Mangolianshahrbabaki Parvin, Farokhzadian Jamileh, Ahmadi Fazlollah, Khabazadeh Fatemeh
Nursing Research Center, Kerman University of Medical Science, Kerman, Iran.
Nursing Department,Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Pain Manag Nurs. 2025 Apr;26(2):198-205. doi: 10.1016/j.pmn.2024.09.008. Epub 2024 Oct 28.
Pain is a common symptom in cancer patients. It negatively impacts their emotional well-being, cognitive function, and daily communication, thereby reducing their overall quality of life. To enhance the quality of life of patients and their families, healthcare providers need to understand the factors that facilitate effective pain management. This study aimed to explore nurses' perceptions of the factors that facilitate pain management in cancer patients.
The current research constitutes a qualitative conventional content analysis study conducted from January 2023 to June 2023. The study participants comprised head nurses, clinical nurses and clinical supervisior, totaling 27 individuals selected through purposive sampling. Data collection involved individual, in-depth, and semi-structured interviews. Subsequently, data analysis was performed utilizing the approach outlined by Graneheim and Lundman (2004), leading to the identification of participants' perspectives.
According to the nurses' perspective, two main categories of factors emerged that facilitate pain management. These categories are emotional support, which includes subcategories of family support and peer support, and organizational support, which includes subcategories of experienced nurses, accessible facilities, and financial support for patients.
The study findings highlight the importance of identifying factors that facilitate pain management in cancer patients to enhance their quality of life. These facilitators involve factors related to patients and their families, factors related to healthcare service providers, and various components of the health system. Therefore, strengthening the facilitators associated with each of these factors is critical in pain management and addressing any deficiencies in the health care system.
疼痛是癌症患者的常见症状。它会对患者的情绪健康、认知功能和日常交流产生负面影响，从而降低其整体生活质量。为提高患者及其家属的生活质量，医疗服务提供者需要了解有助于有效疼痛管理的因素。本研究旨在探讨护士对促进癌症患者疼痛管理因素的看法。
本研究为2023年1月至2023年6月进行的定性常规内容分析研究。研究参与者包括护士长、临床护士和临床督导，共27人，通过目的抽样选取。数据收集采用个人、深入的半结构化访谈。随后，采用Graneheim和Lundman（2004年）概述的方法进行数据分析，以确定参与者的观点。
从护士的角度来看，出现了两类促进疼痛管理的主要因素。这些类别是情感支持，包括家庭支持和同伴支持两个子类别；以及组织支持，包括经验丰富的护士、便利的设施和对患者的经济支持等子类别。
研究结果强调了识别促进癌症患者疼痛管理因素对提高其生活质量的重要性。这些促进因素涉及与患者及其家属相关的因素、与医疗服务提供者相关的因素以及卫生系统的各个组成部分。因此，加强与这些因素相关的促进因素在疼痛管理以及解决医疗保健系统中的任何不足方面至关重要。
