Article Sidebar

PDF
Issue: Vol. 566 No. special (2026): Hệ thống Y tế Hùng Vương
Section: Các bài báo
DOI: 10.51298/vmj.v566ispecial.19020
Date Published: 06/10/2026
Views 29
Downloads 35
How to Cite
Phan, T. T. H., Nguyễn, T. H., Lê, T. H., Nguyễn, T. N., Phạm, T. N., Vũ, T. P. T., & Trịnh, T. H. (2026). CURRENT STATUS OF NURSES’ KNOWLEDGE AND ATTITUDES TOWARD CANCER PAIN MANAGEMENT AT THE INSTITUTE OF NUCLEAR MEDICINE AND ONCOLOGY, BACH MAI HOSPITAL. Vietnam Medical Journal, 566(special). https://doi.org/10.51298/vmj.v566ispecial.19020

CURRENT STATUS OF NURSES’ KNOWLEDGE AND ATTITUDES TOWARD CANCER PAIN MANAGEMENT AT THE INSTITUTE OF NUCLEAR MEDICINE AND ONCOLOGY, BACH MAI HOSPITAL

Thị Thu Huệ Phan1, , Thanh Hùng Nguyễn1, Thị Hiền Lê1, Thị Ngọc Nguyễn1, Thị Ngát Phạm1, Thị Phương Thảo Vũ1, Thị Hưng Trịnh1
1 Bệnh viện Bạch Mai

Main Article Content

Abstract

Objective: To describe nurses’ knowledge and attitudes regarding cancer pain management at the Institute of Nuclear Medicine and Oncology, Bach Mai Hospital, in 2025–2026, and to evaluate changes in the composite Knowledge and Attitudes Survey Regarding Pain (KASRP) score before and after an educational intervention.


Methods: A one-group pre–post quasi-experimental study without a concurrent control group was conducted among 78 of 90 eligible nurses (86.7%) who provided direct care to patients with cancer at the Institute of Nuclear Medicine and Oncology, Bach Mai Hospital. Data were collected using the 39-item KASRP and its Vietnamese version, which had previously undergone translation, cultural adaptation, and validation (Cronbach’s alpha = 0.88). The study comprised two phases: a baseline assessment (T0, June 2025) and an educational intervention developed based on the baseline findings. The intervention consisted of four face-to-face training modules, each comprising four teaching periods, delivered over one month. The post-intervention assessment (T1) was conducted one month after completion of the training, with a nine-month interval between T0 and T1.


Results: Before training, the mean composite KASRP knowledge and attitude score was 19.10 ± 3.69 points (range: 10–29). Major knowledge gaps were identified in pain assessment in clinical scenarios and opioid pharmacology. After training, the mean score increased to 32.60 ± 7.17 points (range: 16–39). The mean increase from T0 to T1 was 13.50 points (95% CI: 11.66–15.34), which was statistically significant (t = 14.580; df = 77; p < 0.001), with a large effect size (Cohen’s dz = 1.65).


Conclusion: The composite KASRP knowledge and attitude score regarding pain management increased significantly after the educational program. These findings suggest that the program may contribute to improving nurses’ knowledge and attitudes regarding cancer pain management.

Keywords

Pain management, nurses, cancer, KASRP, Bach Mai Hospital

Article Details

References

1. Sung H, Filho AM, Laversanne M, Ferlay J, Siegel RL, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2024: GLOBOCAN estimates of incidence and mortality worldwide for 34 cancers in 186 countries. CA Cancer J Clin. 2026;76(4):e70090. doi: 10.3322/caac.70090. PMID: 42417444.
2. Ervik M, Laversanne M, Lam F, Colombet M, Ferlay J, Filho AM, Bray F. Global Cancer Observatory: Cancer Today (2024 estimates, version 1.0) – Viet Nam fact sheet. Lyon: International Agency for Research on Cancer; 2026. Truy cập tại: https://gco.iarc.who.int/today (truy cập ngày 31/7/2026).
3. Snijders RAH, Brom L, Theunissen M, van den Beuken-van Everdingen MHJ. Update on prevalence of pain in patients with cancer 2022: a systematic literature review and meta-analysis. Cancers (Basel). 2023;15(3):591. doi: 10.3390/cancers15030591. PMID: 36765547.
4. Bouya S, Balouchi A, Maleknejad A, Koochakzai M, AlKhasawneh E, Abdollahimohammad A. Cancer pain management among oncology nurses: knowledge, attitude, related factors, and clinical recommendations: a systematic review. J Cancer Educ. 2019;34(5):839-846. doi: 10.1007/s13187-018-1433-6. PMID: 30315497.
5. Achaliwie F, Wakefield AB, Mackintosh-Franklin C. Does education improve nurses’ knowledge, attitudes, skills, and practice in relation to pain management? An integrative review. Pain Manag Nurs. 2023;24(3):273-279. doi: 10.1016/j.pmn.2022.12.002. PMID: 36608996.
6. Pham Van Truong, Pham Thi Ngoc An, Tran Quang Huy. Reliability and validity of revised instrument on pain management and its relationship between knowledge and attitudes among nurses in Vietnam. Bangladesh Journal of Medical Science. 2024;23(1):160-170. doi: 10.3329/bjms.v23i1.70710.
7. Nguyen AT, Dang AK, Nguyen HTT, Nguyen TX, Nguyen TN, Nguyen TTH, et al. Assessing knowledge and attitudes regarding pain management among nurses working in a geriatric hospital in Vietnam. J Multidiscip Healthc. 2021;14:799-807. doi: 10.2147/JMDH.S285044.
8. Ferrell BR, McCaffery M. Knowledge and Attitudes Survey Regarding Pain (KASRP), revised 2014. Duarte (CA): City of Hope Pain & Palliative Care Resource Center; 2014.
9. Bộ Y tế. Hướng dẫn chăm sóc giảm nhẹ (ban hành kèm theo Quyết định số 183/QĐ-BYT ngày 25/01/2022 của Bộ trưởng Bộ Y tế). Hà Nội: Bộ Y tế; 2022.
10. World Health Organization. WHO guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents. Geneva: World Health Organization; 2018.