Asian Pacific Journal of Cancer Prevention

  • 제17권4호
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  • Pages.2141-2144
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  • 2016
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  • 1513-7368(pISSN)
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  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
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Nurse Attitude-Related Barriers to Effective Control of Cancer Pain among Iranian Nurses

  • Sadeghy, Adel (Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Mohamadian, Robab (Department of Nursing, Islamic Azad University) ;
  • Rahmani, Azad (Hematology and Oncology Research Center, Tabriz University of Medical Sciences) ;
  • Fizollah-zadeh, Hussein (Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Jabarzadeh, Franak (Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Azadi, Arman (Department of Nursing, Ilam University of Medical Sciences) ;
  • Rostami, Hussein (Community Health Nursing Department, Nursing Faculty, Maraghe University of Medical Sciences)
  • 발행 : 2016.06.01
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초록

Background: Many cancer patients still experience pain worldwide. There are many barriers for effective control of cancer pain and many of these are related to health care providers. There is a need for further investigation of these barriers. The aim of this study was to investigate nurse-related barriers to control of cancer pain among Iranian nurses. Materials and Methods: In this descriptive study 49 nurses from two hospitals affiliated to Tabriz and Ardebil Universities of Medical Sciences participated using a census sampling method. A demographic and profession related checklist and Barriers Questionnaire II (BQ-II) were used for data collection. Results: The results showed negative attitudes of participants regarding control of cancer pain. Participants believed that cancer pain medications do not manage cancer pain at acceptable levels; patients may become addicted by using these drugs; cancer pain medications have many uncontrollable effects; and controlling cancer pain may distract the physicians from treating disease. Conclusions: Iranian nurses have negative attitudes toward pain control in cancer patients especially about effectiveness of pain medication and their side effects. Educational intervention to reduce these misconceptions is needed.

