Yoo Miyoung, Suh Eunyoung E, Jang Mi, Kang Sunsil
Department of Nursing, Seoul National University Hospital, Seoul, Republic of Korea.
College of Nursing, Seoul National University, Seoul, Republic of Korea.
Asia Pac J Oncol Nurs. 2024 May 31;11(7):100528. doi: 10.1016/j.apjon.2024.100528. eCollection 2024 Jul.
Cancer pain significantly impacts the overall quality of life of cancer patients, necessitating proactive management. The manifestations of cancer pain vary individually and require tailored interventions to address each patient's unique characteristics. Therefore, this study aims to develop a nurse navigation program for cancer pain (NNP-CP) tailored to the needs of cancer patients requiring pain control, aiming to establish evidence-based clinical nursing practices and promote effective cancer pain management.
This study is a methodological research into developing a pain management program led by nurses for cancer patients requiring pain control, based on a professional navigation framework. The development of the program relied on three out of the five stages of the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model.
A literature review was conducted to select the content and rationale to be included in the intervention program. Publications within the last 10 years in English or Korean were identified and screened based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 literature selection flow, 17 articles were included. Standardized information regarding cancer pain control was based on the 7th edition of 'Cancer Pain Management Guidelines'. The initial draft of the pain management intervention program was developed by organizing and structuring the derived content based on the professional navigation framework. Subsequently, the final intervention program was confirmed through the review by six clinical experts specializing in cancer pain.
Cancer pain is a significant factor that profoundly influences the quality of life and survival duration of cancer patients. While appropriate management methods offer the prospect of control, insufficient intervention is the current reality. Through the pain management intervention program based on the expert navigation framework that promotes continuity of care and empowers the recipients, this study anticipates not only pain reduction in cancer patients but also an enhancement in their quality of life.
癌症疼痛会显著影响癌症患者的整体生活质量，因此需要积极管理。癌症疼痛的表现因人而异，需要针对每个患者的独特特征进行量身定制的干预措施。因此，本研究旨在为需要疼痛控制的癌症患者开发一个量身定制的癌症疼痛护士导航计划（NNP-CP），旨在建立循证临床护理实践并促进有效的癌症疼痛管理。
本研究是一项方法学研究，基于专业导航框架，为需要疼痛控制的癌症患者开发由护士主导的疼痛管理计划。该计划的开发依赖于ADDIE（分析、设计、开发、实施、评估）模型五个阶段中的三个阶段。
进行了文献综述，以选择纳入干预计划的内容和理论依据。根据系统评价和Meta分析的首选报告项目（PRISMA）2020文献选择流程，识别并筛选了过去10年以英文或韩文发表的文献，共纳入17篇文章。癌症疼痛控制的标准化信息基于《癌症疼痛管理指南》第7版。疼痛管理干预计划的初稿是通过基于专业导航框架对派生内容进行组织和结构化而制定的。随后，由六位癌症疼痛领域的临床专家进行评审，确定了最终的干预计划。
癌症疼痛是深刻影响癌症患者生活质量和生存时长的重要因素。虽然适当的管理方法有望实现控制，但目前的现实是干预不足。通过基于专家导航框架的疼痛管理干预计划，促进护理的连续性并赋予接受者权力，本研究预期不仅能减轻癌症患者的疼痛，还能提高他们的生活质量。
