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Roberson PNE, Tasman JG, Woods SB, Cortez G, Somers TJ, Lloyd J. Overcoming Patient Pain Together: Breast Cancer Patients and Caregivers' Pretreatment Psychosocial Distress Linked to Patients' Pain Interference During the First Year of Treatment. THE JOURNAL OF PAIN 2024; 25:104491. [PMID: 38341014 DOI: 10.1016/j.jpain.2024.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 02/01/2024] [Accepted: 02/03/2024] [Indexed: 02/12/2024]
Abstract
Breast cancer patients experience treatment-related pain from surgery, radiation, chemotherapy, and long-term hormonal treatment, which can lead to poorer outcomes. Patient and family caregivers' psychosocial distress exacerbates patient pain interference, but this has not been directly examined among breast cancer patients in dyadic models longitudinally. Guided by a biopsychosocial framework, the Biobehavioral Family Model, we explore how multiple reports of patient pain interference across the first year of treatment are linked to the patient (N = 55) and caregiver (N = 55) pretreatment psychosocial distress (eg, depression, anxiety, marital satisfaction, family relationship quality). Specifically, we find that breast cancer patients' pain interference increases and then decreases over the first year of treatment. Additionally, caregivers' pretreatment anxiety was associated with increased patient pain interference over time (B = .19, SE = .07, P = .008), while patients' pretreatment psychosocial distress was not associated with a change in their pain interference. Yet, looking at clinically specific times during the first year of treatment, we find that caregiver-reported higher marital satisfaction is associated with lower patient-reported pain interference later in treatment (6 months: B = -.58, SE = .24, P = .017; 12 months: B = -.82, SE = .23, P < .001). We conclude that, per the Biobehavioral Family Model, pretreatment patient and caregiver psychosocial distress is linked to patient pain interference during the first year of breast cancer treatment. Thus, caregivers' psychosocial distress (ie, anxiety and marital satisfaction) may be a particularly important target in future dyadic behavioral intervention strategies to reduce breast cancer patient pain. PERSPECTIVE: This article presents the link between breast cancer patients and family caregiver pretreatment psychosocial distress (anxiety, depression, marital satisfaction, and family quality) on patient pain interference during 1 year of breast cancer treatment. Findings suggest that caregiver anxiety and marital satisfaction may be important targets for future dyadic behavioral pain interventions.
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Affiliation(s)
- Patricia N E Roberson
- College of Nursing, University of Tennessee, Knoxville, Knoxville, Tennessee; Department of Surgery, Graduate School of Medicine, University of Tennessee Health Science Center, Knoxville, Tennessee
| | - Jordan G Tasman
- College of Nursing, University of Tennessee, Knoxville, Knoxville, Tennessee
| | - Sarah B Woods
- Department of Community and Family Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Gina Cortez
- Human Ecology, University of California, Davis, Davis, California
| | - Tamara J Somers
- Psychiatry and Behavioral Science, Duke University, Durham, North Carolina
| | - Jillian Lloyd
- Department of Surgery, Graduate School of Medicine, University of Tennessee Health Science Center, Knoxville, Tennessee
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2
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Krok D, Telka E, Moroń M. Personal Resources and Total Pain: Exploring the Multiple Mediation of Fear of Recurrence, Meaning-Making, and Coping in Posttreatment Cancer Patients. Ann Behav Med 2024:kaae029. [PMID: 38850553 DOI: 10.1093/abm/kaae029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2024] Open
Abstract
BACKGROUND People with cancer who have completed treatment still experience negative effects, such as an increased risk of experiencing cancer-related pain. Psychological factors tend to influence cancer patients' ability to cope with pain in various dimensions. Although personal resources are an important factor in buffering total pain, still little is known about the intervening variables and underlying mechanisms. PURPOSE The current study examined the relationship between psychological flexibility, self-esteem, and total pain, while considering fear of recurrence, meaning-making, and coping as potential mediating factors. METHODS Adults (N = 304) who completed medical treatment (radiotherapy, chemotherapy, and combined therapy) participated in this study. They completed questionnaires measuring the aforementioned variables. Structural equation models were used to examine mediation effects. RESULTS Psychological flexibility, and partly self-esteem, were negatively related to the dimensions of total pain. However, to a large extent, these relationships were serially and parallelly mediated by fear of recurrence, meaning-making, and emotion-oriented coping. CONCLUSIONS Consistent with the meaning-making model, cognitive (meaning-making), and affective (fear of recurrence and emotional coping) factors may be potential mechanisms underlying the association between psychological flexibility, self-esteem, and total pain in posttreatment cancer patients. In this study, they tended to interact in the area of physiological and psychosocial experiences of cancer-related pain.
