Attitudes of Medical Students Regarding Cancer Pain Management: Comparison Between Pre- and Post-Lecture Test Findings

Nimmaanrat, Sasikaan; Oofuvong, Maliwan

doi:10.7314/apjcp.2015.16.17.7453

Cited by 4 publications

(14 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 Almost all of the participated interns in this study (73.6%) valued the level of patient requirement for analgesics as "about right". This finding demonstrated a similar percentage of participants with a positive attitude in comparison to previous studies of Nimmaanrat et al [11][12][13][14] (with a variation of 41.3-77.6%). Jeon et al 7 exhibited that 40.8% of medical physicians and 41.5% of surgeons rated the patient demand for analgesics as 'about right'.…”

Section: Attitudes Toward Cancer Pain and Its Managementsupporting

confidence: 89%

“…The great majority of our participants would be very cautious in regulating dosage and frequency of opioid prescription in order to inhibit tolerance and addiction. This findings do not differ from previous studies of Nimmaanrat et al [11][12][13][14] and are considered as negative attitudes. Opioid tolerance is a phenomenon that exposure to opioids results in attenuation of their effects, 18 or a need for higher doses (or increased plasma concentration) to accomplish the same pharmacological outcome.…”

Section: Attitudes Toward Opioid Prescriptionsupporting

confidence: 51%

“…The previous studies of Nimmaanrat et al found similar results that at least 50.0% of surveyed participants would wait until the patients' survival was less than 6 months before starting maximal analgesia. [11][12][13][14] This survey's finding is in conjunction with what was found in Korea (86.0%) [which considerably led to their hesitancy to prescribe opioids] 8 which differs from what was found in western countries. 3,9 Cleeland et al revealed that 70.0% of radiation therapy oncology group doctors would initiate maximum tolerated analgesia when the prognosis was less than that of 24 months (from less than 1 week to 24 months).…”

Section: Attitudes Toward Cancer Pain and Its Managementmentioning

confidence: 61%

“…8 We did studies to assess the attitudes and knowledge of undergraduates (externs) and postgraduates (interns) in terms of cancer pain and its management, and found mixed results of correct and incorrect knowledge as well as positive and negative attitudes. [11][12][13][14] As a part of continual improvement in education and health care services, we performed this study to evaluate the interns' attitudes in regards to cancer pain and management, which included the prescription of opioids.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Interns’ Attitudes on Cancer Pain and Its Management

Nimmaanrat

Prechawai

Oofuvong

2017

SMJ

Self Cite

View full text Add to dashboard Cite

Objective: This study was designed to evaluate interns’ attitudes in terms of cancer pain and its management, including opioid prescription.Material and Method: Questionnaires consisting of 2 parts (attitudes toward cancer pain and its management as well as attitudes toward opioid prescription), were completed by 125 out of 165 interns (75.8%).Result: The majority of them thought that maximum analgesic treatment should be commenced when patients’ life expectancy was not more than 1 year (76.0%). They rated the patients’ requirement for pain medications as average (73.6%) and supposed that the demand for higher analgesic doses indicating increased pain level (60.8%). Almost seventy percent would cautiously regulate the dosage and frequency of opioids to avoid tolerance and addiction. Two thirds did not agree to provide too low dose of opioid to prevent tolerance. Over 80.0% did not agree that they should inform patients, as well as their relatives, that opioids were bad, nor did they reassure them that trying to bear pain may be a better alternative. Over half would discourage patients who were willing to stand the pain and refused to receive a morphine injection. None strongly agreed not to prescribe opioids due to a fear of respiratory depression.Conclusion: Although the minority of the participated interns had negative attitudes towards cancer pain and its management, these negative attitudes may influence their clinical judgment and practice, which lead to inadequate pain management being provided to cancer pain patients, who are in need for optimal pain relief.

show abstract

Section: Attitudes Toward Cancer Pain and Its Managementsupporting

confidence: 89%

Section: Attitudes Toward Opioid Prescriptionsupporting

confidence: 51%

Section: Attitudes Toward Cancer Pain and Its Managementmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Interns’ Attitudes on Cancer Pain and Its Management

Nimmaanrat

Prechawai

Oofuvong

2017

SMJ

Self Cite

View full text Add to dashboard Cite

show abstract

“…According to the relevant literature, training received by physicians and nurses in pain management is deficient. 4,5 Previous studies have shown that there are significant differences in pain intensity assessment between doctors and nurses, and that said differences may lead to inadequate treatments because the interventions, for example, increase or reduce dosages of analgesics often based on the pain reports obtained from the nursing records. It should be noted that pain is not always measured and that this lack of reporting may also result in inadequate treatments.…”

Section: Introductionmentioning

confidence: 99%

Differences in pain measurement between nurses and physicians in a teaching hospital

et al. 2020

View full text Add to dashboard Cite

Differences in pain measurement between nurses and physicians in a teaching hospitalDiferencias en la medición del dolor entre enfermeros y médicos en un hospital universitario ORIGINAL RESEARCH Abstract Introduction: In clinical practice, the administration of opioid analgesics depends on pain intensity records from nurses because they are responsible for determining the severity of the patient's complaints; however, discrepancies regarding pain measurement are often observed between physicians and nurses, which can lead to an inadequate use of analgesics. Objective: To carry out a comparison of pain intensity measurements made by staff physicians and nurses in a teaching hospital during the first 24 hours of hospital stay of patients with movement-related pain. Methods and methods: Retrospective, cross-sectional study. Data were obtained from the pharmacy database and medical records (opioids prescribed for 1 month, pain intensity, and medication management). The medical records of 634 in patients who were prescribed at least 1 dose of an opioid analgesic were reviewed. Results: The average pain score provided by physicians (5.4/10; SEM=0.17) was significantly higher than the average pain score reported by nurses (3.5/10; SEM=0.15) (p<0.05). The intra-class correlation coefficient was 0.371 (95%CI: 0.138-0.563), indicating poor agreement between measurements. Conclusion: A poor agreement between pain measurements made by physicians and nurses during the first 24 hours of hospital stay was found. Bearing in mind that pain measurement is essential for achieving an appropriate treatment, the jointly provision of pain management education programs to doctors and nurses should be considered, so that they assess pain intensity similarly, thus improving the management of inpatients and their quality of life.

show abstract