ANALYSIS OF AWARENESS OF HEALTHCARE PROFESSIONALS ABOUT PAIN SYNDROME MANAGEMENT IN PROVIDING PALLIATIVE CARE TO CANCER PATIENTS IN KAZAKHSTAN
Introduction. Over the past fifty years, palliative care (PC) has evolved from a philosophy of care to professional medicine in many countries with a specific set of supportive knowledge. The question is no longer whether PN should be provided to cancer patients, but when and how it should be provided in order to optimize the outcome for cancer patients. The potential stress burden on the patient and family from inappropriate pain management is a major public health concern and needs to be addressed in accordance with health development policy principles.
Aim: To conduct an analysis of the awareness of healthcare professionals about pain management in the provision of palliative care to cancer patients in Kazakhstan
Materials and methods: A cross-sectional study was carried out by questioning the health professionals in Kazakhstan. Respondents were considered eligible if there was a member of the 18 years or older willing to answer the survey (750 respondents) from March 1, 2021 to September 30, 2021. The statistical analysis of data was performed for the whole country. The qualitative data were presented as absolute numbers and percentages. The summaries derived from the descriptive analysis were presented in charts and tables. All statistical tests were carried-out in SPSS 23 statistical software.
Results: The study involved 750 respondents, including 76.41% women and 23.59% men. According to the results of a continuous anonymous questionnaire, the level of awareness of healthcare professionals about the management of pain in the provision of palliative care to cancer patients in Kazakhstan was revealed, which in turn can further influence the solution of medical, social and economic problems associated with organizational issues of providing PC to patients. with different levels of pain.
Сonclusions: Determining the level of awareness of medical professionals about pain management in the provision of palliative care for cancer patients is an integral part of assessing the current situation and can further help in the development of evidence-based recommendations to optimize the provision of PN, as well as improve the quality of life of patients with cancer.
Tolganay N. Ansatbayeva1,2, https://orcid.org/0000-0002-2540-8147
Dilyara R. Kaidarova1,2, https://orcid.org/0000-0002-0969-5983
Gulnara Zh. Kunirova3, https://orcid.org/0000-0001-5501-7174
1 JSC “Asfendiyarov Kazakh National Medical University”, Almaty c., Republic of Kazakhstan;
2 JSC “Kazakh Institute of Oncology and Radiology” Almaty c., Republic of Kazakhstan;
3 Association for Hospice and Palliative Care, Almaty c., Republic of Kazakhstan.
1. Apolone G., Corli O., Caraceni A., et al. Pattern and quality of care of cancer pain management. Results from the Cancer Pain Outcome Research Study Group // Br J Cancer. 2009. 100:1566–1574.
2. Bagçivan G., Tosun N., Kömürcü S., Özet A., NJJoCO A. Analysis of the patient-related barriers in cancer pain anagement in Turkish patients // J Pain Symptom Manage. 2009. 27(15_suppl):e20699.
3. Cherny N. Stigma associated with “palliative care” getting around it or getting over it // Cancer. 2009. 115(9):1808–12.
4. Cleeland C., Gonin R., Hatfield A.K., et al. Pain and its treatment in outpatients with metastatic cancer // N Engl J Med. 1994. 330:592–596.
5. Deandrea S., Montanari M., Moja L., Apolone G. Prevalence of undertreatment in cancer pain. A review of published literature // Ann Oncol. 2008. 19(12):1985–1991.
6. De Lima L., Pastrana T., Radbruch L., Wenk R. Cross-sectional pilot study to monitor the availability, dispensed prices, and affordability of opioids around the globe // J Pain Symptom Manage. 2014. 48(4):649–59 e641.
7. de Wit R., van Dam F., Loonstra S., et al. The Amsterdam Pain Management Index compared to eight frequently used outcome measures to evaluate the adequacy of pain treatment in cancer patients with chronic pain // Pain. 2001. 91(3):339–349.
8. Di Maio M., Gridelli C., Gallo C., et al. Prevalence and management of pain in Italian patients with advanced non-small-cell lung cancer // Br J Cancer. 2004. 90: 2288-2296
9. Ferreira K., Kimura M., Teixeira M.J. The WHO analgesic ladder for cancer pain control, twenty years of use. How much pain relief does one get from using it? // Support Care Cancer. 2006. 14: 1086-1093.
10. Greco M., Roberto A., Corli O., et al. Quality of cancer pain management: an update of a systematic review of undertreatment of patients with cancer // J Clin Oncol. 2014. 32(36):4149–4154.
11. Hakonsen G.D., Strelec P., Campbell D., Hudson S., Loennechen T. Adherence to medication guideline criteria in cancer pain management // J Pain Symptom Manage. 2009. 37(6):1006–1018.
12. Hui D., Bruera E. Integrating palliative care into the trajectory of cancer care. Nature reviews // Clinical oncology, 2016. 13(3), 159–171. https://doi.org/10.1038/nrclinonc.2015.201
13. Jemal A., Center M.M., DeSantis C., Ward E.M. Global patterns of cancer incidence and mortality rates and trends // Cancer Epidemiology Prevention Biomarkers. 2010. 19(8):1893–907.
