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맞춤형 암성통증관리 개별교육 및 코칭의 효과

Effects of a Tailored Education and Coaching Program to Enhance Care of Cancer-related Pain

근관절건강학회지 2020년 27권 1호 p.12 ~ 21
김혜진 ( Kim Hye-Jin ) - Seoul National University Hospital

김영미 ( Kim Young-Mee ) - Namseoul University Department of Nursing
김희진 ( Kim Hee-Jin ) - Seoul National University Hospital

Abstract


Purpose: The study was to develop a tailored education and coaching program (TECP) for cancer patients, and to identify the effects of TECP on pain severity, daily living impairment, barriers on pain management, self-efficacy, and pain management satisfaction.

Methods: A randomized controlled trial was used. Patients referred to an oncology nurse specialist from oncologists for pain management were randomly assigned to TECP (25) or usual education program (UEP, 22). The intervention was offered by educating the method of taking opioid medication, managing opioid-induced side effects, reducing pain misconceptions and enhancing self-efficacy for communicating with a medical team on cancer pain severity, and pain-related impairment. Patients completed questionnaires before the education program and on the next visit 3~4 weeks later. Data were analyzed by SPSS 19.0 program using percentage, frequency, mean, standard deviation, x2 test and independent t-test.

Results: At all levels, pain severity improved significantly in the experimental group-worst pain (8.16 to 3.80, p<.001), average pain (6.16 to 2.52 p=.008), and least pain (3.32 to 0.96, p=.038)-but not in the control group. Pain management satisfaction also showed significant differences (t=2.93, p=.005) between experimental (4.70±0.49) and control (4.17±0.73) groups. Interference with daily living, barriers to managing cancer pain, and self-efficacy for managing pain improved in both groups but there were no significant differences.

Conclusion: The findings suggest that TECP should be considered for outpatients who need cancer pain management.

키워드

암성통증; 통증관리; 환자교육; 간호; 자기효능
Cancer pain; Pain management; Patient education; Nursing; Self efficacy
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