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A comparison of pain and health-related quality of life between two groups of cancer patients with differing average levels of pain
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Lund University, University Hospital, Lund, Sweden.
Lund University, University Hospital, Lund, Sweden; Department of Nursing, Lund University, Lund, Sweden.
2003 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 12, no 5, 726-735 p.Article in journal (Refereed) Published
Abstract [en]

A study was performed to describe and compare pain and Health-Related Quality of Life (HRQOL) in two groups of cancer patients in palliative care as well as to describe the correlation between pain and HRQOL. ○ Forty-seven patients with mild average pain [Visual Analogue Scale (VAS) < 3] and 28 patients with moderate to severe average pain (VAS > 3) were included. Medical Outcomes Study Short Form (SF-36) was used to evaluate HRQOL, pain intensity levels were measured with the VAS on Pain-O-Meter. ○ Compared to patients with mild pain, patients with moderate to severe pain had statistically significant, higher pain intensity for the items 'pain at time of interview', 'worst pain in the past 24 hours' and 'pain interrupting sleep.' They also had the lowest scores of the SF-36 dimensions: physical functioning, role-physical, and bodily pain. Patients with moderate to severe pain had statistically significant, fewer months of survival. There were statistically significant positive correlations between pain items and negative correlation between pain and SF-36 dimensions. ○ The conclusion is that pain has a negative impact on HRQOL, especially on physical health and that pain increases towards the final stages of life. Even if patients have to endure symptoms such as fatigue and anxiety during their short survival time, dealing with pain is an unnecessary burden, which can be prevented.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd. , 2003. Vol. 12, no 5, 726-735 p.
Keyword [en]
Cancer, Health-related quality of life, Pain, Palliative care, SF-36
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-1864DOI: 10.1046/j.1365-2702.2003.00777.xISI: 000184745200014PubMedID: 12919219Scopus ID: 2-s2.0-0141957354Local ID: 2082/2259OAI: oai:DiVA.org:hh-1864DiVA: diva2:239082
Available from: 2012-02-01 Created: 2008-09-09 Last updated: 2017-07-06Bibliographically approved
In thesis
1. Acute postoperative and cancer-related pain management: Patients experiences and perceptions in relation to health-related quality of life and the multidimensionality of pain
Open this publication in new window or tab >>Acute postoperative and cancer-related pain management: Patients experiences and perceptions in relation to health-related quality of life and the multidimensionality of pain
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis describes patients in acute postoperative pain as well as patients with acute cancer-related pain in palliative care, and their experiences and perceptions of pain management in relation to HRQOL and the multidimensionality of pain. A combination of qualitative and quantitative methods was chosen. Data were collected using interviews and questionnaires; APS, SF:36 and a new developed questionnaire PC-PPQ measuring care related to pain management in palliative care. For assessing pain VAS and Pain-o-Meter were used. The study group consisted of 100 patients on their second postoperative day, and of 75 patients with cancer-related pain from two palliative care teams. The result showed that at the time of the interview 29 of the patients with postoperative pain reported a pain > 3 on VAS and 79 reported VAS > 3 as worst pain past 24 hours. The higher the intensity of pain the less satisfied the postoperative patients were with the nurses´ way of treating their pain. Thirty-three patients stated that they had received information regarding the importance of pain relief. Patients with postoperative pain as well as patients with cancer-related pain had been prescribed analgesics mostly a combination of Paracetamol, NSAID and opioid. Of the 75 patients with cancer-related pain and in palliative care 22 patients reported pain >3 on POM-VAS and 47 patients reported >3 on POM-VAS as worst pain past 24 hours. Twenty-eight patients reported an average pain > 3 on POM-VAS past 24 hours. Twenty-four patients used the words troublesome or tiring when describing their affective pain. Sensory pain was described as prickling or sore by 15 patients. The patients perceived their pain as “aching all over” and expressed a wish for pain relief as well as a fear for increased pain. HRQOL especially physical functioning decreased for patients with average pain > 3. Being cared for by a nurseled or a physician-led palliative care team indicated no statistically significant differences for patients´ HRQOL or pain intensities. The patients had experienced a statistically significant better care after being referred to a palliative care team, despite that pain control had not been optimized. Patients expressed a need for communication, planning and trust in order to improve pain management. Continuity of care and the opportunity to talk increase the patients feeling of security, as well as improved their perceived pain control. Structured ongoing discussion concerning pain management from an early stage of the disease or already preoperatively can provide an important intervention to meet the results of this thesis. Pain assessment covering the multidimensionality of pain, and pain treatment plans including both pharmacological and non-pharmacological treatment are further important interventions.

Place, publisher, year, edition, pages
Lund: Lunds Universitet, 2003. 144 p.
Keyword
American Pain Society, Postoperative pain, Palliative care, Neoplasms, Health-Related Quality of life, Patient care management, Patients, Pain management, Pain-o-Meter, nursing care, SF-36
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-1906 (URN)2082/2301 (Local ID)91-628-5575-1 (ISBN)2082/2301 (Archive number)2082/2301 (OAI)
Public defence
(English)
Available from: 2008-09-15 Created: 2008-09-15 Last updated: 2016-04-13Bibliographically approved

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