Stress and Perception of Procedural Pain Management in Chinese Parents of Children With Cancer.

Autor: Yan C; Department of Pediatric Hematology/Oncology, Guangzhou Women and Children's Medical Center, Guangzhou, China., Cheung RS; School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Wong CL; The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Cheng HY; The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Liu F; Department of Pediatrics, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China., Huang H; Department of Pediatric Hematology/Oncology, Guangzhou Women and Children's Medical Center, Guangzhou, China., Ewig CL; School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Li CK; Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Hub of Paediatric Excellence, The Chinese University of Hong Kong, Hong Kong SAR, China; Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Hong Kong SAR, China., Zhang H; Department of Pediatric Hematology/Oncology, Guangzhou Women and Children's Medical Center, Guangzhou, China., Cheung YT; School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China. Electronic address: yinting.cheung@cuhk.edu.hk.
Jazyk: angličtina
Zdroj: Journal of pain and symptom management [J Pain Symptom Manage] 2021 Jan; Vol. 61 (1), pp. 90-102.e5. Date of Electronic Publication: 2020 Jul 05.
DOI: 10.1016/j.jpainsymman.2020.06.028
Abstrakt: Objectives: Children with cancer are exposed to repeated painful and invasive procedures. This study examines Chinese parents' stress and perception toward their children's procedural pain control.
Methods: We recruited 265 parents of children (aged <18 years) diagnosed with hematological cancer (74.7%) and solid tumors (25.3%) from two major public hospitals. Parents used a scale (0-10) to rate perceived pain experienced by their child when undergoing lumbar puncture (LP), bone marrow aspirate, or/and biopsy. They reported their stress level and attitudes toward analgesics using the adapted Pain Flexibility Scale for Parents and Parental Medication Attitude Questionnaire. General linear modeling was used to identify factors associated with perception outcomes.
Results: Parents (72.8% mothers, age 36.5 [6.8] years) expressed that they were worried (31.7%) and had difficulty with concentration (57.7%) when the child was in pain. Among parents whose children had undergone LP (n = 207), 39.1% perceived that their child still experienced severe pain (pain score >7) even with existing pain control measures. Parents reported concerns over side effects of analgesics (69.4%) and addiction (35.1%). Half of the parents (47.2%) perceived that analgesics should only be reserved for severe pain. Parents who were older (estimate = 2.07, SE = 0.87; P = 0.0054) and had lower education attainment (estimate = -3.38, SE = 1.09; P = 0.0021) had a more negative attitude toward analgesics use. Higher parental distress was associated with avoidance of analgesics use (r s  = 0.17, P = 0.0052).
Conclusion: Our findings suggested that subgroups of Chinese parents demonstrated distress with their child's pain and harbored misconceptions over analgesics use. Future work includes devising targeted psychoeducation interventions for these parents.
(Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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