Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.

Effective management of cancer pain is often hampered by patients’ lack of knowledge regarding cancer pain management and other barriers related to ethnicity and religious beliefs. This cross sectional study was performed to determine the patient-related barriers to effective cancer pain management....

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Main Authors:	Choy, YC, Wan Nuruddin Shah WJ, Wong, YM, Boey, CY, Noor Zuhaily, MN, Kumutha, T, Juliana, J
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2013
Online Access:	http://journalarticle.ukm.my/6666/ http://journalarticle.ukm.my/6666/ http://journalarticle.ukm.my/6666/1/03-MS1082_%287-12%29.pdf

id	ukm-6666
recordtype	eprints
spelling	ukm-66662016-12-14T06:41:51Z http://journalarticle.ukm.my/6666/ Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital. Choy, YC Wan Nuruddin Shah WJ, Wong, YM Boey, CY Noor Zuhaily, MN Kumutha, T Juliana, J Effective management of cancer pain is often hampered by patients’ lack of knowledge regarding cancer pain management and other barriers related to ethnicity and religious beliefs. This cross sectional study was performed to determine the patient-related barriers to effective cancer pain management. One hundred patients receiving cancer pain management were studied. Inclusion criteria were: patients over the age of 18 years, able to communicate, with known diagnosis of cancer, experiencing persistent pain for the past two weeks. A modified version of the Barriers Questionnaire II (BQ-II) was used and a modified Brief Pain Inventory was used to assess the pain profile. Barriers such as, patient’s attitude and beliefs, communication skills and fear of side effects of pain medication were determined, given a score and the summation was recorded as the total patient related barriers score. Overall, 85% of respondents achieved more than 40% pain relief and the 72 of 100 patients reported low patient related barrier scores of 6 or less. Nevertheless, the main patient related barriers were: fear of tolerance to opioids (51%), ethnicity (p=0.003) and religious beliefs (p=0.002) which constituted the major components of the patient-related barriers score. Ethnicity and religious beliefs had significant influence on patient-related barriers score suggesting the need of further investigation into this area. In order to achieve a comprehensive view, other barriers to effective cancer pain management such as those related to the health systems and healthcare providers need to be assessed together. Department of Surgery, UKM Medical Centre 2013-02 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6666/1/03-MS1082_%287-12%29.pdf Choy, YC and Wan Nuruddin Shah WJ, and Wong, YM and Boey, CY and Noor Zuhaily, MN and Kumutha, T and Juliana, J (2013) Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital. Journal of Surgical Academia, 3 (1). pp. 7-12. ISSN 2231-7481 http://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Effective management of cancer pain is often hampered by patients’ lack of knowledge regarding cancer pain management and other barriers related to ethnicity and religious beliefs. This cross sectional study was performed to determine the patient-related barriers to effective cancer pain management. One hundred patients receiving cancer pain management were studied. Inclusion criteria were: patients over the age of 18 years, able to communicate, with known diagnosis of cancer, experiencing persistent pain for the past two weeks. A modified version of the Barriers Questionnaire II (BQ-II) was used and a modified Brief Pain Inventory was used to assess the pain profile. Barriers such as, patient’s attitude and beliefs, communication skills and fear of side effects of pain medication were determined, given a score and the summation was recorded as the total patient related barriers score. Overall, 85% of respondents achieved more than 40% pain relief and the 72 of 100 patients reported low patient related barrier scores of 6 or less. Nevertheless, the main patient related barriers were: fear of tolerance to opioids (51%), ethnicity (p=0.003) and religious beliefs (p=0.002) which constituted the major components of the patient-related barriers score. Ethnicity and religious beliefs had significant influence on patient-related barriers score suggesting the need of further investigation into this area. In order to achieve a comprehensive view, other barriers to effective cancer pain management such as those related to the health systems and healthcare providers need to be assessed together.
format	Article
author	Choy, YC Wan Nuruddin Shah WJ, Wong, YM Boey, CY Noor Zuhaily, MN Kumutha, T Juliana, J
spellingShingle	Choy, YC Wan Nuruddin Shah WJ, Wong, YM Boey, CY Noor Zuhaily, MN Kumutha, T Juliana, J Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.
author_facet	Choy, YC Wan Nuruddin Shah WJ, Wong, YM Boey, CY Noor Zuhaily, MN Kumutha, T Juliana, J
author_sort	Choy, YC
title	Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.
title_short	Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.
title_full	Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.
title_fullStr	Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.
title_full_unstemmed	Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.
title_sort	patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.
publisher	Department of Surgery, UKM Medical Centre
publishDate	2013
url	http://journalarticle.ukm.my/6666/ http://journalarticle.ukm.my/6666/ http://journalarticle.ukm.my/6666/1/03-MS1082_%287-12%29.pdf
first_indexed	2023-09-18T19:47:33Z
last_indexed	2023-09-18T19:47:33Z
_version_	1777406001167728640

Patient-related barriers to cancer pain management – a prospective cross sectional study in a tertiary hospital.

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