Kang Minhwa, Seo Minjeong
Department of Nursing, Gyeongsang National University Hospital, Jinju, Korea.
College of Nursing, Gyeongsang National University, Jinju, Korea.
J Hosp Palliat Care. 2022 Sep 1;25(3):99-109. doi: 10.14475/jhpc.2022.25.3..
More than 60% of patients with advanced cancer experience pain, and uncontrolled pain reduces the quality of life. Nurses are the closest healthcare providers to the patient and are suitable for managing cancer pain using pharmacological and non-pharmacological interventions. This study aimed to identify factors affecting the performance of cancer pain management among nurses.
This study was conducted among 155 participating nurses working at a tertiary hospital who had experience with cancer pain management. Data collection was performed between October 18, 2021 and October 25, 2021. Data analysis was conducted using descriptive statistics, the independent-sample t-test, one-way analysis of variance, and hierarchical regression analysis.
There were 110 subjects (71.0%) who had no experience of cancer pain management education. The results of regression analysis indicated that barriers included medical staff, patients, and the hospital system for cancer pain management (β=0.28, P<0.001). The performance of cancer pain management was also affected by experience of cancer pain management training (β=0.22, P=0.007), and cancer pain management knowledge (β=0.21, P=0.006). The explanatory power of the variable was 16.6%.
It is crucial to assess system-related obstacles, as well as patients and medical staff, in order to improve nurses' cancer pain management performance. A systematic approach incorporating multidisciplinary interventions from interprofessional teams is required for effective pain management. Furthermore, pain management education is required both for cancer ward nurses and nurses in other wards.
超过60%的晚期癌症患者经历疼痛，而未得到控制的疼痛会降低生活质量。护士是与患者关系最密切的医疗服务提供者，适合采用药物和非药物干预措施来管理癌症疼痛。本研究旨在确定影响护士癌症疼痛管理绩效的因素。
本研究在一家三级医院工作的155名有癌症疼痛管理经验的参与护士中进行。数据收集于2021年10月18日至2021年10月25日期间进行。数据分析采用描述性统计、独立样本t检验、单因素方差分析和分层回归分析。
有110名受试者（71.0%）没有癌症疼痛管理教育经验。回归分析结果表明，障碍包括癌症疼痛管理的医务人员、患者和医院系统（β=0.28，P<0.001）。癌症疼痛管理绩效还受到癌症疼痛管理培训经验（β=0.22，P=0.007）和癌症疼痛管理知识（β=0.21，P=0.006）的影响。该变量的解释力为16.6%。
为提高护士的癌症疼痛管理绩效，评估与系统相关的障碍以及患者和医务人员至关重要。有效的疼痛管理需要一种系统的方法，纳入跨专业团队的多学科干预措施。此外，癌症病房护士和其他病房护士都需要进行疼痛管理教育。