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Affiliation(s)
- Dariusz Krok
- Institute of Psychology, Faculty of Social Sciences, University of Opole, Opole, Poland
| | - Ewa Telka
- The Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland
| | - Marcin Moroń
- Institute of Psychology, Faculty of Social Sciences, University of Silesia, Katowice, Poland
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Martini RS, Brown T, Singh V, Woodbury A. Integrative Approaches for Cancer Pain Management. Curr Oncol Rep 2024; 26:691-705. [PMID: 38683254 DOI: 10.1007/s11912-024-01536-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2024] [Indexed: 05/01/2024]
Abstract
PURPOSE OF REVIEW The goal of this review is to summarize updates to the broad array of complementary therapies available for cancer pain. This paper will serve as a reference for clinicians managing pain in cancer patients. RECENT FINDINGS Patients are embracing integrative therapies in growing numbers; clinicians must be prepared to incorporate these therapies into patients' existing treatment regimens. This requires knowledge regarding risks, benefits, and potential interactions with existing cancer therapies. Integrative cancer pain management strategies have shown promise, with several proven effective for the management of cancer pain. Energy therapies, including acupuncture, and biologicals and nutraceuticals including overall diet and vitamin D, have the highest level of evidence for efficacy. The remaining therapies discussed in this chapter may be beneficial for patients on a case-by-case basis; risks and benefits of each individual therapy as described in the text must be further assessed in future rigorous trials to further clarify the role of these complementary therapies in cancer pain management.
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Affiliation(s)
- Reema Sabeeha Martini
- Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA, USA.
- Emory University Laney Graduate School, Atlanta, GA, USA.
| | | | - Vinita Singh
- Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA, USA
| | - Anna Woodbury
- Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA, USA
- Atlanta Veterans Affairs Healthcare System, Atlanta, GA, USA
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Correa-Morales JE, Mantilla-Manosalva N, Rodríguez-Cardona X, Bedoya-Muñoz LJ, Florez-Vargas B, León MX, Giraldo-Moreno S, Gomezese OF, Salamanca-Balen N. Guided Imagery for Symptom Management of Patients with Life-Limiting Illnesses: A Systematic Review of Randomized Controlled Trials. J Palliat Med 2024; 27:802-812. [PMID: 38350116 DOI: 10.1089/jpm.2023.0445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2024] Open
Abstract
Background: Patients with life-limiting illnesses receiving palliative care have a high symptom burden that can be challenging to manage. Guided imagery (GI), a complementary and integrative therapy in which patients are induced to picture mental images with sensory components, has proven in quasi-experimental studies to be effective as a complementary therapy for symptom management. Objective: To systematically review randomized controlled trials that report evidence of guided imagery for symptom management in patients with life-limiting illnesses. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed for this review and the search strategy was applied in Medline, CINHAL, and Web of Science. The quality of articles was evaluated using the Cochrane Collaboration's Risk-of-Bias Tool 2 (RoB 2). The results are presented using the Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. Results: A total of 8822 studies were initially identified through the search strategy, but after applying exclusion criteria, 14 randomized controlled trials were included in this review. The quality assessment revealed that four studies had a high risk of bias, nine had some concerns, and one had a low risk of bias. Out of the 14 studies, 6 evaluated oncological diagnosis, while the remaining 8 focused on nononcological diagnoses across 6 different diseases. GI was found to be effective in managing symptoms in 10 out of the 14 studies. Regardless of the disease stage, patients who received guided imagery experienced relief from anxiety, depression, pain, sleep disturbances, and fatigue. Conclusion: GI therapy has shown promising results regarding symptom management in palliative care patients with life-limiting illnesses at different stages.
