Effectiveness of a Nursing Intervention Program to Promote Cancer Pain Self-management for Outpatients: A Non-randomized Controlled Trial

Masako YAMANAKA; Yukie IIDA; Naomi NAKAMURA; Shuko ABE; Akemi SATO; Mihoko NAKAMURA; Kumi SUZUKI

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Effectiveness of a Nursing Intervention Program to Promote Cancer Pain Self-management for Outpatients: A Non-randomized Controlled Trial

VernacularTitle:通院患者のがん疼痛セルフマネジメントを促進する看護介入プログラムの有効性　非ランダム化比較試験
Author: Masako YAMANAKA ¹ ; Yukie IIDA ² ; Naomi NAKAMURA ³ ; Shuko ABE ⁴ ; Akemi SATO ⁵ ; Mihoko NAKAMURA ⁶ ; Kumi SUZUKI ⁷
Author Information

1. Department of Nursing Science, Faculty of Health Care, Tenri University
2. Nursing Department, NHO Kinki Chuo Chest Medical Center
3. Nursing Department & Supportive and Palliative Care Team, NHO Kinki Chuo Chest Medical Center
4. Chemotherapy Room, Tenri Hospital
5. Medical Cooperation Welfare Center, Sapporo Medical University Hospital
6. Palliative Care Center, Osaka City Hospital Organization Osaka City General Hospital
7. Faculty of Nursing, Osaka Medical and Pharmaceutical University
Keywords: cancer pain; outpatient; self-management; nursing intervention program; non-randomized controlled trial
From:Palliative Care Research 2025;20(4):209-215
CountryJapan
Language:Japanese
Abstract: Purpose: This study evaluated the effectiveness of a nursing intervention program to promote cancer pain self-management for outpatients using a non-randomized controlled trial. Methods: An intervention group underwent 3 sessions of the intervention program. The primary outcome measured was pain intensity (Japanese brief pain inventory [BPI-J]), and the secondary outcomes included the influence of pain on daily life, the effectiveness of pain relief treatment (BPI-J), quality of life (12-item short-form health survey [SF-12]), self-efficacy (pain self-efficacy questionnaire [PSEQ]), and psychological stability (hospital anxiety and depression scale [HADS]). Results: The data from 19 participants in the control and 16 in the intervention groups were analyzed. A comparison of changes in pain intensity before and after the study showed no statistically significant differences between the 2 groups. However, there was a statistically significant difference in the SF-12 role physical, with a decrease in the control group and an increase in the intervention group ( P=0.020). Conclusion: The only significant difference in the amount of change was found in the SF-12 role physical, and the intervention effect of this program could not be clarified. The reason for this was that the number of subjects was less than the sample size.