Kim Jung-Eun, Dodd Marilyn, West Claudia, Paul Steven, Facione Noreen, Schumacher Karen, Tripathy Debu, Koo Peter, Miaskowski Christine
University of California Medical Center, San Francisco, CA, USA.
Oncol Nurs Forum. 2004 Nov 16;31(6):1137-43. doi: 10.1188/04.ONF.1137-1143.
PURPOSE/OBJECTIVES: To evaluate the effectiveness of a psychoeducational program (i.e., PRO-SELF Pain Control Program) compared to standard care in increasing patients' knowledge regarding cancer pain management.
Randomized clinical trial.
Seven outpatient settings in northern California.
174 outpatients with cancer and pain from bone metastasis.
Following randomization into either the PRO-SELF or standard care group, patients completed the Pain Experience Scale (PES) prior to and at the completion of the intervention.
Total and individual item scores on the PES.
Total PES knowledge scores increased significantly in the PRO-SELF group (21%) compared to the standard care group (0.5%). Significant improvements in knowledge scores for patients in the PRO-SELF group were found on five of the nine PES items when compared to baseline scores.
The PRO-SELF Pain Control Program was an effective approach to increase patients' knowledge of cancer pain management.
The use of a structured paper-and-pencil questionnaire, such as the PES, as part of a psychoeducational intervention provides an effective foundation for patient education in cancer pain management. Oncology nurses can use patients' responses to this type of questionnaire to individualize the teaching and to spend more time on the identified knowledge deficits. This individualized approach to education about pain management may save staff time and improve patient outcomes.
目的/目标：评估一项心理教育项目（即PRO-SELF疼痛控制项目）相较于标准护理，在增加患者对癌症疼痛管理知识方面的有效性。
随机临床试验。
加利福尼亚北部的七个门诊机构。
174名患有癌症且因骨转移而疼痛的门诊患者。
随机分为PRO-SELF组或标准护理组后，患者在干预前及干预结束时完成疼痛体验量表（PES）。
PES的总分及各单项得分。
与标准护理组（0.5%）相比，PRO-SELF组的PES知识总分显著提高（21%）。与基线得分相比，PRO-SELF组患者在九个PES项目中的五个项目上的知识得分有显著改善。
PRO-SELF疼痛控制项目是增加患者癌症疼痛管理知识的有效方法。
使用结构化的纸笔问卷，如PES，作为心理教育干预的一部分，为癌症疼痛管理的患者教育提供了有效的基础。肿瘤护士可以利用患者对这类问卷的回答来个性化教学，并将更多时间花在已确定的知识缺陷上。这种关于疼痛管理的个性化教育方法可能节省工作人员的时间并改善患者的治疗效果。
