The Influence of PRO-SELF Cancer Pain Control Programme on Patients' Self-Management Ability

Overview

Journal Int J Integr Care

Publisher Ubiquity Press

Date 2023 Nov 6

PMID 37928205

Authors

Xin Yin

Zi-Jing Chu

Yuan-Yuan Ni

Hong-Wei Li

Hong-Yan Li

Affiliations

Soon will be listed here.

Abstract

Objective: Recently, cancer patients have challenges with self-management. This study aims to improve symptoms of chronic pain, and anxiety and depression associated with cancer by PRO-SELF nursing intervention.

Methods: Sixty-four patients were randomly assigned to an intervention and a control group from Jan 2016 to Dec 2019, 34 usable cases in the intervention group and 30 cases in the control group were collected. The control group received a routine cancer pain nursing intervention, whereas the intervention group received a PRO-SELF based multidisciplinary collaborative cancer pain nursing intervention. After three months of intervention, the Numeric Rating Scale (NRS), Medication Compliance Questionnaire (MCQ), Social Support Rating Scale (SSRS), Self-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS), Quality of Life Scale (FACT-G Chinese version) and Chronic Pain Self-efficacy Scale were resent to compare the differences in the observation indicators included evaluation of patients' social support degree, anxiety and depression score, quality of life scores and self-efficacy scores between two groups. The t-test and rank-sum test were used for statistic analysis.

Results: No significant differences were found between groups for pain and medication compliance (P > 0.05). However, significant differences were found between groups in social support, life quality, chronic pain self-efficacy, and self-rating anxiety and depression index scores (P < 0.001). The intervention group report more social support, pain self-efficacy and less anxiety and depression (P < 0.001).

Conclusion: The PRO-SELF pain symptoms in patients with a cancer pain management programme improved degree of social support, life quality, self-efficacy, anxiety, depression which is worthy of clinical application.

Citing Articles

Cancer pain self-management interventions in adults: scoping review.

Sjattar E, Arafat R, Wan Ling L BMJ Support Palliat Care. 2024; 14(4):411-415.

PMID: 38719570 PMC: 11671981. DOI: 10.1136/spcare-2024-004893.

References

Yates P, Edwards H, Nash R, Aranda S, Purdie D, Najman J . A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns. 2004; 53(2):227-37. DOI: 10.1016/S0738-3991(03)00165-4. View

Wu C, Li S, Cheng F, Zhang L, Du Y, He S . Self-Identity and Career Success of Nurses in Infectious Disease Department: The Chain-Mediating Effects of Cognitive Emotion Regulation and Social Support. Front Psychol. 2020; 11:563558. PMC: 7729080. DOI: 10.3389/fpsyg.2020.563558. View

ElMokhallalati Y, Mulvey M, Bennett M . Interventions to support self-management in cancer pain. Pain Rep. 2019; 3(6):e690. PMC: 6344141. DOI: 10.1097/PR9.0000000000000690. View

You E . Nontraditional and Home-Based Self-management Interventions in Cancer Patients With Pain: A Mixed-Method Systematic Review. Holist Nurs Pract. 2020; 34(3):138-149. DOI: 10.1097/HNP.0000000000000380. View

Buck R, Morley S . A daily process design study of attentional pain control strategies in the self-management of cancer pain. Eur J Pain. 2005; 10(5):385-98. DOI: 10.1016/j.ejpain.2005.04.001. View

Eaton L, Hulett J . Mind-Body Interventions in the Management of Chronic Cancer Pain. Semin Oncol Nurs. 2019; 35(3):241-252. DOI: 10.1016/j.soncn.2019.04.005. View

Valeberg B, Kolstad E, Smastuen M, Miaskowski C, Rustoen T . The PRO-SELF pain control program improves family caregivers' knowledge of cancer pain management. Cancer Nurs. 2012; 36(6):429-35. DOI: 10.1097/NCC.0b013e3182747bcf. View

Dodd M, Miaskowski C . The PRO-SELF Program: a self-care intervention program for patients receiving cancer treatment. Semin Oncol Nurs. 2000; 16(4):300-8; discussion 308-16. DOI: 10.1053/sonu.2000.16586. View

Hung C, Chen Y, Chan J, Fang Y, Li I, Shih H . Psychological distress, social support, self-management ability and utilization of social resources for female patients with cancer in Oncology Outpatient Settings in Taiwan. Support Care Cancer. 2019; 28(7):3323-3330. DOI: 10.1007/s00520-019-05143-y. View

10.

Lovell M, Luckett T, Boyle F, Phillips J, Agar M, Davidson P . Patient education, coaching, and self-management for cancer pain. J Clin Oncol. 2014; 32(16):1712-20. DOI: 10.1200/JCO.2013.52.4850. View

11.

Gagnon C, Scholten P, Atchison J, Jabakhanji R, Wakaizumi K, Baliki M . Structural MRI Analysis of Chronic Pain Patients Following Interdisciplinary Treatment Shows Changes in Brain Volume and Opiate-Dependent Reorganization of the Amygdala and Hippocampus. Pain Med. 2020; 21(11):2765-2776. PMC: 8463093. DOI: 10.1093/pm/pnaa129. View

12.

Sutters K, Savedra M, Miaskowski C . The pediatric PRO-SELF©: pain control program: an effective educational program for parents caring for children at home following tonsillectomy. J Spec Pediatr Nurs. 2011; 16(4):280-94. PMC: 4523122. DOI: 10.1111/j.1744-6155.2011.00299.x. View

13.

Rustoen T, Valeberg B, Kolstad E, Wist E, Paul S, Miaskowski C . The PRO-SELF(©) Pain Control Program improves patients' knowledge of cancer pain management. J Pain Symptom Manage. 2012; 44(3):321-30. DOI: 10.1016/j.jpainsymman.2011.09.015. View

14.

Gu X, Song L, Li L, Liu T, Zhang M, Li Z . Causes Microbial Dysbiosis and Exacerbates Visceral Hypersensitivity in a Colonization-Independent Manner. Front Microbiol. 2020; 11:1281. PMC: 7358639. DOI: 10.3389/fmicb.2020.01281. View

15.

Hochstenbach L, Courtens A, Zwakhalen S, van Kleef M, de Witte L . Self-management support intervention to control cancer pain in the outpatient setting: a randomized controlled trial study protocol. BMC Cancer. 2015; 15:416. PMC: 4451734. DOI: 10.1186/s12885-015-1428-1. View

16.

Chatwin J, Closs J, Bennett M . Pain in older people with cancer: attitudes and self-management strategies. Eur J Cancer Care (Engl). 2009; 18(2):124-30. DOI: 10.1111/j.1365-2354.2007.00885.x. View

17.

Hernandez Silva E, Lawler S, Langbecker D . The effectiveness of mHealth for self-management in improving pain, psychological distress, fatigue, and sleep in cancer survivors: a systematic review. J Cancer Surviv. 2019; 13(1):97-107. DOI: 10.1007/s11764-018-0730-8. View

18.

Meier-Girard D, Ribi K, Gerstenberg G, Ruhstaller T, Wolf U . Eurythmy therapy versus slow movement fitness in the treatment of fatigue in metastatic breast cancer patients: study protocol for a randomized controlled trial. Trials. 2020; 21(1):612. PMC: 7336433. DOI: 10.1186/s13063-020-04542-5. View

19.

Xiao S, Zhao C, Sun J, Dou Y, Teng M . Effect of high-quality nursing on negative psychological moods and quality of life of elderly patients with hypertension. Am J Transl Res. 2021; 13(4):3710-3716. PMC: 8129218. View