The decision making of nurses for assessment and management of cancer pain and its related factors

• Main Authors: Li-Chin Hsu, 徐麗琴
• Other Authors: Chia-Chin Lin
• Format: Others
• Language: zh-TW
• Published: 2000
• Online Access: http://ndltd.ncl.edu.tw/handle/64040347899068627298

碩士 === 台北醫學院 === 護理學研究所 === 88 === The purpose of this descriptive study was to explore the decision making of nurses for assessment and management of cancer pain. Subjects were recruited from the oncology and general med-surg ward of four hospitals, in Northern Taiwan. Ninety-five nurses who were in charge with the care of patients with cancer pain in the last 24 hours . The instrument used in the study were originally developed by Ferrell(1991) to measure “ the decision making of nurses for management of cancer pain”. Data were analyzed by descriptive statistics and Chi-square. Results of this study revealed the method for assessment of cancer pain of patient, that most commonly used was to ask patients about their pain intensity. However, still 63.2% of nursing staff didn’t use this method to assess cancer pain. Nurses perceived that the most common barrier for assessment of cancer pain included the knowledge of cancer patients and their family, the patient compliance, the knowledge and time of nursing staff. Forty-nine percent of nursing staff used Numerical Rating Scale to measure the cancer pain intensity. Nurses perceived that the most common barrier for pharmacological management of cancer pain was patient compliance, the knowledge of patient and its family, unsuitable medical order and the knowledge of nursing staff. The nonpharmacological methods in cancer pain management were below 10%. The most barriers for nonanalgesic of cancer pain were patient compliance, the knowledge of patient and its family, the knowledge and time of nursing staff. Thirty-seven percent of nursing staff had discussed with the patient’s doctor about patient’s problem of pain. Most nursing staff worried about the patient pain wasn’t adequately managed, were worried about respiratory inhibition, giving too much medication and drug addiction. The result of this study suggests the importance of improve the knowledge of nursing staff about cancer pain assessment and management.