Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Effects of a Tailored Education and Coaching Program to Enhance Care of Cancer-related Pain

맞춤형 암성통증관리 개별교육 및 코칭의 효과

  • Received : 2019.10.31
  • Accepted : 2020.02.10
  • Published : 2020.04.30
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Abstract

Purpose: The study was to develop a tailored education and coaching program (TECP) for cancer patients, and to identify the effects of TECP on pain severity, daily living impairment, barriers on pain management, self-efficacy, and pain management satisfaction. Methods: A randomized controlled trial was used. Patients referred to an oncology nurse specialist from oncologists for pain management were randomly assigned to TECP (25) or usual education program (UEP, 22). The intervention was offered by educating the method of taking opioid medication, managing opioid-induced side effects, reducing pain misconceptions and enhancing self-efficacy for communicating with a medical team on cancer pain severity, and pain-related impairment. Patients completed questionnaires before the education program and on the next visit 3~4 weeks later. Data were analyzed by SPSS 19.0 program using percentage, frequency, mean, standard deviation, x2 test and independent t-test. Results: At all levels, pain severity improved significantly in the experimental group-worst pain (8.16 to 3.80, p<.001), average pain (6.16 to 2.52 p=.008), and least pain (3.32 to 0.96, p=.038)-but not in the control group. Pain management satisfaction also showed significant differences (t=2.93, p=.005) between experimental (4.70±0.49) and control (4.17±0.73) groups. Interference with daily living, barriers to managing cancer pain, and self-efficacy for managing pain improved in both groups but there were no significant differences. Conclusion: The findings suggest that TECP should be considered for outpatients who need cancer pain management.

