The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from Malaysia
Context: Pain is a major health care problem for the patients with cancer and one of the most frequent and disturbing cancer related symptoms. Aim: To study the characteristics of pain in cancer patients and its pharmacological management by using a subjective selfassessment questionnaire and th...
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doaj-c4ec03814c5245b3aa80a2c5b660fc792020-11-25T03:53:23ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-07-01771408141310.7860/JCDR/2013/5450.3148The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from MalaysiaBhuvan K C0Zuraidah Binti Mohd Yusoff1Alian A Alrasheedy2Saad Othman3Consultant and Chief, Clinical Pharmacy, Travel Medicine and Socio-Pharmacology Division, Sankalpa Foundation Pvt. Ltd., Pokhara, Nepal.Associate Professor, Discipline of Clinical Pharmacy Deputy Dean, Industrial and Community Network, School of Pharmaceutical Sciences, Universiti Sains Malaysia Penang, Malaysia.Candidate, Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences Universiti, Sains Malaysia, Penang, Malaysia.Associate Professor, Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia.Context: Pain is a major health care problem for the patients with cancer and one of the most frequent and disturbing cancer related symptoms. Aim: To study the characteristics of pain in cancer patients and its pharmacological management by using a subjective selfassessment questionnaire and the World Health Organization (WHO)analgesic ladder for pain management. Settings and Designs: This study was conducted in the Oncology Wards of Penang Hospital, Penang, Malaysia. A questionnaire was developed to assess the pain characteristics and their effect on the patients’ daily life activities and the information on the pharmacological management of the cancer pain. The cancer pain intensity was noted from the patients’ medical database. Material and Methods: By using the validated questionnaire, an observational, cross sectional study was conducted on the cancer patientswho were admitted in the oncology wards of Penang Hospital, Malaysia, for a period of 1 month. Statistical Analysis: Descriptive statistics like mean, frequency and percentages were used for this study. Results and Conclusion: A total of 42 patients out of 143, who fulfilled the criteria, were interviewed. The results showed mild pain in 66.7% (28) of the patients, moderate pain in 7.1% (3) and severe painin 26.2% (11). The normal daily life activities were affected by the pain in almost all the patients. Among the interviewed patients, sleep was affected in 88% (37) of the patients and the normal physical activity was affected in 92.9% (39) of the patients. Similarly, the pain decreased the appetite in 78.6% (33) of the patients, it affected the personal relationship in 35.7% (15), it affected the emotion in 71.5% (30) and it affected the visual activity in 33.6% (13) of the patients. Mild pain with distressing symptoms was not treated with any analgesic or adjuvant medications in 40.5% (17) of the patients. In contrast, all the patients with moderate and severe pain were treated with medications. Among them, 66.7% (2) of the patients with moderate pain and 90.9% (10) of the patients with severe pain were treated with analgesics as per the WHO analgesic ladder. The WHO analgesic ladder guide for pain management was followed in a majority of the cases, when analgesics were prescribed. However, there was inadequate treatment of the cancer pain in many patients with mild pain and, consequently, their quality of life was largely affected.https://jcdr.net/articles/PDF/3148/35%20-%205450_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PUH)_PFA(H)_U(P).pdfcancer painpain characteristicspharmacological managementthe who analgesic ladder |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bhuvan K C Zuraidah Binti Mohd Yusoff Alian A Alrasheedy Saad Othman |
spellingShingle |
Bhuvan K C Zuraidah Binti Mohd Yusoff Alian A Alrasheedy Saad Othman The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from Malaysia Journal of Clinical and Diagnostic Research cancer pain pain characteristics pharmacological management the who analgesic ladder |
author_facet |
Bhuvan K C Zuraidah Binti Mohd Yusoff Alian A Alrasheedy Saad Othman |
author_sort |
Bhuvan K C |
title |
The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from Malaysia |
title_short |
The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from Malaysia |
title_full |
The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from Malaysia |
title_fullStr |
The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from Malaysia |
title_full_unstemmed |
The Characteristics and the Pharmacological Management of Cancer Pain and Its Effect on the Patients’ Daily Activities and their Quality of Life: A Cross – Sectional study from Malaysia |
title_sort |
characteristics and the pharmacological management of cancer pain and its effect on the patients’ daily activities and their quality of life: a cross – sectional study from malaysia |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2013-07-01 |
description |
Context: Pain is a major health care problem for the patients
with cancer and one of the most frequent and disturbing cancer
related symptoms.
Aim: To study the characteristics of pain in cancer patients and
its pharmacological management by using a subjective selfassessment questionnaire and the World Health Organization
(WHO)analgesic ladder for pain management.
Settings and Designs: This study was conducted in the
Oncology Wards of Penang Hospital, Penang, Malaysia. A questionnaire was developed to assess the pain characteristics and
their effect on the patients’ daily life activities and the information
on the pharmacological management of the cancer pain. The
cancer pain intensity was noted from the patients’ medical
database.
Material and Methods: By using the validated questionnaire,
an observational, cross sectional study was conducted on the
cancer patientswho were admitted in the oncology wards of
Penang Hospital, Malaysia, for a period of 1 month.
Statistical Analysis: Descriptive statistics like mean, frequency
and percentages were used for this study.
Results and Conclusion: A total of 42 patients out of 143, who
fulfilled the criteria, were interviewed. The results showed mild
pain in 66.7% (28) of the patients, moderate pain in 7.1% (3)
and severe painin 26.2% (11). The normal daily life activities
were affected by the pain in almost all the patients. Among
the interviewed patients, sleep was affected in 88% (37) of the
patients and the normal physical activity was affected in 92.9%
(39) of the patients. Similarly, the pain decreased the appetite in
78.6% (33) of the patients, it affected the personal relationship in
35.7% (15), it affected the emotion in 71.5% (30) and it affected
the visual activity in 33.6% (13) of the patients. Mild pain with
distressing symptoms was not treated with any analgesic or
adjuvant medications in 40.5% (17) of the patients. In contrast,
all the patients with moderate and severe pain were treated
with medications. Among them, 66.7% (2) of the patients with
moderate pain and 90.9% (10) of the patients with severe pain
were treated with analgesics as per the WHO analgesic ladder.
The WHO analgesic ladder guide for pain management was
followed in a majority of the cases, when analgesics were prescribed. However, there was inadequate treatment of the cancer
pain in many patients with mild pain and, consequently, their
quality of life was largely affected. |
topic |
cancer pain pain characteristics pharmacological management the who analgesic ladder |
url |
https://jcdr.net/articles/PDF/3148/35%20-%205450_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PUH)_PFA(H)_U(P).pdf |
work_keys_str_mv |
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