Keywords
How to Cite
Abstract
In the oncology population, pain is one of the most disabling symptoms, affecting approximately 66% of cancer patients. Cancer pain is a multidimensional syndrome with a mixture of acute and chronic pain, yet it is a poorly managed and/or undertreated symptom worldwide. The management of cancer pain is very challenging due to the wide variation in patients' reactions to different therapies and medications. Therefore, the objective of this study is to identify relevant information about interventions and management in cancer pain. This is an integrative review of the literature, in which information was collected in the following databases: Lilacs, Pubmed and Google Scholar, with articles dated between 2018 and 2023. 8 articles were selected to compose the review. The use of opioids as a medication for the treatment of moderate to severe cancer pain is well understood, however, professionals have substantial deficits in knowledge about adverse effects induced by opioids and the calculation of the opioid rescue dose. Therapies such as acupuncture, clinical hypnosis and self-hypnosis, as well as psychosocial interventions are treatment modalities that can offer long-term pain relief for patients with cancer pain. It is clear that there is a wide variety of interventions that benefit and alleviate cancer pain. Health professionals must be familiar with pharmacological interventions, as well as complementary approaches.
References
ALNAJAR, M. K. et al. Knowledge and attitudes toward cancer pain management among nurses at oncology units. Journal of Cancer Education, v. 34, p. 186-193, 2019.
BANALA, S. R. et al. Intranasal fentanyl spray versus intravenous opioids for the treatment of severe pain in patients with cancer in the emergency department setting: a randomized controlled trial. Plos one, v. 15, n. 7, p. e0235461, 2020.
BRUGNOLI, M. P. et al. The role of clinical hypnosis and self-hypnosis to relief pain and anxiety in severe chronic diseases in palliative care: a 2-year long-term follow-up of treatment in a nonrandomized clinical trial. Ann Palliat Med, v. 7, n. 1, p. 17-31, 2018.
CARACENI, A.; SHKODRA, M. Cancer pain assessment and classification. Cancers, v. 11, n. 4, p. 510, 2019
EROL, O. et al. Pain experiences of patients with advanced cancer: A qualitative descriptive study. European Journal of Oncology Nursing, v. 33, p. 28-34, 2018.
HALPERN, M. T.; DE MOOR, J. S.; YABROFF, K. R. Impact of pain on employment and financial outcomes among cancer survivors. Journal of Clinical Oncology, v. 40, n. 1, p. 24, 2022.
LIANG, J. et al. A 12-hour rapid titration method for cancer pain: a randomized, controlled, open-label study. Ann Palliat Med, v. 10, n. 1, p. 88-96, 2021.
LANG-ROLLIN, I.; BERBERICH, G. Psycho-oncology. Dialogues in clinical neuroscience, v. 20, n. 1, p. 13-22, 2018.
MISSAIR, A. et al. Impact of perioperative pain management on cancer recurrence: an ASRA/ESRA special article. Regional Anesthesia & Pain Medicine, v. 44, n. 1, p. 13-28, 2019.
MOLASSIOTIS, A. et al. A randomized assessor-blinded wait-list-controlled trial to assess the effectiveness of acupuncture in the management of chemotherapy-induced peripheral neuropathy. Integrative cancer therapies, v. 18, p. 1534735419836501, 2019.
RUELA, L. O. et al. Effectiveness of auricular acupuncture in the treatment of cancer pain: randomized clinical trial. Revista da Escola de Enfermagem da USP, v. 52, 2018.
SCARBOROUGH, B. M.; SMITH, C. B. Optimal pain management for patients with cancer in the modern era. CA: a cancer journal for clinicians, v. 68, n. 3, p. 182-196, 2018.
SOMERS, T. J. et al. Behavioral cancer pain intervention dosing: results of a Sequential Multiple Assignment Randomized Trial. Pain, p. 10.1097, 2022.
TOBA, H. A.; SAMARA, A. M.; ZYOUD, S. H. Nurses’ knowledge, perceived barriers, and practices regarding cancer pain management: a cross-sectional study from Palestine. BMC medical education, v. 19, n. 1, p. 1-7, 2019.
VIRGEN, C. G. et al. Pharmacological management of cancer pain: novel therapeutics. Biomedicine & Pharmacotherapy, v. 156, p. 113871, 2022.
YU, Z. et al. Knowledge, practices, and perceived barriers in cancer pain management at oncology units: A cross-sectional survey of medical staff in China. Journal of Pain Research, p. 159-169, 2022.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Rodrigo da Silva Bezerra, Juliana Ester Ribeiro Carvalho, Áthina Karla Vieira Nunes Beserra , Allana Maria Newton Arruda, Thierry Duarte Ribeiro Sobral, Laura Maria Newton Arruda, Alline Gabrielle de Souza Malta, Ana Regina Oliveira de Araújo Barbosa , Adriane Nunes Diniz, Daniella Menezes da Cruz , Lorena dos Santos Bruce Loureiro , Radijames de Jesus Silva Ribeiro