Factors hindering patients' use of medications for cancer pain.
Factors hindering patients' use of medications for cancer pain.
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阻碍患者使用癌症疼痛药物的因素。
DOI：
10.1046/j.1523-5394.1999.75007.x
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Pen,AD
中科院分区：
文献类型：
--
作者：
Ersek,M;Kraybill,BM;Pen,AD
目的：本研究的目的是探讨癌症疼痛患者难以坚持止痛治疗的原因。材料和方法：21例晚期癌症疼痛患者采用半结构化的问题表进行访谈。参与者被要求描述他们关于止痛药的决策以及使他们难以服用止痛药的因素。他们还被要求描述他们与医疗保健提供者的关系。使用定性分析技术确定和完善了主题。两名研究人员独立编码的所有数据，以确保调查结果准确地反映了参与者的experiences.results：调查结果揭示了几个因素，阻碍止痛药的使用和具体的方式，患者评估这些因素在决策服用止痛药。还描述了阻碍镇痛药使用的供应商-患者因素。最后，疼痛控制的非药理学方法的共同使用提供了深入了解这些治疗策略在实现疼痛缓解和减少镇痛剂的使用的作用。结论：研究结果强调了早期干预的重要性，以解决镇痛剂使用的障碍。有些障碍可以通过教育努力加以克服。然而，研究结果表明，持续、重复的患者教育往往不足以消除患者对服用药物的负面想法。其他方法，如改变药物或帮助患者使用非药物疼痛策略，可能会更成功。
objectives:The purpose of this study was to explore the reasons that cancer patients with pain find it difficult to adhere to analgesic therapy.materials and methods:Twenty‐one patients with advanced cancer with pain were interviewed using a semistructured schedule of questions. Participants were asked to describe their decision making regarding analgesics and the factors that made it difficult for them to take analgesics prescribed for their pain. They also were asked to describe their relationships with their healthcare providers. Themes were identified and refined using qualitative analytic techniques. Two investigators independently coded all data to ensure that findings accurately reflected participants' experiences.results:Findings reveal several factors that hindered analgesic use and the specific ways in which patients evaluated these factors in making decisions about taking pain medication. The provider‐patient factors that impeded analgesic use also were described. Finally, the common use of nonpharmacologic methods of pain control offers insight into the role of these therapeutic strategies in achieving pain relief and decreasing analgesic use.conclusions:The findings underscore the importance of early intervention to address barriers to analgesic use. Some barriers may be overcome through educational efforts. The findings suggest, however, that consistent, repeated patient education often may not be sufficient to subdue patients' negative thoughts about taking the medication. Other approaches, such as changing medications or assisting the patient to use nonpharmacologic pain strategies, may prove more successful.