The Influence of Culture on Analgesic Consumption: A Retrospective Study among Malaysian Patients after Breast Cancer Surgery

Abstract

This study was carried out to determine the relationship between ethnicity/culture and analgesic consumption among patients from three main ethnic groups in Malaysia after breast cancer surgery. A retrospective study design was adopted, using medical records of 80 patients. The findings showed that the analgesic most consumed by the patients during the 48 hour post-operative period was morphine equivalents (85%), followed by non steroidal anti-inflammatory drugs (60%) and paracetamol (38%). No relationship was found between ethnicity/culture and the type or amount of analgesic consumption. 

Share and Cite:

Japar, S. , Lam, S. , Geok, S. and Raman, R. (2015) The Influence of Culture on Analgesic Consumption: A Retrospective Study among Malaysian Patients after Breast Cancer Surgery. Journal of Biosciences and Medicines, 3, 12-17. doi: 10.4236/jbm.2015.33003.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Lee, E., Teeple, M., Bagrodia, N., Hannallah, J., Yazzie, N.P. and Adamas-Rappaport, W.J. (2013) Postoperative Pain Assessment and Analgesic Administration in Native American Patients Undergoing Laparoscopic Cholecystectomy. JAMA Surgery, 148, 91-93. http://dx.doi.org/10.1001/jamasurg.2013.682
[2] Salamonson, Y. and Everett, B. (2005) Demographic Disparities in the Prescription of Patient-Controlled Analgesia for Postoperative Pain. Acute Pain, 7, 21-26. http://dx.doi.org/10.1016/j.acpain.2004.11.001
[3] Todd, K.H., Deaton, C., D’Adamo, A.P. and Goe, L. (2000) Ethnicity and Analgesic Practice. Annals of Emergency Medicine, 35, 11-16. http://dx.doi.org/10.1016/S0196-0644(00)70099-0
[4] Ezenwa, M.O., Ameringer, S., Ward, S.E. and Serlin, R.C. (2006) Racial and Ethnic Disparities in Pain Management in United States. Journal of Nursing Scholarship, 38, 225-233. http://dx.doi.org/10.1111/j.1547-5069.2006.00107.x
[5] Davidhizar, R. and Giger, J.N. (2004) A Review of the Literature on Care of Clients in Pain Who Are Culturally Diverse. International Nursing Review, 51, 47-55. http://dx.doi.org/10.1111/j.1466-7657.2003.00208.x
[6] Narayan, M.C. (2010) Culture’s Effects on Pain Assessment and Management. The American Journal of Nursing, 110, 38-47. http://dx.doi.org/10.1097/01.NAJ.0000370157.33223.6d
[7] Cardosa, M.S., Deva, S.R., Othman, A.S. and Hooi, K.T. (2004) Acute Pain Service. In: Cardosa, M.S., Ahmad, A.B., Idris, N.H. and Yin, W.C., Eds., Pain Management Handbook, Pfizer, Kuala Lumpur, 5-49.
[8] Legeby, M., Sandelin, K., Wickman, M. and Olofsson, C. (2005) Analgesic Efficacy of Diclofenac in Combination with Morphine and Paracetamol after Mastectomy and Immediate Breast Reconstruction. Acta Anaesthesiologica Scandinavica, 49, 1360-1366. http://dx.doi.org/10.1111/j.1399-6576.2005.00811.x
[9] Choi, D.M.A., Yate, P., Coasts, T., Kalinda, P. and Paul, E.A. (2000) Ethnicity and Prescription of Analgesia in an Accident and Emergency Department: Cross Sectional Study. British Medical Journal, 320, 980-981. http://dx.doi.org/10.1136/bmj.320.7240.980
[10] Tan, E.C., Lim, Y., Teo, Y.Y., Goh, R. and Law, H.Y. (2008) Ethnic Differences in Pain Perception and Patient-Controlled Analgesia Usage for Postoperative Pain. The Journal of Pain, 9, 849-855. http://dx.doi.org/10.1016/j.jpain.2008.04.004
[11] Poleshuck, E.L. and Green, C.R. (2008) Socioeconomic Disadvantage and Pain. Pain, 136, 235-238. http://dx.doi.org/10.1016/j.pain.2008.04.003
[12] Kalisch, B.J., Tschannen, D., Lee, H. and Friese, C.R. (2011) Hospital Variation in Missed Nursing Care. American Journal of Medical Quality, 26, 291-299. http://dx.doi.org/10.1177/1062860610395929
[13] Aiken, L.H., Sermeus, W., Van den Heede, K., Sloane, D.M., Busse, R., McKee, M., Bruyneel, L., Rafferty, A.M., Griffiths, P., Moreno-Casbas, M.T., Tishelman, C., Scott, A., Brzostek, T., Kin-nunen, J., Schwendimann, R., Heinen, M., Zikos, D., Sjetne, I.S., Smith, H.L. and Kutney-Lee, A. (2012) Patient Safety, Satisfaction, and Quality of Hospital Care: Cross Sectional Surveys of Nurses and Patients in 12 Countries in Europe and the United States. British Medical Journal, 344, e1717.
[14] Soh, K.L., Soh, K.G., Zaiton, A., Rosna, A.R. and Salimah, J. (2008) Perceptions of Stressors in Intensive Care Units among Patients in the Federal Territory Hospitals. Contemporary Nurse, 31, 86-93. http://dx.doi.org/10.5172/conu.673.31.1.86
[15] Tzeng, J.I., Chou, L.F. and Lin, C.C. (2006) Concern about Reporting Pain and Using Analgesics among Taiwanese Postoperative Patients. The Journal of Pain, 7, 860-866. http://dx.doi.org/10.1016/j.jpain.2006.04.007
[16] Cohen, E., Botti, M., Hanna, B., Leach, S., Boyd, S. and Robbins, J. (2008) Pain Beliefs and Pain Management on Oncology Patients. Cancer Nursing, 31, E1-E8. http://dx.doi.org/10.1097/01.NCC.0000305693.67131.7d
[17] Manias, E. and Williams, A. (2008) Managing Pain in Chronic Kidney Disease: Patient Participation in Decision- Making. Journal of Advanced Nursing, 61, 201-210. http://dx.doi.org/10.1111/j.1365-2648.2007.04488.x

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.