14. Kazakhstan Association of Palliative Care. Available at:http://www.palliative.kz/novosti/publikacii_v_smi/kto_v_otvete_za_to_chto_neizlech, (Accessed: 11 Jul 2021)
15. Kim Y.C., Ahn J.S., Calimag M.M.P., Chao T.C., Ho K.Y., Tho L.M., Xia Z.J., Ward L., Moon H. Current practices in cancer pain management in Asia: a survey of patients and physicians across 10 countries // J Cancer medicine. 2015. 4(8):1196–204.
16. Knaul F.M., Frenk J., Shulman L. Closing the cancer divide: a blueprint to expand access in low and middle income countries. Boston: Harvard Global Equity Initiative; 2011. 118(6):1808–10.
17. Krakauer E.L., Wenk R., Buitrago R., Jenkins P., Scholten W. Opioid inaccessibility and its human consequences: reports from the field // J Pain Palliat Care Pharmacother. 2010. 24(3):239–43.
18. Larue F., Colleau S.M., Brasseur L., Cleeland C.S. Multicentre study of cancer pain and its treatment in France // Br Med J. 1995; 310: 1034-1037
19. National Comprehensive Cancer Network. Adult cancer pain. In: Guidelines for Supportive Care. Fort Washington, PA: NCCN; 2015. Available from: https://www.nccn.org/professionals/physician_gls/f_guidelines.asp. (Accessed: March 1, 2017).
20. Peker L., Celebi N., Canbay O., Sahin A., Cakir B., Uzun S., Aypar U. Doctors' opinions, knowledge and attitudes towards cancer pain management in a university hospital // J Turkish Soc Algology. 2008. 20(2):20–30.
21. Role of Hospice Care at the End of Life for People With Cancer. Currow DC, Agar MR, Phillips JL J Clin Oncol. 2020 Mar 20; 38(9):937-943.
22. Russell P.B., Aveyard S.C., Oxenham D.R. An assessment of methods used to evaluate the adequacy of cancer pain management // J Pain Symptom Manage. 2006. 32(6):581–588.
23. Ryan T., Ingleton C. Most hospices and palliative care programmes in the USA serve people with dementia; lack of awareness, need for respite care and reimbursement policies are the main barriers to providing this care // Evid Based Nurs. 2011;14(2):40–1.
24. Saxena A., Mendoza T., Cleeland C.S. Assessment of cancer pain in North India: the validation of the Hindi Brief Pain Inventory—BPI-H // J Pain Symptom Manage. 1999. 17: 21-41.
25. Shvartzman P., Friger M., Shani A., Barak F., Yoram C., Singer Y. Pain control in ambulatory cancer patients: can we do better? // J Pain Symptom Manage. 2003. 26(2):716–722.
26. Torke A.M., Holtz L.R., Hui S., Castelluccio P., Connor S., Eaton M.A., Sachs G.A. Palliative care for patients with dementia: a national survey // J Am Geriatr Soc. 2010. 58(11):2114–21.
27. van den Beuken-van Everdingen M.H., Hochstenbach L.M., Joosten E.A., Tjan-Heijnen V.C., Janssen D.J. Update on prevalence of pain in patients with cancer: systematic review and meta-analysis // J Pain Symptom Manage. 2016. 51(6):1070–1090.
28. Wang X.S., Mendoza T.R., Gao S.Z., Cleeland C.S. The Chinese version of the Brief Pain Inventory (BPI-C): its development and use in a study of cancer pain // Pain. 1996. 67: 407-416
29. World Health Organization. Cancer Pain Relief with a Guide to Opioid Availability. 2nd ed. Geneva, Switzerland: World Health Organization; 1996. Available from: http://apps.who.int/iris/bitstream/10665/37896/1/9241544821.pdf. (Accessed March 1, 2017).
30. Yun Y.H., Mendoza T.R., Heo D.S., et al. Development of a cancer pain assessment tool in Korea: a validation study of a Korean version of the Brief Pain Inventory // Oncology. 2004. 66: 439-444.
31. Zenz M., Willweber-Strumpf A. Opiophobia and cancer pain in Europe // Lancet. 1993. 341(8852):1075–1076.
Количество просмотров: 301
Категория статей:
Оригинальные исследования
Библиографическая ссылка
Ansatbayeva T.N., Kaidarova D.R., Kunirova G.Zh. Analysis of awareness of healthcare professionals about pain syndrome management in providing palliative care to cancer patients in Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 1, pp. 22-29. doi 10.34689/SH.2022.24.1.003Похожие публикации:
МЕХАНИКАЛЫҚ САРҒАЮ ОПЕРАЦИЯСЫ КЕЗІНДЕ КОАГУЛОПАТИЯЛЫҚ ҚАН КЕТУДІҢ АЛДЫН АЛУ ӘДІСІ
ОПТИМИЗАЦИЯ РЕЗУЛЬТАТОВ АУТОДЕРМОПЛАСТИКИ ПРИ ЛЕЧЕНИИ ГРАНУЛИРУЮЩИХ ГНОЙНЫХ РАН
BASICS OF REHABILITATION OF CHILDREN AFTER OPERATIONS ON THE COLON AND ANORECTAL AREA
HEALTH INDICATORS OF FIRST-YEAR-OF-LIFE CHILDREN IN THE REPUBLIC OF KAZAKHSTAN FOR 2013-2022
ОЦЕНКА УДОВЛЕТВОРЕННОСТИ ТРУДОВОЙ ДЕЯТЕЛЬНОСТЬЮ ВРАЧЕЙ АНЕСТЕЗИОЛОГОВ-РЕАНИМАТОЛОГОВ ГОРОДА АСТАНА