การศึกษาดัชนีการจัดการความปวดในผู้ป่วยสูงอายุโรคมะเร็ง
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บทคัดย่อ
Pain is a problem in older patients with cancer. Adequate pain management with medication results in pain reduction and having a good quality of life. The Pain Management Index (PMI) is a tool used to assess the adequacy of pain management with medication. However, there are few studies on pain management indices in older patients with cancer. The aim of this study was to assess pain management using the PMI in older patients with cancer. The participants consisted of 220 older patients with cancer who were registered as patients of a cancer hospital. These patients were selected purposively according to the characteristics of inclusion criteria. Data were collected by the Brief Pain Inventory (BPI) pain questionnaire-Thai version, in which its content validity index was .91 and reliability (Cronbach’s Alpha Coefficient) was .85. Data were analyzed using descriptive statistics. The results showed that the participants had a mean age of 68.49 ± 6.58 years, and the majority (73.23%) were females. The most common cancer types were cervical cancer (36.43%) and breast cancer (15.02%). Most participants (87.72%) reported moderate pain. Regarding pain management, the most commonly used pain medication was paracetamol (84.13%), followed by tramadol (24.53%). For pain management, the PMI scores revealed that the majority of participants (71.82%) had the PMI scores of -1 to -2, which indicated the inadequate pain management. Concerning the patients with stage 3 and 4 cancer, the majority of them (68.62%) also reported the PMI scores of -1 to -2 as well. The results of this study point out that the older patients with cancer received inadequate pain medication. However, the adequacy of pain management assessed by the Pain Management Index is just the primary measure to determine the adequacy of pain management by medication. The use of analgesic drugs in the older patients with cancer needs attention to details because responses to pain management medicines vary in each patient, especially the elderly cancer patients with other diseases.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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