptoms in cancer patients, affecting patients' physical and psychological well-being. Barriers to effective pain management in cancer patients need to be identified and addressed by clinicians.

AIMS

The purpose of this study was to explore the barriers to effective cancer pain management from the perspective of cancer patients and their family members.

METHODS

A qualitative research design was employed. Semistructured interviews were conducted with 10 patients and 10 family caregivers to elucidate their perspectives regarding the barriers to effective cancer pain management in Jordan.

RESULTS

Regulatory factors, knowledge deficit, and the use of religious and cultural strategies to cope with pain were major barriers to effective cancer pain management. Although effective cancer pain management is highly recommended, the participants' cultural beliefs deeply appreciated pain tolerance and discouraged effective treatment of cancer pain.

CONCLUSION

Tailoring culturally appropriate educational programs regarding effective cancer pain management could facilitate pain management among patients with cancer.

摘要

背景

疼痛是癌症患者最常见和最不期望出现的症状之一,影响患者的身心健康。临床医生需要识别并解决癌症患者有效疼痛管理的障碍。

目的

本研究旨在从癌症患者及其家属的角度探讨有效癌症疼痛管理的障碍。

方法

采用定性研究设计。对 10 名患者和 10 名家庭照顾者进行半结构式访谈,以阐明他们对约旦有效癌症疼痛管理障碍的看法。

结果

监管因素、知识缺乏以及使用宗教和文化策略来应对疼痛是有效癌症疼痛管理的主要障碍。尽管强烈建议对癌症疼痛进行有效管理,但参与者的文化信仰非常重视疼痛耐受,不鼓励有效治疗癌症疼痛。

结论

定制针对有效癌症疼痛管理的文化适宜教育计划,可以促进癌症患者的疼痛管理。

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