King Hussein Cancer Foundation and Centre, Amman, Jordan.
School of Nursing, The University of Jordan, Amman, Jordan.
Pain Manag Nurs. 2024 Jun;25(3):294-299. doi: 10.1016/j.pmn.2024.02.006. Epub 2024 Mar 6.
Pain is the most common symptom experienced by both cancer and non-cancer patients. A wide variety of barriers may hinder the optimal treatment of cancer and noncancer pain that are related to the health care system, health care providers, and patients.
To explore the barriers to pain management as perceived by patients with cancer and noncancer chronic diseases.
A descriptive, cross-sectional correlational design was employed to recruit a sample of 200 patients (n = 100 patients with cancer, n= 100 patients with noncancer) from two hospitals in Jordan. Patients filled out an Arabic version of Barriers Questionnaire II (ABQ-II).
Harmful effects of medications were the greatest barrier to effective pain management, while fatalism had the lowest mean scores. Age was negatively correlated with physiological effects (r = -0.287, p < .01), communication (r = -0.263, p < .01), harmful effects (r = -0.284, p < .01), and the overall barrier score (r = -0.326, p < .01) among noncancer patients with chronic disease and (p > .05) for patients with cancer. Patients with cancer had higher mean scores (M = 2.12, SD = 0.78) in the fatalism subscale than those with noncancer chronic disease (M = 1.91, SD = 0.68), while patients with noncancer chronic disease had significantly higher mean scores (M = 2.78, SD = 0.78) in the communication subscale than patients with cancer (M = 2.49, SD = 0.65), (t = -2.899, p = .005).
To improve the quality of care for patients who are in pain, it is recommended to address pain management barriers as they arise.
疼痛是癌症和非癌症患者最常见的症状。各种各样的障碍可能会阻碍癌症和非癌症疼痛的最佳治疗，这些障碍与医疗保健系统、医疗保健提供者和患者有关。
探讨癌症和非癌症慢性疾病患者对疼痛管理的障碍感知。
采用描述性、横断面相关性设计，从约旦的两家医院招募了 200 名患者（癌症患者 n=100，非癌症患者 n=100）作为样本。患者填写了阿拉伯语版的障碍问卷 II（ABQ-II）。
药物的有害影响是非癌症慢性疾病患者有效疼痛管理的最大障碍，而宿命论的平均得分最低。年龄与非癌症慢性疾病患者的生理效应（r = -0.287，p <.01）、沟通（r = -0.263，p <.01）、有害效应（r = -0.284，p <.01）和总体障碍评分（r = -0.326，p <.01）呈负相关（p >.05），而与癌症患者无关。癌症患者的宿命论亚量表的平均得分（M = 2.12，SD = 0.78）高于非癌症慢性疾病患者（M = 1.91，SD = 0.68），而非癌症慢性疾病患者的沟通亚量表的平均得分（M = 2.78，SD = 0.78）明显高于癌症患者（M = 2.49，SD = 0.65），（t = -2.899，p =.005）。
为了提高疼痛患者的护理质量，建议在出现疼痛管理障碍时加以解决。
