RESEARCH PAPER
Impact of beliefs about pain control on perceptions of illness in surgical patients
1
Department of Ethics and Human Philosophy, Medical University of Lublin, Poland
2
Chair and Department of Thoracic Surgery, Medical University of Lublin, Poland
3
Department of Social Psychology and Psychology of Religion, The John Paul II Catholic University of Lublin, Poland
Corresponding author
Ann Agric Environ Med. 2016;23(1):144-147
KEYWORDS
ABSTRACT
Objectives:
Adequacy of pain management in surgical patients is a major contributor to overall treatment outcomes and positive illness perceptions. However, it may be subjectively predetermined by a patient’s beliefs about pain control. This study assesses the relationships between beliefs about pain control and perceptions of illness in thoracic surgical patients.
Material and Methods:
A total of 135 patients (72 women and 63 men; mean age 58.4±14.25y) were enrolled in the questionnaire study based on the Beliefs about Pain Control Questionnaire (BPCQ) by S. Skevington and the Multidimensional Essence of Disease and Illness Scale (MEDIS) by J. Sak. Analyses were conducted with use of the k-means clustering technique and one-way ANOVA.
Results:
Applied classification revealed 3 different clusters of patients with regard to their beliefs about pain control: 1) weak, undifferentiated pain control; 2) intensified influence of chance pain control; 3) strong undifferentiated pain control. Significant differences in illness perceptions between clusters were disclosed in 3 MEDIS dimensions: self-realization constraints (F=4.70; p=0.01; 1 vs. 3), mental dysfunction (F=3.44, p=0.04; 1 vs. 3) and physical dysfunction (F=3.10, p=0.05; 1 vs 2). Patients in cluster 3 demonstrated a greater feeling of self-realization constraints and mental dysfunction than in cluster 1, whereas patients in cluster 2 perceived physical dysfunction as a greater distress than those in cluster 1.
Conclusions:
Beliefs about pain control significantly influence illness perceptions, and thus may affect the results of treatment in surgical patients. Psychological modelling of beliefs about pain control may offer a valuable way to improve overall clinical outcomes.
Adequacy of pain management in surgical patients is a major contributor to overall treatment outcomes and positive illness perceptions. However, it may be subjectively predetermined by a patient’s beliefs about pain control. This study assesses the relationships between beliefs about pain control and perceptions of illness in thoracic surgical patients.
Material and Methods:
A total of 135 patients (72 women and 63 men; mean age 58.4±14.25y) were enrolled in the questionnaire study based on the Beliefs about Pain Control Questionnaire (BPCQ) by S. Skevington and the Multidimensional Essence of Disease and Illness Scale (MEDIS) by J. Sak. Analyses were conducted with use of the k-means clustering technique and one-way ANOVA.
Results:
Applied classification revealed 3 different clusters of patients with regard to their beliefs about pain control: 1) weak, undifferentiated pain control; 2) intensified influence of chance pain control; 3) strong undifferentiated pain control. Significant differences in illness perceptions between clusters were disclosed in 3 MEDIS dimensions: self-realization constraints (F=4.70; p=0.01; 1 vs. 3), mental dysfunction (F=3.44, p=0.04; 1 vs. 3) and physical dysfunction (F=3.10, p=0.05; 1 vs 2). Patients in cluster 3 demonstrated a greater feeling of self-realization constraints and mental dysfunction than in cluster 1, whereas patients in cluster 2 perceived physical dysfunction as a greater distress than those in cluster 1.
Conclusions:
Beliefs about pain control significantly influence illness perceptions, and thus may affect the results of treatment in surgical patients. Psychological modelling of beliefs about pain control may offer a valuable way to improve overall clinical outcomes.
REFERENCES (21)
1.
Fields HL. Core curriculum for professional education in pain: a report of the Task Force on Professional Education of the International Association for the Study of Pain. Seattle: IASP Press; 1995.
2.
Kapusta A. Life Circle, Time and the Self in Antoni Kępiński’s Concept of Information Metabolism. Filosofija. Sociologija [Philosophy. Sociology], 2007; 1: 44–49.
