| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 107 === Pain usually occurs during related treatment in the advanced stage of cancer and is one of the most common symptoms in cancer patients. Pharmarcological approaches is the mainly treatment of cancer pain. Researches have shown that 90% of the cancer pain can be effectively controlled through advanced methods of pharmarcological and non pharmarcological approaches. However, up to 69% of patients suffer from cancer pain, which may impact patients’ satisfaction related to pain management. Particularly, family caregiver is an important social support in Taiwanese cancer patients. When pain impact patient who is the family caregiver’s love one. Pain may also impact the family caregivers and negatively feedback to their patients care. However, few studies have investigated the differences and correlations between the family caregivers and patients in relation to patients’ pain level and pain management satisfaction. Therefore, the aim of this study is to investigate the difference and correlation between the family caregivers and patients regarding to patients’ pain level and pain management satisfaction.
This study included patients and their family caregivers from an oncology teaching hospital in Taipei city. The scales for data collection included the Brief Pain Inventory (BPI) and American Pain Society Patient Outcome Questionnaire (APS-POQ). The descriptive statistics included average, standard deviation, frequency, and percentage. The inferential statistics included t-test, paired t-test, chi-squared test, ANOVA, and Pearson's correlation.
The results showed the intensity of pain that patient reported was moderate to severe levels in this study. There was a significant difference of the pain level between patients and their family caregiver in pain right now (t=-5.57, p<0.001), least pain (t=-5.20, p<0.001), average pain (t=-2.5, p=0.02), pain relief (t=4.23, p<0.001) and pain interference (t=-4.21, p<0.001). In addition, patient’s report of pain level was significantly correlated to their family caregiver’s report on least pain (r=0.52, p=0.001), pain right now (r=0.66, p<0.001), pain relief (r=0.61, p<0.001) and pain interference (r=0.44, p=0.005). On the other hand, both patients and their family caregivers reported the satisfaction level of pain management ranked between satisfaction and very satisfaction level. The patients’ satisfaction level of pain management from the nurses (r=0.38, p=0.02) and physicians (r=0.41, p=0.01) were significant positively related with patients’ pain relief seprelately. However, there was not significant association between satisfaction level of pain management and pain relief from the report of family caregivers.
To sum up, the correlation between patients and their caregiver were significantly both for report of pain level and satisfaction of pain treatment. However, there was a significant difference of the report of pain level between patients and their family caregiver. Health professionals need to pay special attention to both patients and their family caregivers for caring patients with caner pain. In relation to the assessment of pain level, family caregivers may be not a good advocate for patients. Health professionals need to acquire the report of pain level from patients, not from their family caregivers.
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