A Descriptive Study Of Outcomes Of Cancer Pain Management In 3-a-grade Hospital Of Beijing

The patients'outcomes of pain management are one of the important components of health care quality management. Study in pain management outcomes in cancer patients can be helpful in health care quality improvement.Objective:This study was to describe the outcomes of cancer pain management and explore the predictors of cancer pain management outcomes of 3-A-grade hospitals in Beijing.Methods:By stratified facilitate sampling,671 cancer inpatients were recruited from five 3-A-grade hospitals of Beijing. The cancer pain management outcomes included pain intensity (0-10), pain interferes (0-10), pain management satisfaction (1-6) and pain belief (0-5), measured by American Pain Society Patient Outcome Questionnaire Modified (APS-POQ-Modified). The predictors were measured by demographic questionnaire, medical history checklist, additional factors questionnaire, APS-POQ-Modified and the Pain Management Index (PMI). And linear regression was used to analyze the data in order to find out the predictors.Results:(1) The mean of the worst pain intensity in last 24 hours was 5.75±1.80; the mean of pain interferes was 3.99±1.62; the mean of patients' satisfaction of pain treatment was 3.91±0.90; the mean of pain beliefs was 2.52±0.76. (2) the predictors of the worst pain intensity in last 24 hours included cancer stage, requests for changing analgesic, waiting time for analgesic, analgesic type, pain relief and PMI, and these explained 19.6% of the total variance; the predictors of pain interferes included requests for changing analgesic, assessment record, waiting time for analgesic, application method of analgesic and current treatment, and these explained 8.9% of the total variance; the predictors of pain treatment satisfaction included living area, disease knowingly, pain knowledge, requests for changing analgesic, waiting time for analgesic, nurses' attention on pain, nurses' attitude, pain relief and PMI, and these explained 22.7% of the total variance; the predictors of pain belief included age, gender, pain time, waiting time for analgesic, doctors' attention on pain and pain relief, and these explained 12.9% of the total variance.Conclusion:(1) It was different for four aspects of cancer pain management outcomes in 3-A-grade hospitals of Beijing, pain interferes was lower, patients satisfied with pain management, the worst pain intensity in last 24 hours was moderate, and the pain belief was not good. (2) The predictors of the four aspects of cancer pain management outcomes were different, and could be categorized into three aspects:the general data, such as age (demographic characteristics) and cancer stage (clinical characteristics); the service of pain management, such as waiting time for analgesic, nurses' attitude; and the effectiveness of pain treatment, such as pain relief and PMI. The effective treatment of cancer pain should be strengthened. Individualized services and health education are recommended in order to reduce the pain severity and interferes, correct misconception of patients and improve patients'degree of satisfaction.