Experience and Knowledge of Pain Management in Patients Receiving Outpatient Cancer Treatment: What Do Older Adults Really Know about Their Cancer Pain?
Experience and Knowledge of Pain Management in Patients Receiving Outpatient Cancer Treatment: What Do Older Adults Really Know about Their Cancer Pain?
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DOI：
10.1111/pme.12244
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发表时间：
2014-01-01
期刊：
影响因子：
3.1
通讯作者：
Krok, Jessica L.
中科院分区：
文献类型：
--
作者：
Baker, Tamara A.;O'Connor, Melissa L.;Krok, Jessica L.
目的个人有效管理癌症疼痛的能力受到有关疼痛经历的知识和看法的影响。虽然医生对癌症疼痛管理知识的重要性已有报道，但人们对患者的知识如何影响他们最佳管理疼痛的能力知之甚少。本研究的目的是确定健康和社会因素对老年人癌症疼痛知识和经验的影响。设计了一项针对接受门诊癌症治疗的老年黑人和白人患者的前瞻性横断面研究。方法对参与者进行了调查，内容包括评估疼痛严重程度、疼痛知识和经验、疼痛治疗的自我效能、对疼痛治疗的满意度以及其他社会、健康和人口特征。指定了一系列分层回归模型来检查癌症疼痛知识和经验的预测因素。结果教育、种族和信任是疼痛知识的显着预测因素，而疼痛的自我效能、疼痛干扰和疼痛严重程度是癌症疼痛经验的指标。结论（癌症）疼痛的知识和经验取决于无数的社会和临床因素，这些因素不是排他性的，而是共存的健康决定因素。了解老年人对疼痛的了解可能会开始减少日益多样化的老年人群体中疼痛诊断和治疗的不平等。同样，它可以允许定制方案以满足患者在治疗和管理癌症疼痛方面的特定需求。
ObjectiveAn individual's ability to effectively manage their cancer pain is influenced by knowledge and perceptions regarding the pain experience. While significance of the physician's knowledge of cancer pain management has been reported, much less is known how a patient's knowledge may influence their ability to optimally manage their pain. The purpose of this study is to determine the influence health and social factors have on the knowledge and experience of cancer pain among older adults.DesignA prospective cross-sectional study of older Black and White patients presenting for outpatient cancer treatment.MethodsParticipants were surveyed on questions assessing pain severity, knowledge and experience of pain, self-efficacy for pain treatment, satisfaction with pain treatment, and additional social, health, and demographic characteristics. A series of hierarchical regression models were specified to examine predictors of cancer pain knowledge and experience.ResultsEducation, race, and trust were significant predictors of pain knowledge, whereas self-efficacy for pain, pain interference, and pain severity were indicators of the experience of cancer pain.ConclusionsKnowledge and experience of (cancer) pain are contingent upon a myriad of social and clinical factors that are not exclusive but rather coexisting determinants of health. Understanding older adults' knowledge of pain may begin to diminish the imparities in the diagnosis and treatment of pain among this growing diverse population of older adults. It may similarly allow for programs to be tailored to fit the specific needs of the patient in the treatment and management of their cancer pain.