ABSTRACT
BACKGROUND: 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. AIMS: 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. METHODS: 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. RESULTS: 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. CONCLUSION: Tailoring culturally appropriate educational programs regarding effective cancer pain management could facilitate pain management among patients with cancer.
Subject(s)
Caregivers/psychology , Neoplasms/complications , Pain Management/methods , Patients/psychology , Adaptation, Psychological , Adult , Cancer Pain/psychology , Cancer Pain/therapy , Caregivers/statistics & numerical data , Female , Humans , Interviews as Topic/methods , Jordan , Male , Middle Aged , Neoplasms/psychology , Pain Management/trends , Patients/statistics & numerical data , Qualitative ResearchABSTRACT
The aim of this systematic review was to answer these questions: What does spirituality means to patients with end-stage renal disease (ESRD)? And are there associations between spirituality and the health outcomes and general well-being of patients with ESRD? Thirty-three studies met the review criteria. Meaning of spirituality for patients with ESRD and spirituality in the lives of patients with ESRD were the main themes emerged. There is growing evidence that suggests a positive relationship between spirituality and the health outcomes and well-being of ESRD patients. However, the evidence is incomplete and there is a need for further research to enhance our understanding of the role of spirituality in improving the health outcomes and well-being of ESRD patients.