Volume 13, Issue 2 (3-2023)                   PCNM 2023, 13(2): 50-58 | Back to browse issues page


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Nouri M, Bahrami Nejad N, Namadian M, Faghihzadeh E. Pain Acceptance and its Related Social Determinants of Health in Patients with Cancer. PCNM 2023; 13 (2) :50-58
URL: http://nmcjournal.zums.ac.ir/article-1-857-en.html
Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran , bahrami_n@zums.ac.ir
Abstract:   (1307 Views)
Background: One of the main steps for designing a comprehensive palliative care program in patients with cancer is to achieve knowledge about pain acceptance.
Objectives: This study aims to determine the level of pain acceptance and its related social determinants of health in patients with cancer.
Methods: This cross-sectional study conducted on 152 patients with cancer hospitalized in the oncology wards of Valiasr and Ayatollah Mousavi hospitals in Zanjan. Participants were included in the study by convenience sampling from June to September 2021. To collect the data, a three-part questionnaire including demographic factors, social determinants and chronic pain acceptance was utilized. Statistical analysis was performed by t-test and one-way analysis of variance (ANOVA) using SPSS software version 25.
Results: Most of the participants were male (52%), illiterate (56.6%) and in the age group of 61-75 years (40.1%). The mean (SD) of the total pain acceptance score was 53.37 (19.36), which represents a lower than mean pain acceptance among the participants. The mean of pain acceptance according to the two variables of transportation system (P< 0.001) and occupation (P= 0.003) showed a statistically significant difference.
Conclusion: The findings of the study indicate that pain acceptance in the participants is not desirable. It is essential to plan and put into effects programs in order to improve pain acceptance methods. Moreover, considering the relationship between social determinants of health and pain acceptance, it requires to pay more attention to social determinants of health during the development of interventions to improve patients’ pain acceptance.
 
Full-Text [PDF 663 kb]   (770 Downloads)    
Type of Study: Orginal research | Subject: Nursing
Received: 2022/12/30 | Accepted: 2023/03/1 | Published: 2023/03/1

