Abstract
Introduction. Pain is one of the most common symptoms encountered by patients with palliative needs, and since it affects the patient's quality of life, it is the most necessary to alleviate or eliminate it in order to improve the quality of the remaining life of the patient and his family. The basis of the treatment of any pain in palliative care is the application of non-pharmacological procedures and appropriate pharmacotherapy. Among a certain number of medical personnel, there is a fear of the consequences when using opioids, which often leads to their reduced use in practice. The term opiophobia is often associated with the term thanatophobia, which also affects the work of medical staff. In order to treat the pain as best as possible, it is necessary to examine the presence of these fears and to educate about them.
Aims. The aim of this research work was to determine the attitudes of nurses in the Department for extended treatment and palliative care Novi Marof towards opiophobia and thanatophobia.
Methods. The conducted research is of cross-sectional type. An anonymous paper-pencil survey was used in the research and was intended exclusively for nurses of the Service for extended treatment and palliative care in Novi Marof/Croatia. A total of 72 nurses participated. In the first part of the survey, the sociodemographic data of the respondents was collected, and in the second part, the expression of opiophobia and tanatophobia was examined using declarative claims to which the participants responded according to the Likert scale. Based on the collected data, appropriate statistical analyses were performed using the IBM SPSS Statistics 25 program (SPSS Inc., Chicago, IL, USA).
Results. Nurses, regardless of their workplace, years of service or level of education, have equally present thanatophobia. There is a difference with opiophobia, for those nurses who working the Department of Palliative Care, they show more affirmative attitudes towards the use opioids compared to other departments. Similarly, nurses with longer working experience show more affirmative attitudes compared to employees with shorter working experience.
Conclusion. The attitudes of nurses towards opiophobia and thanatophobia have a significant impact on patient care. Addressing these attitudes and providing education and support to nursing staff can improve the quality of care provided to patients in pain and those requiring end-of-life care.