Effect of nursing intervention guidelines regarding Oncology Patient Health Outcome

Elshahat, Mounira Mohamed; Sherief, Wafaa Ismail; Shaheen, Eman Saleh; Abo Alatta, Amel Bakr

doi:10.21608/pssjn.2020.21153.1011

Effect of nursing intervention guidelines regarding Oncology Patient Health Outcome

Document Type : Original Article

Authors

¹ Alexandria Technical health Institute &ndash; ministry of health

² Professor of medical surgical Nursing, Faculty of nursing, Mansoura University

³ Assistant Professor of medical surgical Nursing, Faculty of Nursing, Port Saied University

10.21608/pssjn.2020.21153.1011

Abstract

Background: Cancer-related pain is one of the greatest scared consequences of cancer and its treatment. Also, cancer patients having recurrent interaction with a variety of health providers, their pain is commonly uncontrolled. Cancer-related pain identified as vital symptoms that influence on the quality of life among cancer patients. Aim: The aim of this study is to evaluate the effect of pain nursing intervention guidelines on oncology patients’ health outcome.Research design: Quasi experimental design was used in this study. Sample: A purposive sample of 94 cancer patients with a pain reported 4 or more on a 0 to 10 numeric screening scale. Setting: The study was conducted in oncology unit at Mansoura University and Port Saied General Hospitals. Methods: The study implement the National Comprehensive Cancer Network guidelines for cancer related pain, brief pain inventory and Pain management barriers were measured at baseline, one month, and three months after applying the intervention guidelines. Results: Participants experienced significant improvements in pain degrees at one-month assessment, and these improvements were continued at three-months assessment. Conclusion: The nursing intervention practice based on the National Comprehensive Cancer Network fatigue guideline was effective in reducing pain severity. Recommendation: Pain should be assessed at least twice per day for cancer patient. Also, the patients need to receive educational materials for pain management and to reduce the barriers

Keywords

References

Berger, A. M., Mitchell, S. A., Jacobsen, P. B., & Pirl, W. F. (2015). Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?. CA: a cancer journal for clinicians, 65(3), 190-211.

Besse, K. T., Faber‐te Boveldt, N. D., Janssen, G. H., Vernooij‐Dassen, M., Vissers, K. C., & Engels, Y. (2016). Pain assessment with short message service and interactive voice response in outpatients with cancer and pain: a feasibility study. Pain Practice, 16(3), 320-326.

Borneman, T., Koczywas, M., Sun, V., Piper, B. F., Smith-Idell, 0C., Laroya, B., ... & Ferrell, B. (2011). Effectiveness of a clinical intervention to eliminate barriers to pain and fatigue management in oncology. Journal of palliative medicine, 14(2), 197-205.

Chaudakshetrin P. (2009). Validation of the Thai Version of Brief Pain Inventory (BPI-T) in cancer patients. J Med Assoc Thai, 92(1), 34-40.

Cleeland, C., Ryan, M. (1994). Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singap., 23(2), 129–138.

Das, V. (2015). An introduction to pain pathways and pain “targets”. Molecular Biology And Translational Science, 131,1-30.

Eslami, V., Katz, M. J., White, R. S., Sundermann, E., Jiang, J. M., Ezzati, A., & Lipton, R. B. (2017). Pain intensity and pain interference in older adults: role of gender, obesity and high-sensitivity C-reactive protein. Gerontology, 63(1), 3-12.

Ferreira, V. T., Dibai-Filho, A. V., Kelly de Oliveira, A., Gomes, C. A., Melo, E. S., & Maria de Almeida, A. (2015). Assessing the impact of pain on the life of breast cancer survivors using the Brief Pain Inventory. Journal of physical therapy science, 27(5), 1361–1363.

Fitzgibbon, D. R., & Loeser, J. D. (2012). Cancer pain. Lippincott Williams & Wilkins.

Freyd, M. (1923). The graphic rating scale. J Educ Psychol. 43, 83–102.

Gunnarsdottir, S., Donovan, H. S., Serlin, R. C., Voge, C., & Ward, S. (2002).

Patient-related barriers to pain management: the Barriers Questionnaire II (BQ-II). Pain, 99(3), 385-396.