References
1. 1. Gulati A, Puttanniah V, Bruel BM, Rosenberg WS, Hung JC, editors. Essentials of interventional cancer pain management. Cham: Springer International Publishing; 2019. [crossref]
2. Li Z, Aninditha T, Griene B, Francis J, Renato P, Serrie A, Umareddy I, Boisseau S, Hadjiat Y. Burden of cancer pain in developing countries: a narrative literature review. ClinicoEconomics and outcomes research. 2018 Nov 2:675-91. [crossref]
3. Bouhassira D, Luporsi E, Krakowski I. Prevalence and incidence of chronic pain with or without neuropathic characteristics in patients with cancer. Pain. 2017;158(6):1118-25. [crossref]
4. van den Beuken‐van Everdingen MH, de Graeff A, Jongen JL, Dijkstra D, Mostovaya I, Vissers KC, et al. Pharmacological treatment of pain in cancer patients: the role of adjuvant analgesics, a systematic review. Pain Practice. 2017;17(3):409-19. [crossref]
5. Blake A, Wan BA, Malek L, DeAngelis C, Diaz P, Lao N, et al. A selective review of medical cannabis in cancer pain management. Ann Palliat Med. 2017;6(Suppl 2):S215-S22. [crossref]
6. Neufeld NJ, Elnahal SM, Alvarez RH. Cancer pain: a review of epidemiology, clinical quality and value impact. Future Oncology. 2017;13(9):833-41. [crossref]
7. Van Den Beuken-Van MH, Hochstenbach LM, Joosten EA, Tjan-Heijnen VC, Janssen DJ. Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. Journal of pain and symptom management. 2016 Jun 1;51(6):1070-90. [crossref]
8. Dindo L, Van Liew JR, Arch JJJN. Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions. 2017;14:546-53. [crossref]
9. McCracken LM, Gutiérrez-Martínez O. Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy. Behaviour research and therapy. 2011;49(4):267-74. [crossref]
10. Elander J, Duarte J, Maratos FA, Gilbert P. Predictors of painkiller dependence among people with pain in the general population. Pain Medicine. 2014;15(4):613-24. [crossref]
11. Thompson M, McCracken LM. Acceptance and related processes in adjustment to chronic pain. Current pain and headache reports. 2011;15(2):144-51. [crossref]
12. Gauthier LR, Rodin G, Zimmermann C, Warr D, Moore M, Shepherd F, et al. Acceptance of pain: a study in patients with advanced cancer. Pain. 2009;143(1-2):147-54. [crossref]
13. Xu X, Ou M, Xie C, Cheng Q, Chen Y. Pain acceptance and its associated factors among cancer patients in mainland China: a cross-sectional study. Pain Research and Management. 2019 Feb 13;2019. [crossref]
14. Jay MA, Bendayan R, Cooper R, Muthuri SG. Lifetime socioeconomic circumstances and chronic pain in later adulthood: findings from a British birth cohort study. BMJ open. 2019;9(3):e024250. [crossref]
15. Craig KD, Holmes C, Hudspith M, Moor G, Moosa-Mitha M, Varcoe C, et al. Pain in persons who are marginalized by social conditions. Pain. 2020;161(2):261. [crossref]
16. Vowles KE, McCracken LM, McLeod C, Eccleston C. The Chronic Pain Acceptance Questionnaire: confirmatory factor analysis and identification of patient subgroups. Pain. 2008;140(2):284-91. [crossref]
17. Rodero B, García-Campayo J, Casanueva B, del Hoyo YL, Serrano-Blanco A, Luciano JV. Veaselaircdhation of the Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia. Health and Quality of Life Outcomes. 2010;8(1):1-10. [crossref]
18. Ning MC, Ming TWC, Mae JYC, Ping CP. Validation of the chronic pain acceptance questionnaire (CPAQ) in Cantonese-speaking Chinese patients. The Journal of Pain. 2008;9(9):823-32. [crossref]
19. Nilges P, Köster B, Schmidt C. Pain acceptance-concept and validation of a German version of the chronic pain acceptance questionnaire. Schmerz (Berlin, Germany). 2007;21(1):57-8, 60. [crossref]
20. Mesgarian F, Asghari A, Shaeiri MR, Broumand A. The persian version of the chronic pain acceptance questionnaire. Clinical psychology & psychotherapy. 2013;20(4):350-8. [crossref]
21. Henschke N, Lorenz E, Pokora R, Michaleff ZA, Quartey JN, Oliveira VC. Understanding cultural influences on back pain and back pain research. Best Practice & Research Clinical Rheumatology. 2016;30(6):1037-49. [crossref]
22. Protopapa E, Senior V. Does pain acceptance predict physical and psychological outcomes in cancer outpatients with pain?. Health psychology research. 2013 Sep 9;1(3). [crossref]
23. Gooberman‐Hill R, French M, Dieppe P, Hawker G. Expressing pain and fatigue: a new method of analysis to explore differences in osteoarthritis experience. Arthritis Care & Research. 2009;61(3):353-60. [crossref]
24. Strong J, Mathews T, Sussex R, New F, Hoey S, Mitchell G. Pain language and gender differences when describing a past pain event. PAIN®. 2009;145(1-2):86-95. [crossref]
25. Ghorbani V, Zanjani Z, Omidi A, Sarvizadeh M. Efficacy of acceptance and commitment therapy (ACT) on depression, pain acceptance, and psychological flexibility in married women with breast cancer: a pre-and post-test clinical trial. Trends in psychiatry and psychotherapy. 2021;43:126-33. [crossref]
26. Xu X, Cheng Q, Ou M, Li S, Xie C, Chen Y. Pain acceptance in cancer patients with chronic pain in Hunan, China: A qualitative study. International journal of nursing sciences. 2019;6(4):385-91. [crossref]
27. Kim W, Han K-T, Kim S. Health-related quality of life among cancer patients and survivors and its relationship with current employment status. Supportive Care in Cancer. 2022;30(5):4547-55. [crossref]

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