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The impact on quality of life of patient‐related barriers to pain management
Author(s) -
Ward Sandra E.,
CarlsonDakes Kirstin,
Hughes Susan H.,
Kwekkeboom Kristine L.,
Donovan Heidi S.
Publication year - 1998
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/(sici)1098-240x(199810)21:5<405::aid-nur4>3.0.co;2-r
Subject(s) - quality of life (healthcare) , pain management , medicine , medline , nursing , physical therapy , political science , law
A stress‐coping model of relationships between patients' beliefs about pain, coping (analgesic use), pain severity, analgesic side‐effects, and three quality of life (QOL) outcomes was tested. Participants were 182 men and women with cancer who completed valid and reliable self‐report measures of relevant variables. Antecedent variables (age and education) showed expected relationships with beliefs. As predicted, beliefs were significantly related to analgesic use. Analgesic use was inversely related to pain severity, but was not related to side‐effect severity. Analgesic use was inversely related to impairments in QOL before controlling for pain and side‐effect severity, but not after these two variables were controlled. Both analgesic side‐effects and pain severity were related to impaired QOL outcomes, including difficulty performing life activities, depressed mood, and poor perceived health status. © 1998 John Wiley & Sons, Inc. Res Nurs Health 21: 405–413, 1998