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赋能癌症患者自我护理和疼痛管理技能:一项准实验研究。

Empowering Cancer Patients with Self-Care and Pain Management Skills: A Quasi-Experimental Study.

机构信息

From the Department of Nursing, University of Évora, Évora, Portugal.

Department of Mathematics/ECT, Center for Research in Mathematics and Applications/IIFA, University of Évora, Évora, Portugal.

出版信息

Pain Manag Nurs. 2024 Aug;25(4):369-376. doi: 10.1016/j.pmn.2024.03.001. Epub 2024 Apr 12.

DOI:10.1016/j.pmn.2024.03.001
PMID:38614833
Abstract

BACKGROUND

Cancer patients experience distress as a result of their health condition, which, in turn, contributes to the progression of the disease. Moreover, their daily activities, well-being, and health status are significantly impacted by pain and other symptoms. In this context, empowering these patients with self-care and pain management skills can greatly contribute to effective symptom control.

AIM

To develop and implement an educational approach focused on empowering family caregivers and patients with advanced cancer in effectively managing pain at home.

METHOD

An educational program, PECP/C-Pain Management, was developed to empower family caregivers and cancer patients to manage pain at home. A quasi-experimental study involving 52 participants with advanced cancer was conducted to test the program. Participants' skills, behaviors, and knowledge related to self-care and pain management were assessed before and after the intervention using an appropriate instrument, the Pain Management Knowledge and Behavior Scale.

RESULTS

Pain was reported as the primary symptom, and following the educational program, participants were able to monitor pain and other symptoms and effectively self-manage their treatment.

CONCLUSIONS

The findings suggest that the PECP/C-Pain Management intervention was effective in improving participants' knowledge and skills in managing pain, leading to better symptom control. In addition, the Pain Management Knowledge and Behavior Scale is a reliable tool for measuring the outcomes of this intervention.

摘要

背景

癌症患者因健康状况而感到痛苦,这反过来又会导致疾病的恶化。此外,疼痛和其他症状严重影响他们的日常活动、幸福感和健康状况。在这种情况下,赋予这些患者自我护理和疼痛管理技能可以极大地有助于有效控制症状。

目的

制定并实施一种以家庭护理者和晚期癌症患者为重点的教育方法,以帮助他们在家中有效管理疼痛。

方法

开发了一个名为 PECP/C-疼痛管理的教育计划,以增强家庭护理者和癌症患者在家中管理疼痛的能力。一项涉及 52 名晚期癌症患者的准实验研究用于测试该计划。使用适当的工具,即疼痛管理知识和行为量表,在干预前后评估参与者与自我护理和疼痛管理相关的技能、行为和知识。

结果

疼痛被报告为主要症状,在接受教育计划后,参与者能够监测疼痛和其他症状,并有效地自我管理治疗。

结论

研究结果表明,PECP/C-疼痛管理干预措施有效地提高了参与者管理疼痛的知识和技能,从而更好地控制了症状。此外,疼痛管理知识和行为量表是衡量该干预措施效果的可靠工具。

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