PAIN MANAGEMENT AND PAIN COPING STRATEGIES OF CANCER PATIENTS: QUALITATIVE RESEARCH

Yıl 2024, Cilt: 4 Sayı: 2, 305 - 314, 26.08.2024

Gamze Temiz , Nermin Eroğlu

https://doi.org/10.56061/fbujohs.1492204

Öz

Pain is an important symptom that affects the quality of life of cancer patients. Pain is managed with pharmacological and non-pharmacological approaches such as exercise, acupressure, meditation, yoga, and massage. This study is a qualitative research conducted to determine how cancer patients manage their pain. The population of the study consisted of patients with cancer diagnosis who applied to the oncology clinic of a private hospital. The sample consisted of 33 patients who accepted to participate in the study and met the study criteria. The data of the research were collected using the “Descriptive Characteristics Form” and “Semi-structured Focus Group Questionnaire”. The forms were created by scanning the literature. Then thematic analysis was made. The Standards for Reporting Qualitative Research (SRQR) Checklist, which sets the standards for reporting the research, was used. The mean age of the patients participating in the study was 45.72 ± 3.46, 60.60% were female, 84.85% were married, 87.9% lived in an urban environment, 48.49% had educational status. were in high school, 48.49% were diagnosed with Breast Ca, 48.49% were treated with 3rd cycle chemotherapy, 84.5% took some kind of analgesic for pain, and 60.6% used complementary care methods. detected. It was determined that the patients had difficulties in pain management, used non-prescribed drugs to relieve pain, were reluctant to seek professional medical advice, used non-pharmacological strategies, and tried to manage their pain according to what other people in their family/social circle said.

Anahtar Kelimeler

Pain management, coping strategies, cancer, qualitative research

Proje Numarası

----

KANSER HASTALARININ AĞRI YÖNETİMİ VE AĞRIYLA BAŞ ETME STRATEJİLERİ: NİTEL ARAŞTIRMA

Öz

Ağrı, kanser hastalarının yaşam kalitesini etkileyen önemli bir semptomdur. Ağrı; egzersiz, akupresür, meditasyon, yoga ve masaj gibi farmakolojik ve farmakolojik olmayan yaklaşımlarla yönetilmektedir. Bu çalışma, kanser hastalarının ağrılarını nasıl yönettiklerini belirlemek amacıyla yapılan nitel bir araştırmadır. Araştırmanın evrenini özel bir hastanenin onkoloji kliniğine başvuran kanser tanısı almış hastalar oluşturmaktadır. Araştırmanın örneklemini ise çalışmaya katılmayı kabul eden ve çalışma kriterlerini karşılayan 33 hasta oluşturmuştur. Araştırmanın verileri “Tanımlayıcı Özellikler Formu” ve “Yarı Yapılandırılmış Odak Grup Anketi” kullanılarak toplanmıştır. Formlar literatür taranarak oluşturulmuştur. Daha sonra tematik analiz yapılmıştır. Araştırmanın raporlanması için standartları belirleyen Nitel Araştırma Raporlama Standartları (SRQR) Kontrol Listesi kullanılmıştır. Araştırmaya katılan hastaların yaş ortalamasının 45,72 ± 3,46 olduğu, %60,60'ının kadın, %84,85'inin evli, %87,9'unun kentsel çevrede yaşadığı, %48,49'unun eğitim durumunun lise olduğu, %48,49'unun Meme Ca tanısı aldığı, %48,49'unun 3. kür kemoterapi tedavisi gördüğü, %84,5'inin ağrı için bir çeşit analjezik aldığı ve %60,6'sının tamamlayıcı bakım yöntemleri kullandığı tespit edilmiştir. Hastaların ağrı yönetiminde zorlandıkları, ağrıyı gidermek için reçetesiz ilaç kullandıkları, profesyonel tıbbi tavsiye alma konusunda isteksiz oldukları, farmakolojik olmayan stratejiler kullandıkları ve aile/sosyal çevrelerindeki diğer kişilerin söylediklerine göre ağrılarını yönetmeye çalıştıkları belirlenmiştir.

