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Tải xuống
Tóm tắt
Objective: To evaluate the effectiveness of a pain self-management intervention on quality of life among cancer patients in Vinh Phuc Province six weeks post-discharge.
Participants and Methods: A randomized controlled trial was conducted on 116 cancer patients at Vinh Phuc Provincial General Hospital (January–December 2023). The intervention, delivered through health education counseling, included pain-related education, skill-building, and self-care support. Data were collected at baseline and six weeks post-discharge. Statistical analyses were performed using SPSS 22.0 (p < 0.05). Baseline comparisons utilized the Independent Samples t-test, Chi-square test, and Fisher’s exact test, while Paired t-test and Independent Samples t-test assessed within- and between-group differences.
Results: The pain self-management intervention significantly improved the quality of life in cancer patients. In the intervention group, there were statistically significant differences in the mean scores of quality of life domains between pre-intervention and six weeks post-discharge (p < 0.05). Additionally, significant differences were observed in the mean scores between the intervention and control groups across most quality of life domains (p < 0.05). The effect sizes for quality of life domains ranged from moderate to high (0.57 < Cohen’s d < 0.98).
Conclusions: The pain self-management intervention effectively improved the quality of life in cancer patients. Integrating pain self-management support into cancer care is essential to help patients enhance their quality of life.
Từ khóa
Tài liệu tham khảo
Nguyen Ba Duc. General Oncology, Vietnam Education Publishing House. 2009.
Sung, H., Ferlay, J., Siegel, R.L. et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2021; 71(3), 209-249. doi: 10.3322/caac.21660.
The Global Cancer Observatory. Viet Nam Globocan. May 29,2021. https://gco.iarc.who.int/media/globocan/factsheets/populations/704-viet-nam-fact-sheet.pdf.
Van den Beuken-van Everdingen, MHJ, De Rijke, JM et al. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Annals of oncology. 2007;18(9), 1437-1449. doi: 10.1093/annonc/mdm056.
American Cancer Society. Managing Cancer Pain at Home. May 29,2020. https://wwwat.cancer.org/treatment/treatments-and-side-effects/physical-sideeffects/pain/pain.html.
Bennett M.I., Bagnall A.M. & Jose Closs S. How effective are patient-based educational interventions in the management of cancer pain? Systematic review and meta-analysis. Pain. 2009; 143(3), 192–199. doi: 10.1016/j.pain.2009.01.016.
ElMokhallalati, Y., Mulvey, M. R., & Bennett, M. I. Interventions to support self-management in cancer pain. Pain Reports.2018; 3(6). doi: 10.1097/PR9.0000000000000690.
Vinh Phuc Provincial Center for Disease Control. Report on Non-Communicable Disease Prevention and Control Activities. 2023.
Musavi, M., Jahani, S., Asadizaker, M. et al. The effect of pain self-management education on pain severity and quality of life in metastatic cancer patients. Asia-Pacific Journal of Oncology Nursing. 2021; 8(4), 419-426. doi: 10.4103/apjon.apjon-2097.
Bjordal, K., de Graeff, A., Fayers, P.M. et al. A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. EORTC Quality of Life Group. European Journal of Cancer.2000; 36: 213-9. doi: 10.1016/s0959-8049(00)00186-6.
Peter,F., et al. EORTC QLQ–C30 scoring manual, European Organisation for Research and Treatment of Cancer.1995.
Carson, C. The effective use of effect size indices in institutional research. In 31st Annual Conference Proceedings. 2012; (Vol. 41).
Vu Dinh Son et al. Evaluation of the suitability and clinical applicability of a pain management education intervention program for cancer patients. Journal of Community Medicine. 2023; 64(Special), 236-243.
Koller, A., Gaertner, J., De Geest, S.et al. Testing the implementation of a pain self-management support intervention for oncology patients in clinical practice: A randomized controlled pilot study (ANtiPain). Cancer nursing. 2018; 41(5), 367-378. doi: 10.1097/NCC.0000000000000502.
Koh, S. J., Keam, B., Hyun, M. K.et al. Cancer pain management education rectifies patients’ misconceptions of cancer pain, reduces pain, and improves quality of life. Pain medicine. 2018.19(12), 2546-2555. doi: 10.1093/pm/pny039.
Keefe, F. J., Ahles, T. A., Sutton, L. et al. Partner-guided cancer pain management at the end of life: a preliminary study. Journal of pain and symptom management. 2005;29(3), 263-272. doi: 10.1016/j.jpainsymman.2004.06.014.
Sharif, F., Ansari, H., Mosalaee, A. et al. The Effect of Pain Management Education on the Intensity of Pain and Quality of Life of Patients with Cancer. J Palliative Care Med. 2012; 2(114), 2. DOI:10.4172/2165-7386.1000114
Alghadir, A. H., Anwer, S., Iqbal, A. et al. Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research. 2018; 851-856. doi: 10.2147/JPR.S158847.
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