Liu Man-Ting, Liang Shu-Yuan, Chao Ta-Chung, Tseng Ling-Ming, Rosenberg John
School of Nursing, National Taipei University of Nursing and Health Sciences, 365 Ming Te Road, Beitou, Taipei 112, Taiwan.
Department of Nursing, Cardinal Tien Junior College of Healthcare and Management, 407, Section 2, Jianfu Road, Shangwu Village, Sanxing Township, Yilan 266, Taiwan.
Healthcare (Basel). 2023 Nov 7;11(22):2911. doi: 10.3390/healthcare11222911.
The use of non-pharmacological strategies to complement pharmacological approaches can enhance cancer pain management by promoting patient autonomy and increasing management effectiveness. This study aimed to explore the required behavioral adaptations and situational barriers that cancer patients encounter when utilizing non-pharmacological strategies to manage pain. We adopted an exploratory-descriptive qualitative research approach, purposive sampling, and semi-structured interview guidelines to conduct face-to-face interviews with 18 cancer patients experiencing moderate or severe levels of worst pain. Data were analyzed using inductive content analysis to explore patients' experiences. Five themes described the behavioral adaptations of patients using non-pharmacological strategies to deal with cancer pain: finding complementary therapies, utilizing assistive skills, adapting to assistive skills, diverting attention, and seeking help. Situational barriers faced by patients include being in the workplace or in a climate-affected environment. Behavioral adaptation is necessary for non-pharmacological strategies to coping with cancer pain. The behavioral skills can help the patients to overcome situational barriers to engagement with these strategies. Thus, health professionals are expected to help the patients acquire adequate behavioral adaptation and skills for self-pain management, and assess the effectiveness of the strategies.
使用非药物策略来补充药物治疗方法，可以通过促进患者自主性和提高管理效果来加强癌症疼痛管理。本研究旨在探讨癌症患者在使用非药物策略管理疼痛时所遇到的必要行为调整和情境障碍。我们采用探索性描述性定性研究方法、目的抽样和半结构化访谈指南，对18名经历中度或重度最严重疼痛的癌症患者进行面对面访谈。使用归纳性内容分析法分析数据，以探索患者的经历。五个主题描述了使用非药物策略应对癌症疼痛的患者的行为调整：寻找补充疗法、运用辅助技能、适应辅助技能、转移注意力和寻求帮助。患者面临的情境障碍包括身处工作场所或受气候影响的环境中。行为调整对于非药物策略应对癌症疼痛是必要的。这些行为技能可以帮助患者克服参与这些策略的情境障碍。因此，期望卫生专业人员帮助患者获得足够的行为调整和自我疼痛管理技能，并评估这些策略的有效性。
