Assessing Analgesic Adherence and Influencing Factors in Saudi Cancer Patients

IF 0.4 Q4 ONCOLOGY International Journal of Cancer Management Pub Date : 2024-07-14 DOI:10.5812/ijcm-144599
Taghreed Algthami, Waleed M. Kattan
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Abstract

Background: As cancer incidences rise within the Saudi population, effective pain management remains a critical component of oncological care. Analgesic adherence is vital for managing cancer-related pain, yet it is often inadequately addressed in clinical practice, leading to diminished quality of life of patients. Objectives: This study aimed to assess the level of adherence to analgesic medications among Saudi cancer patients and to identify demographic and health-related factors that may influence adherence. Methods: In a cross-sectional study at King Abdulaziz Medical City, 132 oncology patients were sampled randomly. Data were collected through an online survey incorporating demographic queries and the Morisky Medication Adherence Scale (MMAS-8). SPSS 26 facilitated the statistical analysis, with descriptive statistics and Spearman’s Rho tests determining the significance of the findings. Results: Among participants, 52.2% were married, 51.5% were unemployed, and 80.4% reported substantial social support. Health insurance was prevalent among 79.5% of patients. Low adherence was observed in 94.6% of patients, with only 0.8% showing high adherence. The primary reasons for non-adherence included forgetting (54.5%) and fear of side effects (38.6%). Age and the number of medications were significantly correlated with adherence levels, highlighting the multifactorial nature of medication adherence in this patient population. Conclusions: The research highlights a concerning level of low adherence to analgesics among Saudi oncology patients, suggesting an urgent need for targeted interventions. Strategies to improve adherence should focus on education regarding the importance of pain management and addressing patients' concerns about medication side effects and dependency, as well as personalized medication management plans to accommodate the complexities of handling multiple medications. These findings are instrumental for oncology healthcare providers to optimize pain management strategies and enhance patient outcomes.
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评估沙特癌症患者的镇痛依从性和影响因素
背景:随着沙特人口癌症发病率的上升,有效的疼痛管理仍然是肿瘤治疗的重要组成部分。坚持镇痛对于控制与癌症相关的疼痛至关重要,但在临床实践中往往没有得到充分解决,导致患者的生活质量下降。研究目的本研究旨在评估沙特癌症患者对镇痛药物的依从性,并找出可能影响依从性的人口和健康相关因素。研究方法在阿卜杜勒-阿齐兹国王医疗城进行的一项横断面研究中,随机抽取了 132 名肿瘤患者。通过在线调查收集数据,其中包括人口统计学询问和莫里斯基用药依从性量表 (MMAS-8)。采用 SPSS 26 进行了统计分析,并通过描述性统计和斯皮尔曼 Rho 检验确定了研究结果的显著性。结果52.2% 的参与者已婚,51.5% 的参与者失业,80.4% 的参与者表示获得了大量社会支持。79.5%的患者有医疗保险。94.6%的患者依从性较低,只有0.8%的患者依从性较高。不坚持服药的主要原因包括忘记服药(54.5%)和害怕副作用(38.6%)。年龄和药物数量与依从性水平有显著相关性,这凸显了该患者群体中药物依从性的多因素性质。结论研究结果表明,沙特籍肿瘤患者对镇痛药的依从性较低,令人担忧,这表明急需采取有针对性的干预措施。提高依从性的策略应侧重于有关疼痛治疗重要性的教育,解决患者对药物副作用和依赖性的担忧,以及个性化的药物管理计划,以适应处理多种药物的复杂性。这些发现有助于肿瘤医护人员优化疼痛管理策略,提高患者的治疗效果。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
67
期刊介绍: International Journal of Cancer Management (IJCM) publishes peer-reviewed original studies and reviews on cancer etiology, epidemiology and risk factors, novel approach to cancer management including prevention, diagnosis, surgery, radiotherapy, medical oncology, and issues regarding cancer survivorship and palliative care. The scope spans the spectrum of cancer research from the laboratory to the clinic, with special emphasis on translational cancer research that bridge the laboratory and clinic. We also consider original case reports that expand clinical cancer knowledge and convey important best practice messages.
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