Patients’ Experiences of Cancer Pain: A Descriptive Qualitative Study

Hassankhani, Hadi; Hajaghazadeh, Mohammad; Orujlu, Samira

doi:10.1177/08258597221149545

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…In a cross-sectional survey on 156 cancer patients in Hunan Province, China conducted by Xu X et al [ 25 ] found that cancer patients’ acceptance of pain was related to age, gender, marital status, pain duration, number of pain sites and duration of taking analgesics. Hassankhani et al [ 26 ] interviewed 17 Iranian patients with cancer pain about their pain experience, and found that nurses did not only need to ease patients’ physical pain, but also pay attention to their sociocultural and spiritual wellbeing, which was consistent with Orujlu et al’s findings [ 27 ]. Although there have been studies on the degree of acceptance among patients with chronic pain, most of them were quantitative studies with non-cancer pain as the main subjects [ 28 – 30 ], and little is known about the perceptions, needs, and pain acceptance of advanced cancer patients with chronic pain.…”

Section: Introductionsupporting

confidence: 59%

Experiences of patients with advanced cancer coping with chronic pain: a qualitative analysis

Xia,

Ou,

Chen

et al. 2024

BMC Palliat Care

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Objectives To gain insight into the perceptions, and beliefs of patients with advanced cancer coping with chronic pain and to identify their attitudes and demands on pain management. Methods From July to September 2022, 17 patients with advanced cancer living with chronic pain were recruited from a tertiary cancer hospital in Hunan Province, China. Qualitative and semi-structured interviews were conducted individually, with 30-45 minutes for each. The Colaizzi 7-step analysis method in phenomenological research was used for data analysis. Results The experience of pain acceptance by advanced cancer patients with chronic pain was summarized into four themes: pain catastrophizing (unable to ignore the pain, try various methods to relieve the pain, exaggerating pain perception, and lack of knowledge about proper pain management), rumination (compulsive rumination and worrying rumination), avoidance coping (situational avoidance and repressive avoidance) and constructive action (setting clear value goal and taking reciprocal action). Conclusion Most patients with advanced cancer had low pain acceptance and negative attitudes. Feeling helpless in the face of pain and suffering alone were their norm. Long-term negative emotions could lead to gradual depression and loss of hope for treatment, resulting in pain catastrophizing and persistent rumination. Nevertheless, a few patients accepted pain with positive attitudes. Medical professionals should pay more attention to the psychological status of advanced cancer patients with chronic pain, and employ alternative therapies, for example, cognitive behavioral therapy. More efforts are needed to reduce patients’ pain catastrophizing, and promote their pain acceptance by a better understanding of pain through health education.

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Section: Introductionsupporting

confidence: 59%

Experiences of patients with advanced cancer coping with chronic pain: a qualitative analysis

Xia,

Ou,

Chen

et al. 2024

BMC Palliat Care

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Narratives of resilience: Understanding Iranian breast cancer survivors through health belief model and stress-coping theory for enhanced interventions

Mehrabizadeh,

Zaremohzzabieh,

Zarean

et al. 2024

BMC Women's Health

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Breast cancer poses a significant global health challenge, with Iran experiencing particularly high incidence and mortality rates. Understanding the adaptation process of Iranian breast cancer survivors’ post-treatment is crucial. This study explores the health perceptions, barriers, and coping mechanisms of Iranian survivors by integrating Stress-Coping Theory (SCT) and the Health Belief Model (HBM). Semi-structured interviews were conducted with 17 survivors, and a grounded theory approach guided the deductive content analysis of the data. The findings reveal key themes, including perceived susceptibility, benefits, barriers to care, cues to action, self-efficacy, and appraisal of action. Perceived susceptibility highlights diagnostic challenges stemming from practitioner errors and symptom misconceptions. Perceived benefits underscore the importance of early detection and support from healthcare providers and families. Barriers include cultural and financial obstacles, while cues to action reflect the influence of media, family, and personal experiences on healthcare-seeking behavior. The study also examines coping strategies, such as problem-focused and emotion-focused approaches, along with family support and external stressors. To address these barriers and enhance support systems, the study suggests specific strategies for healthcare providers, including targeted training to improve diagnostic accuracy and patient communication. Culturally sensitive awareness campaigns can correct symptom misconceptions, while financial counseling can mitigate economic barriers. Establishing community-based support groups and involving family members in care plans can enhance emotional and psychological support. These strategies aim to overcome the identified barriers and improve support systems for Iranian breast cancer survivors, ultimately fostering better recovery outcomes.

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Patients’ Experiences of Cancer Pain: A Descriptive Qualitative Study

Cited by 2 publications

References 34 publications

Experiences of patients with advanced cancer coping with chronic pain: a qualitative analysis

Experiences of patients with advanced cancer coping with chronic pain: a qualitative analysis

Narratives of resilience: Understanding Iranian breast cancer survivors through health belief model and stress-coping theory for enhanced interventions

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