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Self-Efficacy Survey Study of Pain Self-Management in Patients with Cancer

Pain Manag Nurs. 2021 Nov 15:S1524-9042(21)00220-4. doi: 10.1016/j.pmn.2021.10.002. Online ahead of print.

ABSTRACT

BACKGROUND: Cancer pain prevalence remains high, and variance in self-efficacy for managing pain may explain why some patients experience greater pain severity.

AIM: This study explored perceptions of self-efficacy in relation to cancer pain severity and treatment related characteristics.

METHOD: A descriptive cross-sectional survey was administered to 50 cancer outpatients. Data analysis involved descriptive and correlational statistical analyses.

RESULTS: Self-efficacy to manage pain was significantly associated with time since diagnosis and ability to deal with frustration, and inversely associated with pain severity level. A large proportion of patients reported low satisfaction self-managing their pain. Most patients reported independently self-managing their cancer pain; however, satisfaction with pain management was low for a large proportion of patients. Time since cancer diagnosis and ability to deal with frustration due to cancer pain were positively associated with cancer pain self-efficacy, whereas pain self-efficacy had a significant inverse correlation with cancer pain severity.

CONCLUSIONS: Enhancing self-efficacy to self-manage under-treated cancer pain is important with implications for improving pain outcomes and quality of life. Further investigation on unmet needs and preferences for cancer pain self-management support is warranted.

PMID:34794885 | DOI:10.1016/j.pmn.2021.10.002

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