CANCER PAIN AND ADDICTION: A NEW EXPERIENCE OF ADDICTION IN WOMEN WITH BREAST CANCER

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 427

نسخه کامل این مقاله ارائه نشده است و در دسترس نمی باشد

این مقاله در بخشهای موضوعی زیر دسته بندی شده است:

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:

شناسه ملی سند علمی:

KAMED13_143

تاریخ نمایه سازی: 10 دی 1398

چکیده مقاله:

Background and Aim : Pain remains one of the most common and debilitating symptoms of advanced cancer. A few particular populations that struggle with adverse outcomes related to opioid abuse are those in palliative care, those with chronic pain, and those receiving pain treatments secondary to cancer or chemotherapy. This study aimed to explore the prevalence of pain and addiction related to cancer pain treatment in women with breast cancer in Shohadaye Tajrish Hospital.Methods : Of 421 patients screened, 114 patients with assessed self-reported pain scores based on the numerical rating scale of 0-10 (current, worst and least pain within the past 24 hours) upon admission (baseline), 24, 48 and 72 hours post-admission and discharge were included. Pain severity and pain score reductions were analyzed among those who experienced pain upon admission or in the past 24 hours. Furthermore, Patients completed a brief, anonymous questionnaire evaluating opioid use, opioid stigma, and stigma-related behaviors.Results : Patients were primarily women aged 45-64 years, most commonly diagnosed with metastatic breast cancer. 151 patients presented with pain. Of 123 patients who experienced pain upon admission or in the past 24 hours, 82.1% had moderate to severe worst pain. Among patients who reported opioid use (n = 45), the most common reason for use as pain relief (94%), followed by improved sleep (25%). A subset of patients reported using less (13%) or more (8%) opioid medication than advised. Opioid stigma was by 59/97 patients prescribed opioids (61%), including fear of addiction (36%), difficulty filling prescriptions (22%), and awkwardness communicating with providers (15%). Stigma-related behaviors were endorsed by 28 (29%) respondents prescribed opioids, with taking less opioid medication than needed as the most commonly endorsed behavior (20%). Conclusion : Accounting for pain’s dynamic nature, there was a high prevalence of pain among cancer patients in cancer patients. Continuous efforts incorporating comprehensive pain assessments, evidence-based treatments, and patient education are necessary to provide adequate pain relief and end-of-life comfort care.

کلیدواژه ها:

نویسندگان

Manijeh Firoozi

Department of psychology, Faculty of Psychology and education science, University of Tehran, Tehran, Iran.