open access

Vol 15, No 1 (2021)
Research paper
Published online: 2021-02-19
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Knowledge of morphine use in the management of pain in cancer patients among physicians in a resource-constraint setting

Abayomi Olusola Ayodapo1, Ampitan Amoko2, Adebayo Matthew Fashola3, Olabisi Olamide Deji-Dada4, Esther Opeyemi Ayodapo5, Adefunke Christianah Omoyajowo6, Kehinde Fasasi Monsudi7, Tajudeen O Dele8, Hope Abitare8
·
Palliat Med Pract 2021;15(1):28-34.
Affiliations
  1. University College Hospital, Department of Family Medicine, Ibadan, Nigeria
  2. University of Ilorin Teaching Hospital, Department of Family Medicine, Ilorin, Nigeria
  3. Federal Teaching Hospital, Department of Family Medicine, Ido-Ekiti, Nigeria
  4. Ekiti State University Teaching Hospital, Department of Family Medicine, Ado-Ekiti, Nigeria
  5. Federal Teaching Hospital, Department of Paediatrics, Ido-Ekiti, Nigeria
  6. Bowen University, Department of Statistics, Iwo, Nigeria
  7. Federal Medical Centre, Birnin-Kebbi, Department of Ophthalmology, Birnin-Kebbi, Nigeria
  8. Federal Medical Centre, Birnin -Kebbi, Department of Family Medicine, Birnin-Kebbi, Nigeria

open access

Vol 15, No 1 (2021)
Research paper
Published online: 2021-02-19

Abstract

Introduction: The use of morphine is viewed as an integral part of pain management in cancer patients. The
responsibility for pain treatment lies with physicians. Therefore, this study assessed the knowledge of clinical
use of morphine in the management of pain in cancer patients among physicians working in Kebbi
State, Nigeria.
Material and method: A self-administered questionnaire was distributed to all the 110 participants in
attendance at the Continuing Medical Education meeting organized by the Nigerian Medical Association,
Kebbi State Branch. Data were analyzed using SPSS version 20.
Result: A total of 95 physicians participated, including 12 consultants (12.6%), 38 registrars (40.0%),
35 medical officers (36.8%), and 7 house officers (7.4%). Only 30 respondents (31.6%) had ever received
professional training on pain management or analgesic use. Overall, only 10 (10.5%) respondents had
good knowledge of pain management in cancer patients and morphine use.
Conclusion: Physicians knowledge of pain management in cancer patients and clinical use of morphine is
poor. There is a need to improve active professional analgesic education programs.

Abstract

Introduction: The use of morphine is viewed as an integral part of pain management in cancer patients. The
responsibility for pain treatment lies with physicians. Therefore, this study assessed the knowledge of clinical
use of morphine in the management of pain in cancer patients among physicians working in Kebbi
State, Nigeria.
Material and method: A self-administered questionnaire was distributed to all the 110 participants in
attendance at the Continuing Medical Education meeting organized by the Nigerian Medical Association,
Kebbi State Branch. Data were analyzed using SPSS version 20.
Result: A total of 95 physicians participated, including 12 consultants (12.6%), 38 registrars (40.0%),
35 medical officers (36.8%), and 7 house officers (7.4%). Only 30 respondents (31.6%) had ever received
professional training on pain management or analgesic use. Overall, only 10 (10.5%) respondents had
good knowledge of pain management in cancer patients and morphine use.
Conclusion: Physicians knowledge of pain management in cancer patients and clinical use of morphine is
poor. There is a need to improve active professional analgesic education programs.

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Keywords

cancer, knowledge, morphine, medical doctors, pain, Nigeria

About this article
Title

Knowledge of morphine use in the management of pain in cancer patients among physicians in a resource-constraint setting

Journal

Palliative Medicine in Practice

Issue

Vol 15, No 1 (2021)

Article type

Research paper

Pages

28-34

Published online

2021-02-19

Page views

485

Article views/downloads

550

DOI

10.5603/PMPI.2021.0006

Bibliographic record

Palliat Med Pract 2021;15(1):28-34.

Keywords

cancer
knowledge
morphine
medical doctors
pain
Nigeria

Authors

Abayomi Olusola Ayodapo
Ampitan Amoko
Adebayo Matthew Fashola
Olabisi Olamide Deji-Dada
Esther Opeyemi Ayodapo
Adefunke Christianah Omoyajowo
Kehinde Fasasi Monsudi
Tajudeen O Dele
Hope Abitare

References (15)
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  2. Grant M, Ugalde A, Mancuso SG, et al. Morphine use in cancer care: A survey of attitudes and perceptions in general practice patients. Aust Fam Physician. 2017; 46(10): 775–780.
  3. Zhang Q, Yu C, Feng S, et al. Physicians' Practice, Attitudes Toward, and Knowledge of Cancer Pain Management in China. Pain Med. 2015; 16(11): 2195–2203.
  4. Caraceni A, Hanks G, Kaasa S, et al. European Palliative Care Research Collaborative (EPCRC), European Association for Palliative Care (EAPC), European Palliative Care Research Collaborative (EPCRC), European Association for Palliative Care (EAPC). Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC. Lancet Oncol. 2012; 13(2): e58–e68.
  5. Caraceni A, Pigni A, Brunelli C, et al. Is oral morphine still the first choice opioid for moderate to severe cancer pain? A systematic review within the European Palliative Care Research Collaborative guidelines project. Palliat Med. 2011; 25(5): 402–409.
  6. Grant M, Philip J, Ugalde A, et al. A functional dependence? A social history of the medical use of morphine in Australia. Med J Aust. 2014; 200(4): 230–232.
  7. Elumelu TN, Abdus-Salam AA, Adenipekun AA, et al. Pattern of morphine prescription by doctors in a Nigeria tertiary hospital. Niger J Clin Pract. 2012; 15(1): 27–29.
  8. Oyebola FO, Oyebola FO. Palliative care trends and challenges in Nigeria-The journey so far. J Emerg Intern Med. 2017; 1(2): 17.
  9. Onyeka TC, Onyeka TC. Palliative care in enugu, Nigeria: challenges to a new practice. Indian J Palliat Care. 2011; 17(2): 131–136.
  10. Ogboli-Nwasor Eo, Makama Jg, Yusufu L, et al. Evaluation of knowledge of cancer pain management among medical practitioners in a low-resource setting. J Pain Res. 2013; 6: 71–77.
  11. Suleiman ZA, Wahab KW, Kolawole IK, et al. Opioid prescribing habits of physicians in Kwara State, Nigeria. Ghana Med J. 2016; 50(2): 63–67.
  12. About kebbi State. https//www.kebbistate.gov.ng (10 December 2019).
  13. Liu W, Xie S, Yue L, et al. Investigation and analysis of oncologists' knowledge of morphine usage in cancer pain treatment. Onco Targets Ther. 2014; 7: 729–737.
  14. Elumelu T, Adenipekun A, Eriba L, et al. Knowledge of cancer pain management among nurses in a Nigerian tertiary health institution. Journal of Nursing Education and Practice. 2014; 4(4).
  15. Fadare JO, Obimakinde AM, Afolayan JM, et al. Healthcare workers knowledge and attitude toward palliative care in an emerging tertiary centre in South-west Nigeria. Indian J Palliat Care. 2014; 20(1): 1–5.

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