Cancer Pain Management Education Rectifies Patients' Misconceptions of Cancer Pain, Reduces Pain, and Improves Quality of Life
| Autor: | Jeong Ju Seo, JinShil Kim, Sung Yong Oh, Ja Youn Lee, Keon Uk Park, Bhumsuk Keam, Min Kyung Hyun, Jinseok Ahn, Su-Jin Koh |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer Analgesic 03 medical and health sciences 0302 clinical medicine Breast cancer Quality of life Patient Education as Topic Intervention (counseling) Medicine Humans Pain Management 030212 general & internal medicine Lung cancer Aged Pain Measurement Analgesics business.industry Breakthrough Pain Cancer General Medicine Cancer Pain Middle Aged medicine.disease Analgesics Opioid Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Physical therapy Quality of Life Female Neurology (clinical) business Cancer pain |
| Zdroj: | Pain medicine (Malden, Mass.). 19(12) |
| ISSN: | 1526-4637 |
| Popis: | Objectives More than half of the patients have reported improper management of breakthrough cancer pain. Empirical evidence is lacking concerning the effectiveness of cancer pain education on breakthrough pain control. This study aimed to examine the effects of individual pain education on pain control, use of short-acting analgesics for breakthrough pain, quality of life outcomes, and rectification of patients' misconceptions regarding cancer pain. Design A quasi-experimental design was used. In total, 176 (102 inpatients and 74 outpatients) and 163 (93 inpatients and 70 outpatients) cancer patients completed questionnaires on pain intensity, quality of life, use of short-acting medication for breakthrough pain, and misconceptions about cancer pain and opioid use before and immediately and/or seven days after individual pain education. Results The mean age of the participants was 60.9 years (±11.2), and 56.3% were male. The most common cancers were lung cancer (17.0%), colon cancer (15.9%), and breast cancer (12.5%). The subjects' reasons for attrition were conditional deterioration, death, or voluntary withdrawal (N = 13, 7.4%). Following the education, there was a significant reduction in overall pain intensity over 24 hours (P < 0.001). The outpatients showed more use of short-acting analgesics for breakthrough pain. Sleep quality change was most significantly associated with intervention; other quality of life aspects (e.g., general feelings and life enjoyment) also improved. Pain education also significantly reduced misconceptions regarding cancer pain management. Conclusions The present educational intervention was effective in encouraging short-acting analgesic use for breakthrough pain, improving quality of life outcomes, and rectifying patients' misconceptions about analgesic use. |
| Databáze: | OpenAIRE |
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