hh.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Cancer patients' experiences of care related to pain management before and after palliative care referral
Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
2004 (engelsk)Inngår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 13, nr 3, s. 238-245Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Pain is the main problem for patients with cancer referred to palliative care (PC). Pain management in PC requires a multidimensional approach. A questionnaire was used to determine cancer patients' experiences of care related to pain management, before and after being referred to PC, and to also discover possible correlations between pain control and other aspects of care. Seventy-five consecutive patients from two PC teams were included in the study. The patients had experienced a statistically significant (P < 0.01) improvement in care after being referred to PC, despite the fact that pain control had not been optimized. Patients' description of 'pain control' after being referred to PC had a statistically significant correlation with their 'feeling of security' and 'continuity of care' throughout the same period. The conclusion is that care provided in PC is vital to successful pain management. Pain control depends not only on analgesics but also on many other aspects of care provided by the nurse. Continuity of care and the opportunity to talk increases the patients' feeling of security, which is also of utmost importance to successful pain management.

sted, utgiver, år, opplag, sider
Wiley-Blackwell, 2004. Vol. 13, nr 3, s. 238-245
Emneord [en]
Cancer-related pain, Dimensions of pain, Pain management, Palliative care
HSV kategori
Identifikatorer
URN: urn:nbn:se:hh:diva-357DOI: 10.1111/j.1365-2354.2004.00465.xISI: 000222050800004PubMedID: 15196227Scopus ID: 2-s2.0-3042557812Lokal ID: 2082/676OAI: oai:DiVA.org:hh-357DiVA, id: diva2:237536
Tilgjengelig fra: 2012-02-01 Laget: 2006-12-22 Sist oppdatert: 2020-03-20bibliografisk kontrollert
Inngår i avhandling
1. Acute postoperative and cancer-related pain management: Patients experiences and perceptions in relation to health-related quality of life and the multidimensionality of pain
Åpne denne publikasjonen i ny fane eller vindu >>Acute postoperative and cancer-related pain management: Patients experiences and perceptions in relation to health-related quality of life and the multidimensionality of pain
2003 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

This thesis describes patients in acute postoperative pain as well as patients with acute cancer-related pain in palliative care, and their experiences and perceptions of pain management in relation to HRQOL and the multidimensionality of pain. A combination of qualitative and quantitative methods was chosen. Data were collected using interviews and questionnaires; APS, SF:36 and a new developed questionnaire PC-PPQ measuring care related to pain management in palliative care. For assessing pain VAS and Pain-o-Meter were used. The study group consisted of 100 patients on their second postoperative day, and of 75 patients with cancer-related pain from two palliative care teams. The result showed that at the time of the interview 29 of the patients with postoperative pain reported a pain > 3 on VAS and 79 reported VAS > 3 as worst pain past 24 hours. The higher the intensity of pain the less satisfied the postoperative patients were with the nurses´ way of treating their pain. Thirty-three patients stated that they had received information regarding the importance of pain relief. Patients with postoperative pain as well as patients with cancer-related pain had been prescribed analgesics mostly a combination of Paracetamol, NSAID and opioid. Of the 75 patients with cancer-related pain and in palliative care 22 patients reported pain >3 on POM-VAS and 47 patients reported >3 on POM-VAS as worst pain past 24 hours. Twenty-eight patients reported an average pain > 3 on POM-VAS past 24 hours. Twenty-four patients used the words troublesome or tiring when describing their affective pain. Sensory pain was described as prickling or sore by 15 patients. The patients perceived their pain as “aching all over” and expressed a wish for pain relief as well as a fear for increased pain. HRQOL especially physical functioning decreased for patients with average pain > 3. Being cared for by a nurseled or a physician-led palliative care team indicated no statistically significant differences for patients´ HRQOL or pain intensities. The patients had experienced a statistically significant better care after being referred to a palliative care team, despite that pain control had not been optimized. Patients expressed a need for communication, planning and trust in order to improve pain management. Continuity of care and the opportunity to talk increase the patients feeling of security, as well as improved their perceived pain control. Structured ongoing discussion concerning pain management from an early stage of the disease or already preoperatively can provide an important intervention to meet the results of this thesis. Pain assessment covering the multidimensionality of pain, and pain treatment plans including both pharmacological and non-pharmacological treatment are further important interventions.

sted, utgiver, år, opplag, sider
Lund: Lunds Universitet, 2003. s. 144
Emneord
American Pain Society, Postoperative pain, Palliative care, Neoplasms, Health-Related Quality of life, Patient care management, Patients, Pain management, Pain-o-Meter, nursing care, SF-36
HSV kategori
Identifikatorer
urn:nbn:se:hh:diva-1906 (URN)2082/2301 (Lokal ID)91-628-5575-1 (ISBN)2082/2301 (Arkivnummer)2082/2301 (OAI)
Disputas
(engelsk)
Tilgjengelig fra: 2008-09-15 Laget: 2008-09-15 Sist oppdatert: 2020-05-18bibliografisk kontrollert

Open Access i DiVA

Cancer patients’ experiences of care related to pain(84 kB)1416 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 84 kBChecksum SHA-512
8a3c55c16b9f019cba637197b11ec1c7211ba0dd59e2515c5b42de7e30f4bce1563e25e5df790dec54f0b2349b4cb17b6c6234e7db2cc3de84049a29fb1ddc0a
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Person

Boström, BarbroSandh, MarieFridlund, Bengt

Søk i DiVA

Av forfatter/redaktør
Boström, BarbroSandh, MarieFridlund, Bengt
Av organisasjonen
I samme tidsskrift
European Journal of Cancer Care

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 1419 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 544 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf