Patient Barriers to Cancer Pain Management: From the Viewpoint of the Cancer Patients Receiving Analgesics in a Teaching Hospital of Taiwan

Background: The purpose of this study was to investigate the barriers to receiving analgesics for cancer pain in Taiwanese patients. Methods: The sample consisted of 128 hospitalized patients. All of the subjects were receiving analgesies. Three questionnaires entitled ＂Barriers Questionnaire-Taiwan Form (BQT)＂, ＂Brief Pain Inventory Short Form＂, and ＂Pain Management Index (PMI)＂ were used in this study. Data were analyzed using Student's t-test and Pearson correlation. Results: The results showed that most of BQT subscales including disease progression, time interval, tolerance, injection, addiction, fatalism and side effects were approaching toward the moderate or high end of the scale. 42.1% (n=54) of the patients had negative PMI scores indicating that they were using less than adequate analgesics for pain. There was a significant difference between those who had adequate medication and those who did not, in terms of disease progression score and the total BQT score. Conclusions: Overall the result revealed that pain management in these cancer patients was inadequate. Misconceptions on the part of patients still exist. Educational intervention could be an effective means for overcoming such barriers in Taiwanese patients who received analgesies for cancer pain.

關鍵字

Cancer pain ； Patient barriers ； Analgesics

並列摘要

背景：此研究目的是要探討臺灣接受止痛劑的癌症病人對癌症疼痛治療的障礙。方法：本研究共包含128位住院病人，所有病人均有接受止痛劑治療，使用“障礙問卷－臺灣”，“疼痛探索短表”，及“疼痛治療指引”收集資料，所得資料以Student's-t測試及相關檢定分析之。結果：由結果顯示大部分的「障礙問卷－臺灣」中的次量表包括疾病進展，時間間隔，耐藥性，注射，成癮，宿命論，及副作用均偏向中或高的得分，42.1%（n＝54）的病人在疼痛治療指引是負分，顯示他們使用止痛劑不足，以疾病進展得分及「障礙問卷－臺灣」總量表得分而言，用藥足夠與用藥不足兩組間有顯著差異。結論：由結果顯示疼痛治療是不適當的，病人的觀念錯誤仍是存在的，教育應是一有效的方法以改善臺灣病人在接受癌症疼痛止痛劑上的障礙。

並列關鍵字

癌症疼痛；病患障礙；止痛劑

國際替代計量

Patient Barriers to Cancer Pain Management: From the Viewpoint of the Cancer Patients Receiving Analgesics in a Teaching Hospital of Taiwan

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