癌症病人之止痛藥服藥遵從性與障礙因子及疼痛處理滿意度的相關探討

Relationships of Analgesics Adherence to Barriers and Satisfaction of Pain Management in Cancer Outpatients

鄭允宜(Yun-Yi Cheng) ； 林佳靜(Chia-Chin Lin)

《新臺北護理期刊》 12卷1期 (2010/04) Pp. 33-42

https://doi.org/10.6540/NTJN.2010.1.004

摘要

Pain is one of the major problems faced by cancer patients. Use of analgesics is a major treatment modality in management of cancer pain. Achieving adequate adherence to analgesics regimen is difficult.
The purpose of the study was to investigate the level of adherence with analgesics regimen and to explore the related predicting factors. The study was part of a large study. A total of 100 patients participated in the present study. Instrument consisted of the Taiwanese Version of Medication Adherence measure, the Barriers Questionnaire-Taiwan Form (BQT), Brief Pain Inventory-Chinese version (BPI-C), Karnofsky Performance Status (KPS), and a demographic questionnaire. Descriptive analysis, t-test, F-test, Pearson correlation, and multiple regression analysis were used for data analysis.
Results show that the level of adherence with analgesics regimen was low and the patient-related barriers and satisfaction of pain management were the predictors for analgesics adherence in cancer (p＜.05). The survey suggests that the medical team should decrease patient-related barriers and improve satisfaction of pain management, which will in turn improve analgesics adherence in cancer.

關鍵字

服藥遵從性 ； 止痛藥物 ； 服藥障礙 ； 疼痛處理滿意度

並列摘要

Pain is one of the major problems faced by cancer patients. Use of analgesics is a major treatment modality in management of cancer pain. Achieving adequate adherence to analgesics regimen is difficult.
The purpose of the study was to investigate the level of adherence with analgesics regimen and to explore the related predicting factors. The study was part of a large study. A total of 100 patients participated in the present study. Instrument consisted of the Taiwanese Version of Medication Adherence measure, the Barriers Questionnaire-Taiwan Form (BQT), Brief Pain Inventory-Chinese version (BPI-C), Karnofsky Performance Status (KPS), and a demographic questionnaire. Descriptive analysis, t-test, F-test, Pearson correlation, and multiple regression analysis were used for data analysis.
Results show that the level of adherence with analgesics regimen was low and the patient-related barriers and satisfaction of pain management were the predictors for analgesics adherence in cancer (p＜.05). The survey suggests that the medical team should decrease patient-related barriers and improve satisfaction of pain management, which will in turn improve analgesics adherence in cancer.

並列關鍵字

Adherence ； Analgesics ； Patient-related barriers ； Satisfaction of pain management