Hashemi, S. M., Rohanifar, R., Azarfarin, R., Razavi, S. S., & Momenzadeh, S. (2016). A Comparison of the Sociodemographic and Clinical Characteristics of Patients Referring to a Pain Clinic with Subacute and Chronic Pain. Anesthesiology and pain medicine, 6(6), e39373.

Kasasbeh, M. A. M., McCabe, C., & Payne, S. (2017). Cancer‐related pain management: A review of knowledge and attitudes of healthcare professionals. European journal of cancer care, 26(6), e12625.

Kenzik, K. M., Ganz, P. A., Martin, M. Y., Petersen, L., Hays, R. D., Arora, N., & Pisu, M. (2015). How much do cancer‐related symptoms contribute to health‐related quality of life in lung and colorectal cancer patients? A report from the Cancer Care Outcomes Research and Surveillance (CanCORS) Consortium. Cancer, 121(16), 2831-2839.

Kwon, J. H. (2014). Overcoming barriers in cancer pain management. Journal of Clinical Oncology, 32(16), 1727-1733.

Mearis, M., Shega, J. W., & Knoebel, R. W. (2014). Does adherence to National Comprehensive Cancer Network guidelines improve pain-related outcomes? An evaluation of inpatient cancer pain management at an academic medical center. Journal of pain and symptom management, 48(3), 451-458.

National Comprehensive Cancer Network. (2016). NCCN Clinical Practice Guidelines in Oncology: Adult Cancer Pain. Version 2. 2016

Nayak, M. G., George, A., Vidyasagar, M. S., Mathew, S., Nayak, S., Nayak, B. S., … Kamath, A. (2015). Symptoms experienced by cancer patients and barriers to symptom management. Indian journal of palliative care, 21(3), 349–354.

Oldenmenger, W. H., Geerling, J. I., Mostovaya, I., Vissers, K. C., de Graeff, A., Reyners, A. K., & van der Linden, Y. M. (2018). A systematic review of the effectiveness of patient-based educational interventions to improve cancer-related pain. Cancer treatment reviews, 63, 96-103.

Oosterling, A., Boveldt, N., Verhagen, C., van der Graaf, W. T., Van Ham, M., Van der Drift, M., ... & Engels, Y. (2016). Neuropathic pain components in patients with cancer: prevalence, treatment, and interference with daily activities. Pain Practice, 16(4), 413-421.

Penalba, V., Deshields, T. L., & Klinkenberg, D. (2019). Gaps in communication between cancer patients and healthcare providers: Symptom distress and patients’ intentions to disclose. Supportive Care in Cancer, 27(6), 2039-2047.

Romero, S., Jones, L., Bauml, J., Li, S., Cohen, R., & Mao, J. The association between fatigue and pain symptoms and decreased physical activity after cancer. (2018). Supportive Care in Cancer, 26(10), 3423–3430

Smith, T. J., & Saiki, C. B. (2015). Cancer pain management. In Mayo Clinic Proceedings. Elsevier, 90(10), 1428-1439.

Tegegn, H. G., & Gebreyohannes, E. A. (2017). Cancer Pain Management and Pain Interference with Daily Functioning among Cancer Patients in Gondar University Hospital. Pain Research and Management, 2017. 1-12.

Van Den Beuken-Van, M. H., Hochstenbach, L. M., Joosten, E. A., Tjan-Heijnen, V. C., & Janssen, D. J. (2016). Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. Journal of pain and symptom management, 51(6), 1070-1090.

Wood, R., Mitra, D., de Courcy, J., & Iyer, S. (2017). Patient-reported pain severity, pain interference and health status in HR+/HER2− advanced/metastatic breast cancer. ESMO open, 2(3), e000227.

World Health Organization. (2015). WHO's cancer pain ladder for adults. Retrieved from http://www.who.int/cancer/palliative/painladder/en/. accessed at September 2019.

Xu, X., Luckett, T., Wang, A. Y., Lovell, M., & Phillips, J. L. (2018). Cancer pain management needs and perspectives of patients from Chinese backgrounds: a systematic review of the Chinese and English literature. Palliative & supportive care, 16(6), 785-799.