Barriers to Effective Pain Management in Cancer Patients From the Perspective of Patients and Family Caregivers: A Qualitative Study

• Published in: Pain management nursing 2020-06, Vol.21 (3), p.238-244
• Main Authors: Al-Ghabeesh, Suhair Hussni, Bashayreh, Ibraheem Hassan, Saifan, Ahmad Rajeh, Rayan, Ahmad, Alshraifeen, Ali Ahmad
• Format: Article
• Language: English
• Subjects: Adaptation, Psychological; Adult; Cancer Pain - psychology; Cancer Pain - therapy; Caregivers - psychology; Caregivers - statistics & numerical data; Female; Humans; Interviews as Topic - methods; Jordan; Male; Middle Aged; Neoplasms - complications; Neoplasms - psychology; Nursing; Pain Management - methods; Pain Management - trends; Patients - psychology; Patients - statistics & numerical data; Qualitative Research
• ISSN: 1524-9042; 1532-8635
• DOI: 10.1016/j.pmn.2019.07.011

Pain is one of the most common and undesired symptoms in cancer patients, affecting patients’ physical and psychological well-being. Barriers to effective pain management in cancer patients need to be identified and addressed by clinicians. The purpose of this study was to explore the barriers to effective cancer pain management from the perspective of cancer patients and their family members. A qualitative research design was employed. Semistructured interviews were conducted with 10 patients and 10 family caregivers to elucidate their perspectives regarding the barriers to effective cancer pain management in Jordan. Regulatory factors, knowledge deficit, and the use of religious and cultural strategies to cope with pain were major barriers to effective cancer pain management. Although effective cancer pain management is highly recommended, the participants’ cultural beliefs deeply appreciated pain tolerance and discouraged effective treatment of cancer pain. Tailoring culturally appropriate educational programs regarding effective cancer pain management could facilitate pain management among patients with cancer.