The Pro-Self© Pain Control Program Improves Patients' Knowledge of Cancer Pain Management
Department of Research and Development, Oslo University Hospital, Ullevål, Oslo, Norway. Journal of pain and symptom management
(Impact Factor: 2.8).
06/2012; 44(3):321-30. DOI: 10.1016/j.jpainsymman.2011.09.015
Inadequate knowledge is one barrier to effective cancer pain management.
This study's aim was to evaluate the effects of a psychoeducational intervention (the Norwegian version of the PRO-SELF(©) Pain Control Program) compared with a control group in increasing patients' knowledge of cancer pain management.
Adult oncology outpatients with pain from bone metastasis of 2.5 or greater on a 0 to 10 numeric rating scale were randomized into the PRO-SELF (n=87) or control (n=92) groups. Patients completed a demographic questionnaire and the Pain Experience Scale (PES) at the beginning and end of the study to assess their knowledge and attitudes. The six-week intervention consisted of education, skills building, and nurse coaching. Mixed-model analyses with tests of a group×time interaction were done for each of the individual items and total PES scores to evaluate between-group differences in changes in knowledge over time.
Except for functional status, no differences were found between the PRO-SELF and control groups on any baseline demographic, clinical, or pain characteristics. Significant group×time interactions were found for all the single item and total PES scores. Compared with the control group, patients in the PRO-SELF group had significant increases in knowledge scores.
The use of a knowledge and attitude survey, like the PES, as part of a psychoeducational intervention provides an effective foundation for patient education in cancer pain management. This individualized approach to education about pain management may save staff time and improve patient outcomes.
Available from: Jing-Yu Tan
- "Nurse-led educational interventions were effective at improving patients' level of knowledge, as knowledge levels were increased in three studies (Borneman et al. 2010; van der Peet et al. 2009; Rustoen et al. 2012). In the study by Rustoen et al. (2012), the intervention used was similar to an American study conducted in 2004 (Kim et al. 2004). Although the two studies sampled different populations , similar results were obtained. "
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Cancer pain management is still unsatisfactory, although some effective guidelines exist. Educational interventions are reported to be useful in pain relief for oncology outpatients.AimThe aims of this systematic review were to evaluate the effects of nurse-led educational interventions on improving cancer pain outcomes for oncology patients, and to establish an effective cancer pain protocol for clinical nursing practice in China.MethodsA three-step search strategy was utilized. Eight databases were searched using the standards provided by the Joanna Briggs Institute that guided article selection, critical appraisal, data collection and data synthesis.ResultsA total of 1093 studies were identified through a literature search. Only six studies complied with the inclusion criteria and were found to be methodologically sound. In general, the included studies indicated positive results pertaining to patient's knowledge and attitudes towards analgesics and cancer pain management and decreased pain intensity. Studies reported minimal effects of intervention on anxiety, depression, satisfaction regarding cancer pain management and patient's quality of life.Conclusions
Educational interventions were reported as effective methods to improve cancer pain outcomes. Analysis of the six included studies demonstrated the overall positive effects of nurse-led educational interventions for improving cancer pain management.Implications for nursing and health policyThe results suggest that an effective cancer pain protocol for improving cancer pain management can be established in China.
Available from: Albertine Elisabeth Ranheim
- "They focus on answering concrete practical questions on nursing . Such theorists represent , for example , pain control programs in cancer care , as developed by Dodd et al ( 2004 ) . Seen from an international point of view , the general discussion of theories within nursing and caring has been dominated by the American meta - theorists , who also set out the taxonomy of the differentiation between them ( Fawcett 2000 ) . "
Available from: Nahid Aghebati
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ABSTRACT: Despite major advances in pain management, cancer pain is managed poorly in 80% of the patients with cancer. Due to deleterious side effects of pharmacology therapy in these people, there is an urgent need for clinical trials of non-pharmacological interventions. To examine the effect of therapeutic touch (TT) on the pain and fatigue of the cancer patients undergoing chemotherapy, a randomized and three-groups experimental study-experimental (TT), placebo (placebo TT), and control (usual care)-was carried out. Ninety patients undergoing chemotherapy, exhibiting pain and fatigue of cancer, were randomized into one of the three groups in the Cancer Center of Imam Khomeini Hospital in Tehran, Iran. Pain and fatigue were measured and recorded by participants before and after the intervention for 5 days (once a day). The intervention consisted of 30 min TT given once a day for 5 days between 10:00 a.m. and 10:30 a.m. The Visual Analogue Scale (VAS) of pain and the Rhoten Fatigue Scale (RFS) were completed for 5 days before and after the intervention by the subjects. The TT (significant) was more effective in decreasing pain and fatigue of the cancer patients undergoing chemotherapy than the usual care group, while the placebo group indicated a decreasing trend in pain and fatigue scores compared with the usual care group.
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