Concordance of Pain Assessments Between Cancer Patients and Their Primary Family Caregivers and Pain Control Satisfaction

• Main Authors: Hsiu-Ling Shen, 沈秀玲
• Other Authors: Pi-Chu Lin
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/89497153692741906369

碩士 === 國立陽明大學 === 臨床護理研究所 === 95 === Pain is the most common clinical symptom for the cancer patients. Given that clinicians always observe the patients’ pain through their primary family caregivers, these caregivers can be seen as the patients’spokespersons. Consequently, the concordance of pain assessment between cancer patients and their primary family caregivers becomes quite significant in the fact that if these primary caregivers couldn’t timely and correctly assess the patients’ pain and in turn inform clinicians, patients’ pain would not be properly released and would further affect both of their quality of life. The aims of this study were to explore the concordance of pain assessment, the factors influence the concordance and the patients satisfied with the control of pain. This study uses a cross-sectional correlated design with purposive sampling from Nov.2006 to Jun. 2007 at an oncology unit of one medical center in Taipei. The sample included forty dyads of inpatients and their caregivers. The structural questionnaire includes: (1) Basic demographics; (2) Brief Pain Inventory-Short Form (BPI); (3) Barriers Questionnaire Taiwan Form (BQT); (4) Barthel Index; (5) Short form of the Profile of Mood States (POMS-SF); (6) Caregiver Strain Index (CSI); (7) Patient outcome questionnaire. Statistical analyses include descriptive statistics, bivariate statistics, multivariate statistics and the statistics of concordance. The study results show: (1) The concordance of pain assessment between cancer patients and their primary family caregivers: percentage agreement is 52.5％; Pearson’s correlation is between 0.421-0.52; ICC is between 0.589-0.688; paired t -test functions best in the worst, average pain and the extent of pain relief assessment; caregivers’ pain assessment scores on average are slightly higher than the patients. (2) Patients’ emotional conditions, religions, with or without chronic diseases, educational backgrounds, and their relationship with their caregivers apparently influence the concordance. (3) Use stepwise regression analysis, it was indicated that patients’ emotional confusion-bewilderment, religions, chronic diseases, and education were significant predictors in the concordance of pain assessment between patients and caregivers; explaining 53.6% of variables of the concordance. (4) The patients are all satisfied with the nurses’ management of pain, physicians’ management of pain, and admission management of pain during this hospitalization. This conclusion can provide clinicians for cancer patients of pain management and improve the concordance of pain assessment between patients and caregivers, in the meantime, promote patients’ satisfaction of pain management.