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참고문헌

  1. Abbasnezhad M, Rahmani A, Ghahramanian A, et al (2015). Cancer care burden among primary family caregivers of iranian hematologic cancer patients. Asian Pac J Cancer Prev, 16, 5499-505. https://doi.org/10.7314/APJCP.2015.16.13.5499
  2. Aghdam AM, Aghaei MH, Hassankhani H, et al (2015). Awareness and attitude of nurses in regard to providing hospice care. Asian Pac J Cancer Prev, 16, 6941-5. https://doi.org/10.7314/APJCP.2015.16.16.6941
  3. Al Khalaileh M, Al Qadire M (2012). Barriers to cancer pain management: Jordanian nurses’ perspectives. Int J Palliat Nurs, 18, 535-6. https://doi.org/10.12968/ijpn.2012.18.11.535
  4. Al Qadire M, Tubaishat A, Aljezawi MM (2013). Cancer pain in Jordan: prevalence and adequacy of treatment. Int J Palliat Nurs, 19, 125-30. https://doi.org/10.12968/ijpn.2013.19.3.125
  5. Andrew R, Derry S, Taylor RS, et al (2014). The costs and consequences of adequately managed chronic non-cancer pain and chronic neuropathic pain. Pain Pract, 14, 79-94. https://doi.org/10.1111/papr.12050
  6. Arslan D, Koca T, Akar E, et al (2014). Cancer pain prevalence and its management. Asian Pac J Cancer Prev, 15, 8557-62. https://doi.org/10.7314/APJCP.2014.15.20.8557
  7. Aslan FE, Kayis A, Inanir I, et al (2011). Prevalence of cancer pain in outpatients registered to a cancer therapy center in Turkey. Asian Pac J Cancer Prev, 12, 1373-5.
  8. Bernardi M, Catania G, Tridello G (2007). Knowledge and attitudes about cancer pain management: a national survey of Italian hospice nurses. Cancer Nurs, 30, E20-6.
  9. Burton AW, Cleeland CS (2001). Cancer pain: progress since the WHO guidelines. Pain Pract, 1, 236-42. https://doi.org/10.1046/j.1533-2500.2001.01025.x
  10. Chang MC, Chang YC, Chiou JF, et al (2002). Overcoming patient-related barriers to cancer pain management for home care patients. A pilot study. Cancer Nurs, 25, 470-6. https://doi.org/10.1097/00002820-200212000-00012
  11. Clarke EB, French B, Bilodeau ML, et al (1996). Pain management knowledge, attitudes and clinical practice: the impact of nurses’ characteristics and education. J Pain Symptom Manage, 11, 18-31. https://doi.org/10.1016/0885-3924(95)00134-4
  12. Dantzer R, Meagher MW, Cleeland CS (2012). Translational approaches to treatment-induced symptoms in cancer patients. Nat Rev Clin Oncol, 9, 414-26. https://doi.org/10.1038/nrclinonc.2012.88
  13. Deandrea S, Montanari M, Moja L, et al (2008). Prevalence of undertreatment in cancer pain. A review of published literature. Ann Oncol, 19, 1985-91. https://doi.org/10.1093/annonc/mdn419
  14. Eftekhar Z, Mohaghegh MA, Yarandi F, et al (2007). Knowledge and attitudes of physicians in Iran with regard to chronic cancer pain. Asian Pac J Cancer Prev, 8, 383-6.
  15. Faghani S, Mohammadian R, Rahmani A, et al (2015). Supportive Care Needs of Iranian Cancer Survivors and Relationships with Social Support. Asian Pac J Cancer Prev, 16, 6339-45. https://doi.org/10.7314/APJCP.2015.16.15.6339
  16. Fathollahzade A, Rahmani A, Dadashzadeh A, et al (2015). Financial distress and its predicting factors among iranian cancer patients. Asian Pac J Cancer Prev, 16, 1621-5. https://doi.org/10.7314/APJCP.2015.16.4.1621
  17. Fazeny B, Muhm M, Hauser I, et al (2000). Barriers in cancer pain management. Wien Klin Wochenschr, 112, 978-81.
  18. Furstenberg CT, Ahles TA, Whedon MB, et al (1998). Knowledge and attitudes of health-care providers toward cancer pain management: a comparison of physicians, nurses, and pharmacists in the state of New Hampshire. J Pain Symptom Manage, 15, 335-49. https://doi.org/10.1016/S0885-3924(98)00023-2
  19. Ghasempour M, Rahmani A, Davoodi A, et al (2015). Return to work and its relation to financial distress among Iranian cancer survivors. Asian Pac J Cancer Prev, 16, 2257-61. https://doi.org/10.7314/APJCP.2015.16.6.2257
  20. Gunnarsdottir S, Donovan HS, Serlin RC, et al (2002). Patient-related barriers to pain management: the Barriers Questionnaire II (BQ-II). Pain, 99, 385-96. https://doi.org/10.1016/S0304-3959(02)00243-9
  21. Howell D, Butler L, Vincent L, et al (2000). Influencing nurses’ knowledge, attitudes, and practice in cancer pain management. Cancer Nurs, 23, 55-63. https://doi.org/10.1097/00002820-200002000-00009
  22. Jacobsen R, Liubarskiene Z, Moldrup C, et al (2009). Barriers to cancer pain management: a review of empirical research. Medicina (Kaunas), 45, 427-33. https://doi.org/10.3390/medicina45060055
  23. Laugsand EA, Sprangers MA, Bjordal K, et al (2010). Health care providers underestimate symptom intensities of cancer patients: a multicenter European study. Health Qual Life Outcomes, 8, 104. https://doi.org/10.1186/1477-7525-8-104
  24. Macfarlane TV, Wirth T, Ranasinghe S, et al (2012). Head and neck cancer pain: systematic review of prevalence and associated factors. J Oral Maxillofac Res, 3.
  25. Marcus DA (2011). Epidemiology of cancer pain. Curr Pain Headache Rep, 15, 231-4. https://doi.org/10.1007/s11916-011-0208-0
  26. McMillan SC, Tittle M, Hagan S, et al (2000). Knowledge and attitudes of nurses in veterans hospitals about pain management in patients with cancer. Oncol Nurs Forum, 27, 1415-23.
  27. Mishra S, Bhatnagar S, Chaudhary P, et al (2009). Breakthrough cancer pain: review of prevalence, characteristics and management. Indian J Palliat Care, 15, 14-8. https://doi.org/10.4103/0973-1075.53506
  28. Oldenmenger WH, Sillevis Smitt PA, van Dooren S, et al (2009). A systematic review on barriers hindering adequate cancer pain management and interventions to reduce them: a critical appraisal. Eur J Cancer, 45, 1370-80. https://doi.org/10.1016/j.ejca.2009.01.007
  29. Potter VT, Wiseman CE, Dunn SM, et al (2003). Patient barriers to optimal cancer pain control. Psychooncol, 12, 153-60. https://doi.org/10.1002/pon.627
  30. Randall-David E, Wright J, Porterfield DS, et al (2003). Barriers to cancer pain management: home-health and hospice nurses and patients. Support Care Cancer, 11, 660-5. https://doi.org/10.1007/s00520-003-0497-x
  31. Tahory H, Mohammadian R, Rahmani A, et al (2016). Viewpoints of family caregivers about posttraumatic growth in cancer patients. Asian Pac J Cancer Prev, 17, 755-8. https://doi.org/10.7314/APJCP.2016.17.2.755
  32. van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, et al (2007). Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol, 18, 1437-49. https://doi.org/10.1093/annonc/mdm056
  33. van der Eerden M, Csikos A, Busa C, et al (2014). Experiences of patients, family and professional caregivers with Integrated Palliative Care in Europe: protocol for an international, multicenter, prospective, mixed method study. BMC Palliat Care, 13, 52. https://doi.org/10.1186/1472-684X-13-52