Effects of nurse-led education of cancer pain management and implications for nursing practice: A Meta-analysis

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  • 看護師がおこなうがん患者の疼痛管理教育の効果と支援内容・方法の検討：無作為化比較試験のメタアナリシス
  • カンゴシ ガ オコナウ ガン カンジャ ノ トウツウ カンリ キョウイク ノ コウカ ト シエン ナイヨウ ・ ホウホウ ノ ケントウ : ムサクイカ ヒカク シケン ノ メタアナリシス

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Objectives: The aim of this study was to assess the effectiveness of nurse-led pain management education for patients with cancer. Method: A meta-analysis of randomized controlled trial testing nurse-led pain management education for cancer patients was undertaken to examine the effect and moderator analysis was carried out to identify the effective components, methods and situations associated with relief from cancer pain. We used a random effects model to combine the effect estimates from the studies included in the analysis. The main outcome measures were effect (SMD: standardized mean difference) on pain intensity. Results: Out of 260 studies meeting our inclusion criteria, 11 RCTs totaling 1812 patients were included in the final analysis. Our results showed a significant effect on pain relief among cancer patients. The moderator analysis showed a beneficial effects of nurse-led pain education with compornents including observed with the contents "pharmacologic pain treatment", "pain assessment", "nonpharmacological pain management", "side-effect". Effective methods inclouded "using booklet", "face to face", and "higher dose of intervention (characterized by face to face, multiple sessions, and extensive follow-up)". Nurse-led pain education was more effective in outpatients than in inpatients and with family caregivers. Conclusion: This study suggested that nurse-led pain management education for patients with cancer pain was effective.

Journal

  • 三重看護学誌

    三重看護学誌 22 9-20, 2020-03-31

    三重大学大学院医学系研究科看護学専攻

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