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A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings

Yates, Patsy, Edwards, Helen E., Nash, Robyn E., Aranda, Sanchia, Purdie, David, Najman, Jackob M., Skerman, Helen M., & Walsh, Anne M. (2004) A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Education and Counseling, 53(2), pp. 227-237.

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Abstract

The persistence of negative attitudes towards cancer pain and its treatment suggests there is scope for identifying more effective pain education strategies. This randomized controlled trial involving 189 ambulatory cancer patients evaluated an educational intervention that aimed to optimize patients’ ability to manage pain. One week post-intervention, patients receiving the pain management intervention (PMI) had a significantly greater increase in self-reported pain knowledge, perceived control over pain, and number of pain treatments recommended. Intervention group patients also demonstrated a greater reduction in willingness to tolerate pain, concerns about addiction and side effects, being a "good" patient, and tolerance to pain relieving medication. The results suggest that targeted educational interventions that utilize individualized instructional techniques may alter cancer patient attitudes, which can potentially act as barriers to effective pain management.

Impact and interest:

49 citations in Scopus
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46 citations in Web of Science®

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ID Code: 1990
Item Type: Journal Article
Keywords: Cancer pain, Pain management, Barriers, Communication, Patient education
DOI: 10.1016/S0738-3991(03)00165-4
ISSN: 0738-3991
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2004 Elsevier
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 13 Oct 2005
Last Modified: 29 Feb 2012 23:07

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