Journal List > Asian Oncol Nurs > v.13(4) > 1081787

Byun and Choi: Pain Intensity, Pain Control and Pain Control Barriers between Cancer Patients and their Nurses

Abstract

Purpose

This study was conducted to compare the levels of pain intensity and pain relief between cancer patients and nursing records, and to compare the barriers to pain control between cancer patients and their nurses.

Methods

Data were collected from 90 cancer patients who were admitted to three oncology wards and 90 oncology nurses in the same three wards at C University Hospital in G City from July to September, 2012.

Results

The most severe pain intensity reported by cancer patients was 6.59 points on the first day of analgesic treatment, while that of their nursing records was 3.98 points on the first day. There were significant changes in pain intensity over time between two groups (F=142.07, p<.001). The highest level of pain relief reported by patients was 2.87 points on the third day, while that of nursing records was 1.67 points on the first day. The score for the social system area of barriers to pain control among the nurses was higher than that of cancer patients (t=-3.69, p=.021).

Conclusion

Nurses need to frequently check and to be sensitive to cancer pain. Furthermore, the administrative procedures of narcotic analgesics need to be simplified.

Figures and Tables

Table 1
General Characteristics of Patients (N =90)
aon-13-287-i001

*Multiple choices.

Table 2
General Characteristics of Oncology Nurses (N =90)
aon-13-287-i002
Table 3
Comparisons of Pain Intensity Between Patient and Nursing Record (N =180)
aon-13-287-i003

G=group; T=time; G*t=group*time.

Table 4
Comparisons of Pain Control between Patients and Nursing Record (N =180)
aon-13-287-i004

G=group; T=time; G*T=group*time.

Table 5
Comparison of Pain Control Barriers between Patients and Nurses (N =180)
aon-13-287-i005

Notes

This article is a condensed form of the first author's master's thesis from Chonnam National University.

References

1. Ahles TA, Blanchard EB, Ruckdeschel JC. The multidimensional nature of cancer-related pain. Pain. 1983; 17(3):277–288.
crossref
2. Yang SA, Cho OH, Yoo YS. A survey of cancer patients who visited emergency room. Korean J Hosp Palliat Care. 2009; 12(4):228–233.
crossref
3. Herdon CM. Pharmacologic management of cancer pain. J Neurosci Nurs. 2003; 35(6):321–326.
crossref
4. Kim HT, Koh JW, Kim YM, Kang MS, Noh HS, Kim HR, et al. Pain management based on NCCN guideline in patient with lung cancer. Tuberc Respir Dis. 2009; 67(3):221–225.
crossref
5. National Cancer Information Center. Cancer pain management guideline. 5th ed. Seoul: National Cancer Information Center;2012.
6. Korea Health Industry Development Institute. Guideline for hospital evaluation programme. Seoul: Ministry Health and Welfare Press;2007.
7. Kim HS, Yu SJ, Kwon SY, Park YH. Differences in patients' and family caregivers' ratings of cancer pain. Korean J Hosp Palliat Care. 2008; 11(2):42–50.
8. Kim YJ. Actual condition of pain and pain control and satisfaction of pain control in hospitalized cancer patients [dissertation]. Daegu: Kosin Univ.;2007.
9. Moon YM, Ham OK, Kim JH, Lim JY. Degree of pain, and barriers and satisfaction with pain management among home care cancer patients. J Korean Acad Public Health Nurs. 2008; 22:177–185.
10. Sin SB, Lee MH. The effect of cancer pain management education on the pain and the concerns of pain management in cancer patients. Korean J Rehabil Nurs. 2003; 6(1):90–103.
11. Kim HJ, Park IS, Kang KJ. Knowledge and awareness of nurses and doctors regarding cancer pain management in a tertiary hospital. Asian Oncol Nurs. 2012; 12(2):147–155.
crossref
12. Jo EK. Nurses' knowledge and performance of cancer pain management [dissertation]. Daegu: Keimyung Univ.;2010.
13. Agency for Health Care Policy and Research. Barriers to effective pain management. Accessed July 1, 2012. http://www.ahcpr.gov.
14. Korea Institute for Healthcare Accreditation. Accreditation standard for healthcare institute. Seoul: Korea Institute for Healthcare Accreditation;2010.
15. McCaffery M, Ferrell BR. Nurses' knowledge about cancer pain: a survey of five countries. J Pain Symptom Manage. 1995; 10(5):356–369.
crossref
16. McCaffrey M, Beebe A. Managing your patients' adverse reactions to narcotics. Nursing. 1989; 19(10):166–168.
17. McCaffery M. Pain control : Barriers to the use of available information. World health organization expert committee on cancer pain relief and active supportive care. Cancer. 1992; 70:5 Suppl. 1438–1449.
18. Gunnarsdottir S, Donovan HS, Voge C, Ward S. Patient-related barriers to pain management: the barriers questionnaire II (BQ-II). Pain. 2002; 99(3):385–396.
crossref
19. Park IS, Jang M, Rew SA, Kim HJ, Oh PJ, Jung HJ. Analysis of pain records using electronic nursing records of hospitalized patients in medical units at a university hospital. J Korean Clin Nurs Res. 2010; 16(3):123–132.
20. Kim HK, Lee HS, Hwang KH, Yoo YS, Lee SM. Positive and negative determinants for pain management in both cancer patients and their nurses. J Korean acad Fundam Nurs. 2006; 13(1):68–75.
21. Won YH, Kim YH, Park JY. Comparison of pain management between before and after the application of guidelines in cancer emergency room. Asian Oncol Nurs. 2012; 12(3):230–236.
crossref
22. Yoo YS, Lee WH, Cho OH, Lee SW. Levels of barriers to pain management of cancer patients and their nurses. Korean J Hosp Palliat Care. 2005; 8(2):224–233.
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