Abstract
Background
Defining the main barriers and facilitators of cancer pain self-management are essential
to improve patients’ overall quality of life.
Aim
The main purpose of this review was to identify the main barriers and facilitators
for cancer pain self-management.
Method
An integrative review guided by the five-stages framework that was identified by Souza
et al. (2010) was used: (1) preparing the guiding question; (2) searching or sampling
the literature; (3) data collection; (4) critical analysis of the studies; and (5)
discussion of results. A comprehensive literature review was conducted using the electronic
databases of PubMed/MEDLINE, CINAHL, Scopus, and Psych INFO.
Results
Twenty-two studies were identified. The main facilitators that foster the process
of cancer pain self-management were supportive ambiances including family caregivers
as well as health care providers, active participation of patients with cancer in
health care including self-discovery and self-awareness, acquiring pain knowledge,
and using a pain diary. The main barriers include concerns regarding the use of pain
medications, knowledge deficit, negative beliefs and attitudes, unsupportive ambiance,
and psychological distress. Some patients’ characteristics could be related to these
barriers such as age, sex, race, marital status, educational level, level of pain,
and presence of comorbidity.
Conclusions
Patients with cancer pain experience multiple barriers and facilitators when attempting
to take on an active role in managing their pain.
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Article info
Publication history
Published online: January 16, 2023
Accepted:
December 26,
2022
Received in revised form:
December 23,
2022
Received:
July 26,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of American Society for Pain Management Nursing.
