Kizza Irene Betty, Muliira Joshua Kanaabi
Department of Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, P. O. Box 66, Al Khod, Muscat, Oman.
J Cancer Educ. 2019 Dec;34(6):1150-1159. doi: 10.1007/s13187-018-1421-x.
Cancer-related pain is prevalent and has debilitating effects on patients and their family. The effects of cancer pain can be curtailed if the family members caring for the patient receive essential support to enhance their capabilities for cancer pain management. Little has been done to study the available support to family caregivers (FCGs) towards pain management in adult cancer patients (ACPs) living in resource-limited countries where the burden of cancer is on the rise. This study evaluated the influence of an education intervention delivered in the home setting on FCGs' knowledge and self-efficacy (SE) for pain management in ACPs. One-group pre-/post-test design was used in a sample of 54 FCGs who had been caring for ACPs suffering from pain for at least 1 month. Data were collected using the Family Pain Questionnaire and Caregiver Pain Management SE Scale. The FCGs' mean knowledge score post-intervention (26.69 ± 10) was higher than the baseline (45 ± 12.9), and the difference was statistically significant (t = 10.382, p = 0.000, CI = 17.12-25.43). Additionally, the FCGs' mean SE score post-intervention (1003.30 ± 191) was higher than the baseline (648.3 ± 273.4), and the difference was statistically significant (t = - 8.52, p = 0.000, CI = - 438.6-- 271.4). The home-based education intervention significantly and positively influenced the FCGs' knowledge and SE for pain management while at home. Cancer pain management educational interventions delivered at home should be considered as one of the strategies for enhancing cancer care in resource limited settings.
癌症相关疼痛很常见，会对患者及其家庭造成严重影响。如果照顾患者的家庭成员得到必要支持以增强其癌症疼痛管理能力，癌症疼痛的影响就可以得到缓解。在癌症负担不断上升的资源有限国家，针对成年癌症患者（ACP）的家庭照顾者（FCG）在疼痛管理方面可获得的支持，相关研究做得很少。本研究评估了在家中进行的教育干预对FCG在ACP疼痛管理方面的知识和自我效能（SE）的影响。采用单组前后测设计，样本为54名照顾患有疼痛的ACP至少1个月的FCG。使用家庭疼痛问卷和照顾者疼痛管理SE量表收集数据。干预后FCG的平均知识得分（26.69±10）高于基线（45±12.9），差异具有统计学意义（t = 10.382，p = 0.000，CI = 17.12 - 25.43）。此外，干预后FCG的平均SE得分（1003.30±191）高于基线（648.3±273.4），差异具有统计学意义（t = - 8.52，p = 0.000，CI = - 438.6 - - 271.4）。基于家庭的教育干预对FCG在家中进行疼痛管理的知识和SE有显著的积极影响。在家中开展的癌症疼痛管理教育干预应被视为在资源有限环境中加强癌症护理的策略之一。
