{"title":"患者智谋对癌症患者疼痛管理和医用阿片类药物使用的影响:一项横断面研究","authors":"Pei-Yi Hsu, Chiou-Fang Liou","doi":"10.1016/j.ejon.2024.102771","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.The aim of the project is to investigate the impact of resourcefulness and pain interpretation on cancer-related pain control. Cancer pain often leads to stress adaptation issues. Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.</p><p><strong>Methods: </strong>This was a quantitative survey. From November 2020 to November 2021, a survey was conducted at an oncology outpatient clinic and wards, with 100 completed questionnaires.</p><p><strong>Results: </strong>The interaction between resourcefulness and opioid analgesics significantly influenced cancer pain sensation. John-Neyman values could identify patients with poor pain management, thus improving clinical practice. Canonical Correlation Analysis revealed a correlation between resourcefulness and challenges. Four distinct groups of type of illness, gender, level of education were identified from two-step cluster analysis.</p><p><strong>Conclusion: </strong>Understanding patients' pain perceptions and enhancing their resourcefulness could enable patients to seek resources, take painkillers, and find positive interpretations of pain. Future patient educational strategies could help patients overcome challenges with cancer pain management and improve current pain educational materials. Hence, clinical health education may improve patients' resourcefulness, enabling them to learn self-care skills, overcome the challenging feelings of pain management, and effectively manage cancer pain.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"102771"},"PeriodicalIF":2.7000,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of patient resourcefulness on cancer patients' pain management and medical opioid use: A cross-sectional study.\",\"authors\":\"Pei-Yi Hsu, Chiou-Fang Liou\",\"doi\":\"10.1016/j.ejon.2024.102771\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.The aim of the project is to investigate the impact of resourcefulness and pain interpretation on cancer-related pain control. Cancer pain often leads to stress adaptation issues. Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.</p><p><strong>Methods: </strong>This was a quantitative survey. From November 2020 to November 2021, a survey was conducted at an oncology outpatient clinic and wards, with 100 completed questionnaires.</p><p><strong>Results: </strong>The interaction between resourcefulness and opioid analgesics significantly influenced cancer pain sensation. John-Neyman values could identify patients with poor pain management, thus improving clinical practice. Canonical Correlation Analysis revealed a correlation between resourcefulness and challenges. Four distinct groups of type of illness, gender, level of education were identified from two-step cluster analysis.</p><p><strong>Conclusion: </strong>Understanding patients' pain perceptions and enhancing their resourcefulness could enable patients to seek resources, take painkillers, and find positive interpretations of pain. Future patient educational strategies could help patients overcome challenges with cancer pain management and improve current pain educational materials. Hence, clinical health education may improve patients' resourcefulness, enabling them to learn self-care skills, overcome the challenging feelings of pain management, and effectively manage cancer pain.</p>\",\"PeriodicalId\":51048,\"journal\":{\"name\":\"European Journal of Oncology Nursing\",\"volume\":\"74 \",\"pages\":\"102771\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-12-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Oncology Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ejon.2024.102771\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Oncology Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ejon.2024.102771","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Impact of patient resourcefulness on cancer patients' pain management and medical opioid use: A cross-sectional study.
Purpose: Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.The aim of the project is to investigate the impact of resourcefulness and pain interpretation on cancer-related pain control. Cancer pain often leads to stress adaptation issues. Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.
Methods: This was a quantitative survey. From November 2020 to November 2021, a survey was conducted at an oncology outpatient clinic and wards, with 100 completed questionnaires.
Results: The interaction between resourcefulness and opioid analgesics significantly influenced cancer pain sensation. John-Neyman values could identify patients with poor pain management, thus improving clinical practice. Canonical Correlation Analysis revealed a correlation between resourcefulness and challenges. Four distinct groups of type of illness, gender, level of education were identified from two-step cluster analysis.
Conclusion: Understanding patients' pain perceptions and enhancing their resourcefulness could enable patients to seek resources, take painkillers, and find positive interpretations of pain. Future patient educational strategies could help patients overcome challenges with cancer pain management and improve current pain educational materials. Hence, clinical health education may improve patients' resourcefulness, enabling them to learn self-care skills, overcome the challenging feelings of pain management, and effectively manage cancer pain.
期刊介绍:
The European Journal of Oncology Nursing is an international journal which publishes research of direct relevance to patient care, nurse education, management and policy development. EJON is proud to be the official journal of the European Oncology Nursing Society.
The journal publishes the following types of papers:
• Original research articles
• Review articles