3.
Toombs KS. The Meaning of Illness. A Phenomenological Account of the Different Perspectives of Physician and Patient. Dordrecht: Kluwer Academic Publishers; 2003.
4.
Kapusta A. Can Mental Illness be Naturalised? In Miłkowski M. & Talmont-Kamiński K. (Eds.), Beyond Description. Normativity in Naturalised Philosophy; London: College Publications; 2010: 261–275.
5.
Cassell EJ. The subjective in clinical judgment. In Engelhardt HT.Jr, (Ed.) Clinical Judgment: A Critical Appraisal. Dordrecht: D. Reidel; 1979.
6.
Turk DC, Rudy TE, Salovey P. Implicit models of illness. J Behav Med. 1986; 9: 453–474.
7.
Bargiel-Matusiewicz K, Krzyszkowska A. Dispositional optimism and coping with pain. Eur J Med Res. 2009; 14, Suppl 4: 271–4.
8.
Brown CA. Occupational Therapists’ Beliefs Regarding Treatment Options for People with Chronic Pain. Br J Occup Ther. 2002; 65: 3.
9.
Donovan MI, Evers K, Jacobs P. When there is no benchmark: designing a primary care-based chronic pain management programme from the scientific basis up. J Pain Symp Manag. 1999; 18: 38–48.
10.
Sagan D Sak J, Wiechetek M, Pawlikowski J, Olszewska E, Cieślak T. Differences in psychological perception of lung cancer between patients, medical staff and medical students. Eur J Cardiothorac Surg. 2012 Mar; 41(3): 607–11.
11.
LeFort SM, Gray-Donald K, Rowat KM, Jeans ME. Randomised controlled trial of a community-based psychoeducation programme for the self-management of chronic pain. Pain 1998; 74: 297–306.
12.
Sak J, Sagan D, Wiechetek M, Pawlikowski J. Suboptimal perception of illness due to self-realization constraints impairs psychological welfare in surgical patients. Eur J Cardiothorac Surg. 2012Apr; 41(4): 824–8.
13.
Brown CA. The beliefs of people with chronic pain in relation to ‘important’ treatment components. Eur J Pain. 2004; 8: 325–33.
14.
Ekstein MP, Weinbroum AA. Immediate postoperative pain in orthopedic patients is more intense and requires more analgesia than in post-laparotomy patients. Pain Med. 2011; 12(2): 308–13.
15.
Turk DC. Biopsychosocial perspectives on chronic pain. In: Gatchel RJ, Turn DC, (Eds.), Psychological approaches to pain management: a practitioner’s handbook. New York: Guilford Press; 1996.
16.
Jones D, Ravey J, Steedman W. Developing a measure of beliefs and attitudes about chronic non-malignant pain: a pilot study of occupational therapists. Occup Ther Int. 2000; 7: 232–45.
17.
Koukis I, Argiriou M, Dimakopoulou A, Panagiotakopoulos V, Theakos N, Charitos C. Use of continuous subcutaneous anesthetic infusion in cardiac surgical patients after median sternotomy. J Cardiothorac Surg. 2008; 25(3): 2.
18.
Von Korff M, Moore J, Lorig K, Cherkin DC, Saunders K, Gonzalez VM, Laurent D, Rutter C, Comite F. A randomised trial of a layperson led self-management group intervention for back pain patients in primary care. Spine 1998; 23: 2608–15.
19.
Skevington SM. A standardised scale to measure beliefs about pain control (BPCQ): a preliminary study. Psychol Health. 1990; 4: 221–32.
20.
Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. Warszawa: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego; 2001.
21.
Sak J. Wielowymiarowa Skala Istoty Choroby jako nowe narzędzie badawcze w naukach o zdrowiu [The Multidimensional Essence of Disease and Illness Scale as a New Tool in Health Sciences]. Zagadnienia Naukoznawstwa/Probl Sci Sci. 2010; 184: 303–311.
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