Anahtar Kelimeler

Ağrı yönetimi, başa çıkma stratejileri, kanser, nitel araştırma

Etik Beyan

In order to carry out the research, the permission of the Fenerbahçe University Academic Research and Publication Ethics Committee (FBU/2020-09) and the institution was obtained. This research was conducted in accordance with the principles set out in the Declaration of Helsinki. Before starting the study, the patients were informed verbally and in writing, by explaining the purpose of the study, the use of the recording system during the interview, where and why the obtained data would be used, and their voluntary consent was obtained.

Destekleyen Kurum

---

Proje Numarası

----

Teşekkür

We would like to express our endless thanks to all patients who voluntarily participated in the study

Kaynakça

• Aebischer J. H., Hanna J. E. (2022). Opioid use and misuse: Pain management, drug dependence, and implications for nurses worldwide in 2022.
• Braun V, Clarke V.(2006). Using thematic analysis in psychology. Qualitative Research in Psychology. 3(2):77-101.https://doi.org/10.1191/1478088706qp063oa.
• Chwistek M. (2017). Recent advances in understanding and managing cancer pain. F1000 Research. 6:94 comprehensiv review. PAIN. 2018;159(5):811-818. http://dx.doi.org/10.12688/f1000research.10817.1?
• Eti Aslan F.(2014). Evaluation of health. Ankara, Academician Bookstore.
• Inada, Y. et al.(2022). A cancer-pain analgesia as prolonging strategy of surviving time after failure of adjuvant chemotherapy in patient with progressive bone-metastatic hepatocellular carcinoma. Case Reports in Gastroenterology. 16;394-399.
• Inserra A, Crocoli A. (2022). Palliative care and pain management. Pediatric Surgical Oncology. 401. http://doi.org/10.1201/9781351166126-37
• Marle K, Sharma M. (2022). Evolution of pain in a cancer survivor. Practical Management of Complex Cancer Pain. 135.
• Martin EM, Barkley TW. (2017). Improving cultural competence in end-of-life pain management. Home Healthc Now. 35(2):96-104. https://doi.org/10.1097/NHH.0000000000000519.
• Pilafas G, Lyrakos G.(2022). Mindfulness-based cognitive theory on cancer pain management: comments on the outcomes of the Aarhus university hospital research protocol. Health &Research Journal. 8(1); 4-9. Doi: 10.12681/healthresj.29189
• Religioni U, Czerw A, Sygit K., Zdziarski K, Partyka O, Pajewska M, Banaś T. (2022). Pain management strategies among cancer patients. Normalization of the CSQ form. IJERPH. 19(2): 1013. https://doi.org/10.3390/ijerph19021013
• Schmidt BL (2015). What pain tells us about cancer. Pain. 156(1): 32-S34. Seers T, Derry S, Seers K, Moore R. A. (2018). Professionals underestimate patients' pain: a comprehensive review. Pain, 159(5), 811-818. https://doi.org/10.1097/j.pain.0000000000001165.
• Talwar, A, Sanika R, Rajender R. Ap. (2022). Pain management practices for outpatients with breast cancer. Exploratory Research in Clinical and Social Pharmacy.100155.
• Tong A, Sainsbury P, Craig J.(2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International journal for quality in health care, Journal of the International Society for Quality in Health Care, 19:6;349-357.
• Wan Q, Chen H et al.(2022). Effectiveness of different acupuncture therapies for chronic cancer pain: A protocol for systematic review and Bayesian network meta-analysis. Medicine. 101(4); e27965. https://doi.org/10.1097/MD.0000000000027965
• Wang J. H, Wang L.W, et al.(2022). Relationship between prescribed opioids, pain management satisfaction, and pain intensity in oncology outpatients. Support Care Cancer. 30(4): 3233-3240. https://doi.org/10.1007/s00520-021-06722-8.
• Yang E, Lu W, et al.(2022). Auricular acupuncture during chemotherapy ınfusion in breast cancer patients: a feasibility study. JICM. https://doi.org/10.1089/jicm.2021.0256.
• Zeien J, Qiu, W, Triay M, Dhaibar H. A, Cruz-Topete D, Cornett E. M, Kaye A. D.(2021). Clinical implications of chemotherapeutic agent organ toxicity on perioperative care. Biomedicine&Pharmacotherapy.146;112503. https://doi.org/10.1016/j.biopha.2021.112503
• Zhang H. (2022). Cancer pain management—new therapies. Current Oncology Reports. 24; 223–226: https://doi.org/10.1007/s11912-021-01166