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KMID : 0856920070100040184
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Journal of Hospice and Palliative Care
2007 Volume.10 No. 4 p.184 ~ p.189
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Patient-related Barriiers to Pain Management in General Population
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Yoo Yang-Sook
Choe Sang-Ok
Cho Young-Yi
Koh Su-Jin
Hor Soo-Jin
Jeon Ji-In
kwon So-Hi
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Abstract
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Purpose: This study was to explore barriers to effective pain management in general population.
Methods: Total 163 Participants completed the Barrier Questionnaire-II (BQ-II), a 27-item on a six point scale, from May to June in 2007. BQ-II consisted of four subscales which were 1) physical effects (PE) addressing beliefs that side effects of analgesics are inevitable and concerns about tolerance, fatalism (Fa) addressing fatalistic beliefs about cancer pain and its management, Communication (Co) addressing the beliefs of ’good patient’ and concerns of distracting physician from underlying disease, and harmful effects (HE) addressing fear of addiction and harmful effect to immune system of pain medicine.
Results: The BQ-II total had an internal consistency of 0.877 in this study. HE was the biggest barrier (3.03) followed by PE (2.73), Fa (2.15), and Co (1.71). Items appeared as great concerns were ’there is a danger of becoming addicted to pain medication’ (3.58), ’using pain medicine blocks your ability to know if you have any new pain’ (3.18), ’pain medicine is very addictive’ (3.09), ’when you use pain medicine your body becomes used to its effects and pretty soon it won’t work any more’ (3.09), and ’drowsiness from pain medicine is difficult to control’ (3.09). Only 12 respondents (7.4%) reported that they took any type of pain education, however, those who took pain education represented significantly lower barriers to pain management than who did not (P=.029).
Conclusion: This result suggests the strategies for public education to surmount cancer pain. (Korean J Hosp Palliat Care 2007;10:184-189)
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KEYWORD
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Pain, Pain management, Barrier
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