Nursing Department, King Hussein Cancer Center, Amman, Jordan; Nursing Department, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
Nursing Department, King Hussein Cancer Center, Amman, Jordan.
Pain Manag Nurs. 2023 Oct;24(5):498-505. doi: 10.1016/j.pmn.2023.07.003. Epub 2023 Aug 10.
Pain associated with cancer is one of the most significant concerns for patients, families, and health care providers. Various barriers may hinder optimal pain management.
The study was conducted in specialized cancer center in Jordan and aimed to explore the barriers to effective cancer pain management from the perspectives of physicians, nurses, and patients.
A quantitative descriptive cross-sectional design was used, with a total sample of 185 participants (55 Physicians, 70 Nurses, and 60 Patients) who completed a demographic datasheet and the Arabic-Barrier Questionnaire II (BQII).
The overall BQII of patient score was 2.4 (standard deviation [SD] = 0.7). The harmful effects of pain medications were the highest barrier 2.7 (SD = 1.0), followed by the physiologic effect 2.4 (SD = 0.9), and the communication 2.4 (SD = 1.1) subscales. Nurses and physicians reported an overall BQII of 1.9 (SD = 1.1) and 1.8 (SD = 0.9), respectively. One-way analysis of variance showed that the perspectives of patients, physicians, and nurses differed significantly in the overall BQII F(2 182) = 6.81, p < .01, communication F(2, 182) = 10.55, p < .01, and harmful effects F(2, 182) = 7.26, p < .01. Multiple pairwise comparisons also showed that the patients significantly perceived higher communication barriers, more concerns of analgesic harmful effects, and higher overall barriers than nurses and physicians.
Significant differences were found in the perspectives of patients, physicians, and nurses toward pain management barriers in the overall barriers, communication, and harmful effect. It is recommended to develop awareness programs for patients about pain management, barriers, use of analgesia, and communication. Nurses and physicians are advised to discuss mutual concerns and pay more attention to overcoming patient concerns.
癌症相关疼痛是患者、家属和医疗保健提供者最关心的问题之一。各种障碍可能会阻碍疼痛的最佳管理。
本研究在约旦的一家专门的癌症中心进行，旨在从医生、护士和患者的角度探讨有效癌症疼痛管理的障碍。
采用定量描述性横断面设计，共纳入 185 名参与者（55 名医生、70 名护士和 60 名患者），填写一般资料表和阿拉伯语障碍问卷 II（BQII）。
患者的总体 BQII 评分为 2.4（标准差 [SD] = 0.7）。疼痛药物的有害作用是最高的障碍，评分为 2.7（SD = 1.0），其次是生理作用 2.4（SD = 0.9）和沟通 2.4（SD = 1.1）分量表。护士和医生的总体 BQII 评分分别为 1.9（SD = 1.1）和 1.8（SD = 0.9）。单因素方差分析显示，患者、医生和护士在总体 BQII（F（2,182）= 6.81，p <.01）、沟通（F（2,182）= 10.55，p <.01）和有害影响（F（2,182）= 7.26，p <.01）方面的观点存在显著差异。多重配对比较还显示，患者在沟通障碍、对镇痛药有害作用的担忧以及总体障碍方面的感知明显高于护士和医生。
患者、医生和护士对总体障碍、沟通和有害影响方面的疼痛管理障碍的观点存在显著差异。建议为患者制定关于疼痛管理、障碍、镇痛药使用和沟通的意识提高计划。建议护士和医生讨论共同关注的问题，并更加关注克服患者的担忧。
