Factors associated with pain experiences among patients with breast cancer patients at Hospital Melaka

Kamaruddin, Siti Noraini (2012) Factors associated with pain experiences among patients with breast cancer patients at Hospital Melaka. [Project Paper] (Submitted)

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Abstract

Introduction: A pain experiences among breast cancer patients is important because 30% of breast cancer survivors reported pain even after undergone an effective cancer treatment. Pain can affect psychological and physical functioning. Previous studies showed that inadequate assessment and treatment of pain may affect the quality of life of cancer survival patients. The pain is affecting the psychological wellbeing and spirituality aspects of cancer patients. Spiritual aspect is a part of coping mechanism in seeking meaningfulness to reduce the suffering. However, there is little understanding about pain experiences and psychological aspects. Objective: The objective is to determine pain experiences and its factors associated with pain experiences among breast cancer patients at Hospital Melaka. Method: This is a cross-sectional study. Two hundred of breast cancer patients at Hospital Melaka met the inclusions criteria in this study. The questionnaire using; 1) Short Modified BPI (Brief Pain Inventory) measuring pain experiences among respondent 2) MHI (Mental Health Inventory) measuring psychological well-being and psychological distress 3) F ACIT SP-12 (Spiritual) to measure the sub scale of spiritual aspect (meaning, peace and faith) and nurses-delivered spiritual support. Validity and reliability of the questionnaire was tested with Cronbach alpha indicates> 0.7- 0.9 after pre testing was done. Statistical Analyses Package for Social Sciences (SPSS version 19.0) with a p value of ~ 0.05 was considered as statistically significant. Results & Discussion: Pain experiences among breast cancer patients majority are moderate pain (57.5%). The sub scale of psychosocial wellbeing showing that patients' mental health status was moderate (55.5%), and experiencing a greater distress (68%). Spiritual aspect was higher among breast cancer patients (56.5%). There was significant negative relationship between total pain experiences and subscales of spiritual aspect, which is negative relationship between meaning and pain (r = -0.156, P ~0.05), significant negative relationship between peace and pain (r = -0.244, p ~.001) and significant negative relationship between faith and pain (r = -0.208, p ~ 0.01). Nurses-delivered spiritual supports are higher (92%) among breast cancer patients and there was significant association between pain experiences and nurse delivered spiritual support (p ~0.05). Conclusion: This study has identified that pain experiences are associated with the spiritual aspect and the nurse-spiritual support. Therefore, educational programming in spiritual care should be included in the curriculum of the School of Nursing and through Continuous Nursing Education (CNE) among nurses. Key words: Malaysia, Hospital Melaka, pain experiences, breast cancer, mental health, spiritual, nurse-delivered spiritual support.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Ms. Adni Syuhaida Zon
Date Deposited:	22 Nov 2022 07:38
Last Modified:	22 Aug 2023 01:31
URI:	http://psaspb.upm.edu.my/id/eprint/257

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