The Effect of Pain Self-Management Education on Pain Severity and Quality of Life in Metastatic Cancer Patients.
The Effect of Pain Self-Management Education on Pain Severity and Quality of Life in Metastatic Cancer Patients.
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DOI：
10.4103/apjon.apjon-2097
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发表时间：
2021-07
影响因子：
1.8
通讯作者：
Razmjoo S
中科院分区：
文献类型：
--
作者：
Musavi M;Jahani S;Asadizaker M;Maraghi E;Razmjoo S
癌症患者适当的疼痛控制是转移性癌症患者的主要需求之一。因此，这是卫生保健工作者的基本目标之一。本研究旨在探讨疼痛自我管理教育对转移性癌症患者疼痛严重程度和生活质量的影响。这项临床试验研究是在阿瓦兹戈莱斯坦医院的肿瘤学专科诊所进行的，对象是根据纳入标准挑选的82名转移性癌症患者。他们被随机分为两组：干预组和对照组。在干预组，通过提供信息、技能发展和指导三个步骤进行疼痛自我管理教学。自我管理方法实际上也是在面对面和反馈的情况下传授的。此外，在1个月和3个月的随访中测量生活质量，并在7周内测量疼痛严重程度。对照组采用生活质量调查问卷和疼痛严重程度量表进行填写。最后，使用SPSS Version 22软件对数据进行总体分析和重复测量方差分析和Friedman检验。观察到，干预后1-7周，干预组和对照组疼痛严重程度的变化趋势有显著差异(P<；0.0001)。此外，在干预后1个月和3个月时，两组患者的生活质量有显著差异(P<；0.0001)。本研究的结果表明，疼痛自我管理在改善转移性癌症患者的疼痛严重程度和生活质量指标方面具有积极的影响。因此，目前的研究结果可以帮助护士、护生和其他团队成员改善疼痛控制技能，从而提高转移性癌症患者的生活质量。
Proper pain control in cancer patients is one of the prime needs of metastatic cancer patients. It is, then, one of the essential objectives of health care workers. The present study aimed to pinpoint the impact of pain self-management education on the pain severity and the quality of life in patients with metastatic cancers using complementary medicine approaches. This clinical trial study was performed in the Oncology Specialty Clinic of Ahvaz Golestan Hospital on 82 metastatic cancer patients picked based on inclusion criteria. They were randomly assigned to two groups: the intervention group and one as the control group. In the intervention group, pain self-management was taught in the three steps of providing information, skill development, and guidance. Self-management approaches were also practically taught face to face along with feedback. Furthermore, the quality of life was measured at 1-and 3-month follow-ups and the pain severity was measured during 7 weeks. In the control group, the quality of life questionnaire and the pain severity checklist were given to the participants to fill out. Finally, data were analyzed through SPSS version 22 in general and repeated-measures ANOVA and Friedman tests. It was observed that after the intervention, the trend of pain severity during weeks 1–7 was significantly different in the intervention and control groups (P < 0.0001). In addition, a significant difference was observed for the quality of life at 1 and 3 months after the intervention between the two studied groups (P < 0.0001). Findings of the present study indicate a positive impact of pain self-management on improving pain severity and the indicators of quality of life in metastatic cancer patients. Accordingly, the current study findings can help nurses, nursing students, and other team members improve pain control skills and subsequently increase the quality of life in patients with metastatic cancers.
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DOI：
10.1016/j.clinre.2012.08.009
发表时间：
2013-06-01
影响因子：
2.7
作者：
Cheng, Qiao-mei;Kong, Cun-quan;Wei, Ai-huan
通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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