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References

  1. Aiello-Laws, L., Reynolds, J., Deizer, N., Peterson, M., Ameringer, S., & Bakitas, M. (2009). Putting evidence into practice: What are the pharmacologic interventions for nociceptive and neuropathic cancer pain in adults?. Clinical Journal of Oncology Nursing, 13(6), 649-655. https://doi.org/10.1188/09.cjon.649-655
  2. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295x.84.2.191
  3. Chun, Y. M., Park, S. Y., Hyun, M. S., & Kim, M. K. (2013). The effects of pain management education on knowledge, concern, and attitude about pain management in cancer patients receiving chemotherapy in outpatient settings. Asian Oncology Nursing, 13(2), 95-102. https://doi.org/10.5388/aon.2013.13.2.95
  4. Cohen, J. (2013). Statistical power analysis for the behavioral sciences. New York: Routledge.
  5. Gong, S. H., Lee, S. H., Jung, J. H., Kim, J. Y., Lee, S. Y., & Kim, S. A. (2004). The effect of cancer pain management education on the concerns and hesitancy of pain management in out patient of terminal gastric cancer. Journal of Korean Clinical Nursing Research, 10(1), 56-69.
  6. Greco, M. T., Roberto, A., Corli, O., Deandrea, S., Bandieri, E., Cavuto, S., et al. (2014). Quality of cancer pain management: An update of a systematic review of under-treatment of patients with cancer. Journal of Clinical Oncology, 32, 4149-4154. https://doi.org/10.1200/jco.2014.56.0383
  7. Hyun, M. K., Jung, Y. G., Lee, J. Y., Shim, J. I., Kang, M. J., Kim, B. S., et al. (2013). Evaluation and improvement of cancer pain management: Focusing on narcotic analgesics. Seoul: National Evidence-based Healthcare Collaborating Agency, 1-356.
  8. Jung, Y. J. (2015). The effect of tailored cancer pain management education for cancer patients. Unpublished master's thesis, Gyeong-Sang University, Jinju. Korea.
  9. Kim, E. M., Kim, H. J., Kim, S. J., & Kim, B. K. (2010). Understanding on chemotherapy and self-care in cancer patients after an individual education. Journal of Korean Oncology Nursing, 10(2), 163-170. https://doi.org/10.5388/jkon.2010.10.2.163
  10. Kim, H. J., Park, I. S., & Kang, K. J. (2012). Knowledge and awareness of nurses and doctors regarding cancer pain management in a tertiary hospital. Asian Oncology Nursing, 12(2), 147-155. https://doi.org/10.5388/aon.2012.12.2.147
  11. Kim, H. S., & Suh, M. J. (2000). A study on patients' concerns about management of cancer pain and related factors. The Korean Journal of Rehabilitation Nursing, 3(1), 43-58.
  12. Kim, N. H., Kang, J. H., & Yang, Y. R. (2017). Impacts of cancer pain management education on home care cancer patients' perception and attitudes. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(10), 153-167. https://doi.org/10.14257/ajmahs.2017.10.04
  13. Kim, Y. (2012). Symptom management for cancer patients. The Korea Journal of Hospice and Palliative Care, 15(2), 61-67. https://doi.org/10.14475/kjhpc.2012.15.2.61
  14. Kim, Y. M. (2009). The effects of pain management education on pain management concern, analgesic use, and on pain in cancer patients. Unpublished master's thesis, Kwandong University, Gangneung, Korea.
  15. Korea Central Cancer Registry. (2018, December). Annual report of cancer statistics in Korea in 2016 (Issue Brief No. 117044). Sejong: Ministry of Health & Welfare.
  16. Kravitz, R. L., Tancredi, D. J., Grennan, T., Kalauokalani, D., Street, R. L., & Slee, C. K. (2011). Cancer Health Empowerment for Living without Pain (Ca-HELP): Effects of a tailored education and coaching intervention on pain and impairment. Pain, 152(7), 1572-1582. https://doi.org/10.1016/j.pain.2011.02.047.
  17. Kravitz, R. L., Tancredi, D. J., Street, R. L. Jr., Kalauokalani, D., Grennan, T., Wun, T., et al. (2009). Cancer Health Empowerment for Living without Pain (Ca-HELP): Study design and rationale for a tailored education and coaching intervention to enhance care of cancer-related pain, BMC Cancer, 9, 319. https://doi.org/10.1186/1471-2407-9-319
  18. Lee, S. H., & Chung, B. Y. (2018). Factors influencing pain intensity in patients with advanced cancer. Journal of the Korea Academia-Industrial cooperation Society, 19(1), 506-516. https://doi.org/10.5762/KAIS.2018.19.1.506
  19. Li, Z., Aninditha, T., Griene, B., Francis, J., Renato, P., Serrie, A., et al. (2018). Burden of cancer pain in developing countries: A narrative literature review. ClinicoEconomics and Outcomes Research, 2(10), 675-691. https://doi.org/10.2147/ceor.s181192
  20. National Cancer Center. (2012, April). Cancer pain management guideline (5th ed). Seoul: Ministry of Health & Welfare.
  21. Oliver, J. W., Kravitz, R. L., Kaplan, S. H., & Meyers, F. J. (2001). Individualized patient education and coaching to improve pain control among cancer outpatients. Journal of Clinical Oncology, 19(8), 2206-2212. https://doi.org/10.1200/jco.2001.19.8.2206
  22. Shen, W. C., Chen, J. S., Shao, Y. Y., Lee,K. D., Chiou,T. J., Sung, Y. C., et al. (2017). Impact of under-treatment of cancer pain with analgesic dugs on patient outcomes: A nationwide survey of outpatient cancer patient care in Taiwan. Journal of Pain and Symptom Management, 54(1), 55-65. https://doi.org/10.1016/j.jpainsymman.2017.02.018
  23. van den Beuken-van Everdingen, M., van Kuijk, S., Janssen, D., & Joosten, E. (2018). Treatment of pain in cancer: Towards personalised medicine. Cancers, 10(12), 502. https://doi.org/10.3390/cancers10120502
  24. Ward, S. E., Goldberg, N., Miller-McCauley, V., Mueller, C., Nolan, A., Pawlik-Plank, D., et al. (1993). Patient-related barriers to management of cancer pain. Pain, 52(3), 319-324. https://doi.org/10.1016/0304-3959(93)90165-l
  25. Yun, Y. H., Heo, D. S., Lee, I. G., Jeong, H. S., Kim, H. J., & Kim, S. Y. (2003). Multicenter study of pain and its management in patients with advanced cancer in Korea. Journal of Pain and Symptom Management, 25(5), 430-437. https://doi.org/10.1016/s0885-3924(03)00103-9
  26. Yun, Y. H., Mendoza, T. R., Heo, D. S., Yoo, T., Heo, B. Y., & Park, H. A. (2004). Development of a cancer pain assessment tool in Korea: A validation study of a Korean version of the brief pain inventory. Oncology, 66(6), 439-444. https://doi.org/10.1159/000079497