Pain medication management processes used by oncology outpatients and family caregivers part II: home and lifestyle contexts.
Pain medication management processes used by oncology outpatients and family caregivers part II: home and lifestyle contexts.
复制标题
肿瘤科门诊患者和家庭护理人员使用的止痛药物管理流程第二部分：家庭和生活方式环境。
DOI：
10.1016/j.jpainsymman.2013.12.247
复制
发表时间：
2014
影响因子：
4.7
通讯作者：
Miaskowski,Christine
中科院分区：
文献类型：
--
作者：
Schumacher,KarenL;PlanoClark,VickiL;West,ClaudiaM;Dodd,MarylinJ;Rabow,MichaelW;Miaskowski,Christine
ContextDespite持续性癌症疼痛的药物治疗方案的日益复杂，鲜为人知的是如何肿瘤门诊患者和他们的家庭照顾者管理止痛药在home.ObjectivesTo描述日常管理的止痛药从肿瘤门诊患者和他们的家庭照顾者的角度，谁参加了一个随机临床试验的心理教育干预称为亲自我加疼痛控制程序。在这篇文章中，我们专注于疼痛药物管理的背景下，高度个性化的家庭环境和lifestyles.MethodsThis定性研究进行了随机临床试验的一部分，其中嵌入式混合方法的研究设计。患者，家庭照顾者，和干预护士之间的对话录音进行了分析，使用定性research methods.ResultsHome和生活方式管理止痛药的背景下，包括高度个性化的家庭环境，工作和娱乐活动，个人的日常生活，和家庭特征。在这些情况下，疼痛药物管理过程特别相关，包括理解，组织，存储，调度，记忆和服用药物。除了他们的互动与干预护士，大多数研究参与者很少参与临床医生，因为他们通过这些processing.ConclusionPain药物管理是一个持续的多层面的过程，其中的每一步都掌握了患者和他们的家庭照顾者时，癌症治疗和支持性护理提供门诊的基础上。需要现实的以患者和家庭为中心的技能建设干预措施，以在个人家庭环境和生活方式的背景下实现有效和安全的疼痛药物管理。
ContextDespite the increasing complexity of medication regimens for persistent cancer pain, little is known about how oncology outpatients and their family caregivers manage pain medications at home.ObjectivesTo describe the day-to-day management of pain medications from the perspectives of oncology outpatients and their family caregivers who participated in a randomized clinical trial of a psychoeducational intervention called the Pro-Self©Plus Pain Control Program. In this article, we focus on pain medication management in the context of highly individualized home environments and lifestyles.MethodsThis qualitative study was conducted as part of a randomized clinical trial, in which an embedded mixed methods research design was used. Audio-recorded dialogue among patients, family caregivers, and intervention nurses was analyzed using qualitative research methods.ResultsHome and lifestyle contexts for managing pain medications included highly individualized home environments, work and recreational activities, personal routines, and family characteristics. Pain medication management processes particularly relevant in these contexts included understanding, organizing, storing, scheduling, remembering, and taking the medications. With the exception of their interactions with the intervention nurses, most study participants had little involvement with clinicians as they worked through these processes.ConclusionPain medication management is an ongoing multidimensional process, each step of which has to be mastered by patients and their family caregivers when cancer treatment and supportive care are provided on an outpatient basis. Realistic patient- and family-centered skill-building interventions are needed to achieve effective and safe pain medication management in the contexts of individual home environments and lifestyles.