Patient-related Barriers to Cancer Pain Management in Jordan

Qadire, Mohammad Al

doi:10.1097/mph.0b013e318249ad34

Cited by 16 publications

(12 citation statements)

References 20 publications

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“…The items that directly affected the patients’ attitude scores included “Analgesics should be given when there is a real need”, “Patients will become addicted to analgesics and should try not to use it unless they are unable to bear the pain”, “If you take analgesics when you have mild pain, it might not work when the pain becomes worse”, and “Using analgesics can harm the liver and kidneys”. This finding was similar to the research results of Mohammad et al (27), Tosun et al . (30), and Sun et al .…”

Section: Discussionsupporting

confidence: 93%

“…Scores of 2.5 and higher on the BQT indicated a poor attitude and a high level of attitude barriers regarding cancer pain management (27). The patient attitude score in this study (2.96±0.49) indicated that the general attitude of the cancer patients towards pain management was poor.…”

Section: Discussionmentioning

confidence: 99%

“…)” (3.62) were the worst (17). Cancer patients’ attitudes regarding “Distraction of physicians” (2.5±1.0) and “Fatalism” (1.8±1.0) were the best (27). The results of these studies were consistent with our results.…”

Section: Discussionmentioning

confidence: 99%

“…The score for each item indicates the accuracy of the participant’s knowledge: correct answers receive 10 points, and incorrect answers receive 0 points (25,26). The pain knowledge of cancer patients and caregivers was assessed using the knowledge subscale of the FPQ by Aubin et al (27) and Berit et al . (28), and the test-retest reliability was 0.80.…”

Section: Methodsmentioning

confidence: 99%

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Attitudes towards pain management in hospitalized cancer patients and their influencing factors

Lou¹,

Shang²

2017

Chinese Journal of Cancer Research

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ObjectiveTo investigate patients’ attitudes towards cancer pain management and analyze the factors influencing these attitudes.MethodsThe self-developed Demographic and Disease-Related Information Questionnaires, Pain Management Barriers Questionnaire-Taiwan form (BQT), and Pain Knowledge Questionnaire were administered to 363 pairs of hospitalized cancer patients and their caregivers from the oncology departments of 7 hospitals in Beijing, China.ResultsThe average patient score for attitudes towards pain management was 2.96±0.49. The dimension scores indicated good attitudes in three areas (scores <2.5), “Desire to be good” (2.22±1.04), “Fatalism” (2.08±0.81) and “Religious fatalism” (1.86±1.00), and poor attitudes in six areas (scores ≥2.5), “Tolerance” (3.83±0.96), “Use of analgesics as needed (p.r.n.)” (3.73±1.01), “Addiction” (3.44±1.05), “Disease progression” (3.28±1.26), “Distraction of physicians” (3.16±1.07) and “Side effects” (2.99±0.68). Two factors were entered into the regression equation: the caregivers’ attitudes towards cancer pain management and the patients’ pain knowledge. These two factors explained 23.2% of the total variance in the patients’ average scores for their attitudes towards cancer pain management. ConclusionsThe patients’ attitudes towards cancer pain management were poor and could be influenced by the caregivers’ attitudes and the patients’ pain knowledge, and thus need to be improved.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Attitudes towards pain management in hospitalized cancer patients and their influencing factors

Lou¹,

Shang²

2017

Chinese Journal of Cancer Research

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“…In contrast, studies conducted in other countries, including Denmark, 24 China (specifically Hong Kong), 25 Iceland, 26 Jordan, 27 and Lithuania, 28 have reported consistently higher barrier scores than those reported by that first validation study. Those higher scores are consistent with the results of our previous study, which focused on Korean cancer patients.…”

Section: Discussioncontrasting

confidence: 47%

Experience of Barriers to Pain Management in Patients Receiving Outpatient Palliative Care

Kwon

Hui

Chisholm

et al. 2013

Journal of Palliative Medicine

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Background: Patient-reported barriers are an important obstacle to cancer pain management. For effective pain management, exploring patient-reported barriers and related factors is important. Objectives: The study's objective is to determine factors associated with patient-reported barriers to cancer pain management. Method: We conducted a secondary analysis of data from a prospective observational study examining opioid adherence in palliative care outpatients. We evaluated the association between high score on patient-reported barriers to cancer pain management, on the Barriers Questionnaire II (BQ-II), and patients' race, sex, smoking history, pain intensity, opioid dose, and depression. Results: Of 196 patients evaluated (median age 55 years), 147 (75%) were white, 41 (21%) had gastrointestinal cancer, and 121 (62%) were receiving anticancer treatment when data were collected. The median pain score was 4 (interquartile range [IQR] 3-7); 98% were receiving strong opioids; and 63% were satisfied with their pain medication. The median Edmonton symptom assessment scale (ESAS) depression score was 1 (IQR 0-3). Mean (SD) BQ-II scores were 1.8 (0.9) for physiologic effects, 1.6 (0.9) for fatalism, 0.9 (0.9) for communication, 2.3 (1.1) for harmful effects, and 1.7 (0.8) in total. Only racial differences were associated with high total BQ-II score in multivariable analysis (R2 = 0.05, overall F test significance = 0.02). Pain related factors including opioids dose, pain intensity, and satisfaction were not associated with high BQ-II score. Conclusion: Patients receiving palliative care expressed low barriers to pain control. There were minimal associations of BQ-II score with demographics and clinical factors.

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Libyan Healthcare Professionals’, Patients’ and Caregivers’ Perceptions and Religious Beliefs about Cancer Pain and its Management: A Descriptive Qualitative Study

2023

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Cancer pain remains a significant problem worldwide. It is often undertreated and presents in about half of cancer patients. Although several guidelines and pharmacological interventions for cancer pain management (CPM) exist, inadequate assessment and undertreatment of cancer pain are well-documented globally, especially in developing countries, including Libya. Perceptions, cultural and religious beliefs of healthcare professionals (HCP), patients, and caregivers about cancer pain and opioids are reported as barriers to CPM globally. This qualitative descriptive study aimed to explore Libyan HCPs’, patients’, and caregivers’ views and religious beliefs about CPM and involved semi-structured interviews with 36 participants: 18 Libyan cancer patients, 6 caregivers, and 12 Libyan HCPs. Thematic analysis was used to analyse the data. Patients, caregivers, and newly qualified HCPs were concerned about poor tolerance and drug addiction. HCPs perceived a lack of policies and guidelines, pain rating scales, and professional education and training as CPM barriers. Some patients were unable to pay for medicines if they faced financial difficulties. Instead, patients and caregivers emphasised religious and cultural beliefs for managing cancer pain, including the use of the Qur’an and cautery. Our results suggest that religious and cultural beliefs, lack of knowledge and training in CPM among HCPs, and economic and Libyan healthcare system-related factors negatively affect CPM in Libya.

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Patient-related Barriers to Cancer Pain Management in Jordan

Cited by 16 publications

References 20 publications

Attitudes towards pain management in hospitalized cancer patients and their influencing factors

Attitudes towards pain management in hospitalized cancer patients and their influencing factors

Experience of Barriers to Pain Management in Patients Receiving Outpatient Palliative Care

Libyan Healthcare Professionals’, Patients’ and Caregivers’ Perceptions and Religious Beliefs about Cancer Pain and its Management: A Descriptive Qualitative Study

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