Concerns About Reporting Pain and Using Analgesics Among Taiwanese Postoperative Patients

Tzeng, Jann Inn; Chou, Li Fung

doi:10.1016/j.jpain.2006.04.007

Cited by 11 publications

(12 citation statements)

References 30 publications

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“…However, patients’ concerns about reporting pain and using analgesics had very limited impacts on pain intensity and pain interference in the study. This result is inconsistent with the findings from Taiwan surgical patients, which indicated that patients’ barrier scores were significantly positively in relation to pain severity and pain interference (Tzeng et al. 2006).…”

Section: Discussioncontrasting

confidence: 94%

“…Nevertheless, the findings of the study are somehow consistent with concerns among Taiwanese surgical patients in terms of the subscales of tolerance, time intervals and inhibition of wound healing (Tzeng et al. 2006); however, the participants expressed considerably higher scores in the subscales of tolerance and inhibition of wound healing than Taiwanese patients (3·70 vs. 3·18, 3·43 vs. 2·58).…”

Section: Discussionsupporting

confidence: 83%

“…There are three items for each subscale except that of ‘side effects’, which consists of five items. The internal consistency for the total BQT‐S was 0·89 in a previous study, indicating it to be a reliable instrument to measure patient‐related barriers in postoperative pain management (Tzeng et al. 2006).…”

Section: Methodsmentioning

confidence: 85%

See 2 more Smart Citations

Postoperative pain experience and barriers to pain management in Chinese adult patients undergoing thoracic surgery

Yin

Tse

Wong

2011

Journal of Clinical Nursing

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionsupporting

confidence: 83%

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Postoperative pain experience and barriers to pain management in Chinese adult patients undergoing thoracic surgery

Yin

Tse

Wong

2011

Journal of Clinical Nursing

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“…They worried about that they might be perceived by nurse as too demanding if they asked for pain relief frequently; and (f) passive coping which involves avoiding thinking about the pain, avoiding negative thoughts, stoically tolerating pain, and avoiding any movement of the affected limb. Another study explored the concerns related to reporting pain and using analgesics among postoperative patients (Tzeng, Chou, & Lin, 2006). They found that the following beliefs made the patients hesitated to pain report and use analgesics: (a) time interval, the belief that pain medication can be given only at specified time intervals and one can not ask for medication until that interval has passed; (b) fear of tolerance; (c) fear of wound healing inhibition; (d) fear of distracting the physician from treating the disease; (e) fatalism, the belief that pain is an inevitable consequence of disease; and (f) a desire to be a good patient.…”

Section: Patient's Belief About Painmentioning

confidence: 99%

Psychometric properties of pain intensity scales comparing among postoperative adult patients, elderly patients without and with mild cognitive impairment in China

Zhou

Petpichetchian

Kitrungrote

2011

International Journal of Nursing Studies

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In China, there is a lack of studies to generate pain intensity scales to the patients with CI and compare the pain scales in various age groups. Therefore, this study would compare the psychometric properties of the evidence-supported pain intensity scales consisting of the Verbal Descriptor Scale (VDS), the Numeric Rating Scale (NRS), the Faces Pain Scale (FPS), the Numeric Box-21 Scale (BS-21), and the Colored Analogue Scale (CAS) in Chinese postoperative adults varying in ages including the elderly with mild CI. This was a descriptive comparative study and 200 surgical patients were recruited purposively from a university-affiliated hospital with 50 for each group: young adults (age 20 -44 years), middle-aged adults (age 45 -59 years), elderly (age ≥ 60 years) without CI, and elderly (age ≥ 60 years) with mild CI.Participants rated the vividly remembered, current, worst, least, and average pain, and indicated scale preference and simplicity. Scale face validity, concurrent validity, convergent validity, and test-retest reliability at a 3-day interval were assessed. Fisher's exact tests were used to investigate whether face validity was related to different age iv groups and the levels of CI. One-way ANOVA and Kruskal-Wallis test were used to test the differences of concurrent validity, convergent validity, and test-retest reliability of each pain scale among the four groups. Regarding face validity, the FPS was ranked best across the subjects as nearly half of the patients selected it as both the most preferred and simplest and it had low errors; the VDS and the NRS were similar and ranked following the FPS; however, the BS-21 and the CAS were ranked last. The concurrent validity, convergent validity, and test-retest reliability of all five pain scales were supported in use with the four groups. The differences in psychometric properties among the four groups were only found in face validity. The findings support the psychometric properties of all five pain scales for pain assessment in Chinese adults including the elderly with mild CI. However, the FPS appears to be the best scale followed by the VDS and the NRS. ACKNOWLEDGEMENTSIt is impossible to finish this work without the continuous help and love from the people around me. I take this opportunity to give thanks to them for their willing to teach, guidance, help, and care during my master degree study.

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“…Females may have differed from males in their response to pain such that they were more likely than males to seek a referral for specialized pain management. For example, females may be more likely to prefer alternative approaches (Yu et al, 2011) to relieve cancer-related pain due to a greater likelihood of both worrying about (Wang et al, 1997;Tzeng et al, 2006) and experiencing opioid-related side effects (Cepeda et al, 2003). Research on the effects of gender on opioid consumption has produced mixed results (Eggen, 1993;Edrington et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Gender Differences Associated with Pain Characteristics and Treatment in Taiwanese Oncology Outpatients

Shen

Wang

Shu

et al. 2013

Asian Pacific Journal of Cancer Prevention

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The purpose of this descriptive and comparative study was to examine gender differences relevant to pain intensity, opioid prescription patterns and opioid consumption in Taiwanese oncology outpatients. The 92 participants had been prescribed opioid analgesics for cancer-related pain at least once in the past week and were asked to complete the Brief Pain Inventory -Chinese questionnaire and to recall the dosage of each opioid analgesic that they had ingested within the previous 24 hours. For opioid prescriptions and consumption, all analgesics were converted to morphine equivalents. The results revealed a significant difference between males and female minimum pain thresholds (t = 2.38, p = 0.02) and current pain thresholds (t = 2.12, p = 0.04), with males reporting a higher intensity of pain than females. In addition, this study found that males tended to use prescribed opioid analgesics more frequently than females on the bases of both around the clock (ATC) (t = 1.90, p = 0.06) and ATC plus as needed (ATC + PRN) (t = 2.33, p = 0.02). However, there was no difference between males and females in opioid prescriptions on an ATC basis (t = 0.52, p = 0.60) or at an ATC + PRN basis (t = 0.40, p = 0.69). The results suggest that there may be a gender bias in the treatment of cancer pain, supporting the proposal of routine examination of the effect of gender on cancer pain management. These findings suggest that clinicians should be particularly aware of potential gender differences during pain monitoring and the consumption of prescribed opioid analgesics.

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Concerns About Reporting Pain and Using Analgesics Among Taiwanese Postoperative Patients

Cited by 11 publications

References 30 publications

Postoperative pain experience and barriers to pain management in Chinese adult patients undergoing thoracic surgery

Postoperative pain experience and barriers to pain management in Chinese adult patients undergoing thoracic surgery

Psychometric properties of pain intensity scales comparing among postoperative adult patients, elderly patients without and with mild cognitive impairment in China

Gender Differences Associated with Pain Characteristics and Treatment in Taiwanese Oncology Outpatients

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