Reducing Patient Barriers to Pain and Fatigue Management
| Autor: | Tami Borneman, Gwen Uman, Virginia Sun, Barbara F. Piper, Betty Ferrell, Marianna Koczywas |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Moderate to severe medicine.medical_specialty MEDLINE Pain Context (language use) Health Services Accessibility Article Ambulatory care Neoplasms Surveys and Questionnaires Intervention (counseling) Humans Pain Management Medicine Fatigue General Nursing Aged business.industry Cancer Middle Aged medicine.disease Clinical trial Treatment Outcome Anesthesiology and Pain Medicine Socioeconomic Factors Usual care Physical therapy Female Neurology (clinical) business |
| Zdroj: | Journal of Pain and Symptom Management. 39:486-501 |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2009.08.007 |
| Popis: | Pain and fatigue are recognized as critical symptoms that impact quality of life (QOL) for cancer patients. The barriers to pain and fatigue relief have been classified into three categories: patient, professional and system barriers. The overall objective of this trial is to test the effects of the “Passport to Comfort” intervention on reducing barriers to pain and fatigue management for ambulatory care cancer patients. This intervention demonstrates innovation by translating the evidence-based guidelines for pain and fatigue as developed by the National Comprehensive Cancer Network (NCCN) into practice. This quasi-experimental, comparative study utilizes a Phase 1 control group of usual care followed sequentially by a Phase 2 intervention group in which educational and systems change efforts were directed toward improved pain and fatigue management. This paper reports on the patient barriers and the patient education intervention to overcome these barriers. A sample of 187 cancer patients with breast, lung, colon, or prostate cancers, and pain and/or fatigue of ≥ 4 (moderate to severe), were recruited. Patients in the intervention group received four educational sessions on pain/fatigue assessment and management, whereas patients in the control group received usual care. Pain and fatigue barriers and patient knowledge were measured at baseline, one month, and three months post-accrual. Patients in the intervention group experienced significant improvements in pain and fatigue measures immediately post-intervention, and these improvements were sustained over time. The “Passport to Comfort” intervention was effective in reducing patient barriers to pain and fatigue management, as well as increasing patient knowledge regarding pain and fatigue. |
| Databáze: | OpenAIRE |
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