Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

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)
  • Published : 2016.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  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