Abstract
The purposes of this study were to evaluate the current situation of pain management outcomes, patients' pain knowledge, and family caregivers' pain knowledge in China and explore the impact of pain knowledge of patients and family caregivers on pain management outcomes. A total of 410 patient-family caregiver dyads were assessed by Brief Pain Inventory (BPI), the Pain Knowledge subscales of Patient Pain Questionnaire (PPQ), and Family Pain Questionnaire (FPQ). The difference in pain management outcomes was analyzed using bivariate analysis first, and then variables with statistical significance in bivariate analysis were included in multivariable linear regression analysis. The average patient pain score in the last 24h was 3.23 (SD = 2.16). The total average scores on pain knowledge of 410 patients and family caregivers were 3.60 ± 1.90 and 3.57 ± 1.76. Multivariable linear regression analysis showed taking strong opioids, patients' perceived moderate health status, patients' pain knowledge, and family caregivers' pain knowledge were the main factors influencing the pain management outcomes. Pain knowledge of patients and family caregivers were important indicators of pain management outcomes, indicating tailored cancer pain education program should be developed.
Highlights
Pain is one of the most common symptoms suffered in cancer patients
The findings of this study revealed that patients pain are at a moderate level and not satisfactory
This study reveals that pain management outcomes are obviously influenced by analgesics, performance status and pain knowledge of patients and family caregivers
Summary
Pain is one of the most common symptoms suffered in cancer patients. A systematic review of literature published between 1966 and 2005 showed that the overall prevalence of pain in cancer patients with all stages was 53%, and moderate to severe pain was reported by 31% of all patients[2]. The whole world has made a lot of efforts in pain management. An update systematic review of literature published between 2005 and 2014 showed that the overall prevalence of pain in patients with all cancer stages was 51%, and moderate to severe pain was reported by 33% of all patients[4]. It is suggested that the prevalence and severity of pain in cancer patients may have not decreased over the world
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