Mediating Effect of Family Caregivers' Hesitancy to Use Analgesics on Homecare Cancer Patients' Analgesic Adherence

Lee, Bih‐O; Liu, Yi; Wang, Yi-Hsien; Hsu, Hsin‐Tien; Chen, Chien Liang; Chou, Pi-Ling; Hsu, Wu-Hsiao

doi:10.1016/j.jpainsymman.2018.10.503

Cited by 2 publications

(1 citation statement)

References 47 publications

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“…Our findings resonate with prior findings that suggest that patient and caregiver beliefs distinctly influence responses to cancer management, a dynamic more evident upon examining the varied BQ subscales across studies [ 20 , 24 , 25 , 26 ]. The prevalent fear of medication tolerance necessitates targeted interventions that address and correct misconceptions about pain medication use.…”

Section: Discussionsupporting

confidence: 88%

Identifying Barriers to Effective Cancer Pain Management in Oman: Implications for Palliative Care

Ali Alaswami,

Al Musalami,

Al Saadi

et al. 2024

Current Oncology

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Background: Effective cancer pain management is essential for improving the quality of life of patients. However, the use of analgesics is often suboptimal due to various patient-related barriers. This study aims to explore the perceptions, knowledge, and attitudes toward analgesic use among cancer patients in Oman, which may influence their pain management strategies. Methods: In a cross-sectional study, we assessed 68 cancer patients undergoing pain management at an inpatient cancer clinic of a tertiary hospital in Oman from a pool of 154 eligible participants. The Barriers Questionnaire (BQ) and the Patient Pain Questionnaire (PPQ), both Arabic versions, were administered to evaluate the patients’ barriers to cancer pain management. The study period and the criteria for patient selection are specified. Results: With a participation rate of 44.2% and a female-to-male ratio of 2.28:1, the mean score on the BQ was 2.52 (SD 0.84), indicating a moderate level of perceived barriers. Patients’ scores suggested notable barriers, with older patients exhibiting reluctance toward analgesics for fear of masking symptoms and female patients expressing greater concerns about developing drug tolerance. Conclusion: The findings highlight significant attitudinal barriers to effective cancer pain management in Oman, notably a prevalent fear of medication tolerance. The study stresses on the need for targeted patient education and the correction of misconceptions. It also points to the influence of cultural and religious beliefs on patient responses, advocating for the implementation of culturally sensitive, evidence-based pain management guidelines, and the support of multidisciplinary palliative care teams.

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