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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

4. What is the relationship between pain intensity and its<br />

interference with various aspects <strong>of</strong> the participant’s life in a<br />

Lebanese sample <strong>of</strong> cancer clients?<br />

5. What is the relationship between the average pain intensity<br />

and perceived relief from pain from treatment?<br />

Methodology<br />

Sample and setting<br />

A convenience sample <strong>of</strong> 75 oncology clients was recruited from<br />

inpatient and outpatient units in a major tertiary care center in<br />

Beirut, Lebanon. The sample inclusion criteria were:<br />

1. Adult clients aged 18 years and above<br />

2. Clients diagnosed with cancer; primary or metastatic.<br />

3. Clients complaining <strong>of</strong> pain as a result <strong>of</strong> their cancer.<br />

4. Clients receiving treatment for their pain.<br />

Clients who underwent surgery or an invasive procedure during the<br />

past month were excluded.<br />

Instrument<br />

The BPI is a self administered questionnaire that measures the<br />

presence and location <strong>of</strong> pain in 2 items, pain severity (at its worst<br />

during past 24 hours, least during the past 24 hours, on average<br />

and now) in 4 items, pain relief in 2 items, and pain interference<br />

with general activity, mood, walking ability, normal work,<br />

relationships with people, sleep, and enjoyment <strong>of</strong> life, in 7 items<br />

(Nejmi, Wang, Mendoza, Gning, & Cleeland 2002). A Visual Analog<br />

Pain Scale was added to the BPI. Chart data included age, gender<br />

medical diagnosis and medications.<br />

Procedure<br />

Medical records <strong>of</strong> clients admitted to the inpatient and outpatient<br />

oncology units were screened for inclusion criteria. The treating<br />

physician or nurse were asked whether the clients knew <strong>of</strong> their<br />

cancer diagnosis. Eligible clients were approached by the primary<br />

investigator and given explanation about the study. An informed<br />

consent was obtained then the BPI was administered.<br />

Results<br />

The majority <strong>of</strong> the sample (88%) were married, males (78.7%)<br />

and older than 46 years (56%). All clients were medically insured<br />

and 84% had at least secondary education. The primary cancer<br />

sites were the gastrointestinal tract, pancreas, or liver (29.3%);<br />

bladder, testicles or prostate (17.4%); and breast (14.7%);<br />

remaining sites included the lungs, retroperitoneum, hematologic<br />

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