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Affiliation(s)
- Juan Esteban Correa-Morales
- Palliative Care Program, Universidad de La Sabana, Chía, Colombia
- Instituto Nacional de Cancerología, Bogotá, Colombia
| | - Nidia Mantilla-Manosalva
- Palliative Care Program, Universidad de La Sabana, Chía, Colombia
- Instituto Nacional de Cancerología, Bogotá, Colombia
| | - Ximena Rodríguez-Cardona
- Palliative Care Program, Universidad de La Sabana, Chía, Colombia
- Instituto Nacional de Cancerología, Bogotá, Colombia
| | - Lennis Jazmin Bedoya-Muñoz
- Palliative Care Program, Universidad de La Sabana, Chía, Colombia
- Instituto Nacional de Cancerología, Bogotá, Colombia
| | - Bibiana Florez-Vargas
- Palliative Care Program, Universidad de La Sabana, Chía, Colombia
- Instituto Nacional de Cancerología, Bogotá, Colombia
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5
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Luo H, Li Q, Xu R, Han S, Yang J. Reliability and Validity of the Chinese Version of the Nurses' Cancer Pain Management Competency Scale. Pain Manag Nurs 2024:S1524-9042(24)00142-5. [PMID: 38734526 DOI: 10.1016/j.pmn.2024.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 03/19/2024] [Accepted: 04/06/2024] [Indexed: 05/13/2024]
Abstract
BACKGROUND The Nurses' Cancer Pain Management Competency Scale (NCPMCS) is a tool to explore nurses' competencies and subjective experiences in cancer pain management, and to help nurses understand their current shortcomings in cancer pain management. The scale, currently available only in English and translated into Chinese for wider adoption abroad, provides a tool for Chinese nurses to assess their level of cancer pain management. Furthermore, based on the scale's specific score, they can evaluate their lack of understanding about cancer pain management, advance research into this area, and enhance their capacity to control cancer pain while providing patient care. OBJECTIVE The purpose of this study was to translate and localize the new scale, and to measure its reliability and validity. The study was also to provide a way to quickly and accurately measure the competency of cancer pain management among nursing staff in China. METHODS The Bristling translation approach was used to translate, translate back, and culturally modify the English version of the cancer pain management competency scale for nurses to create the Chinese version. A convenience sample was used for the study, 220 clinical nurses from three Grade III hospitals in Zhengzhou, Henan Province, China, were chosen by convenience sampling. The Chinese version of the scale was used for this investigation. RESULTS The Cancer Pain Management Competency Scale for Nurses has 14 items over 4 dimensions in its Chinese form. From the exploratory factor analysis, four common components were recovered; the cumulative variance rate was 81.994%, the scale's Cronbach's α coefficient was 0.902, and the Cronbach's α coefficient for each dimension ranged from 0.800 to 0.938. Retest reliability was 0.915, scale content validity was 0.865, and Spearman-Brown's broken half reliability was 0.808. CONCLUSION Nurses' cancer pain management competency in clinics can be assessed using the Chinese version of the Nurses' Cancer Pain Management Competency Scale, which has strong validity and reliability.
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Affiliation(s)
- Haoyue Luo
- School of Nursing and Health, Zhengzhou University (ZZU), Zhengzhou City, Henan Province, China
| | - Qiufang Li
- School of Nursing and Health, Zhengzhou University (ZZU), Zhengzhou City, Henan Province, China.
| | - Rui Xu
- The Third Affiliated Hospital of Zhengzhou University, Zhengzhou City, Henan Province, China
| | - Shuangrong Han
- School of Nursing and Health, Zhengzhou University (ZZU), Zhengzhou City, Henan Province, China
| | - Jiayin Yang
- School of Nursing and Health, Zhengzhou University (ZZU), Zhengzhou City, Henan Province, China
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Abdel Shaheed C, Hayes C, Maher CG, Ballantyne JC, Underwood M, McLachlan AJ, Martin JH, Narayan SW, Sidhom MA. Opioid analgesics for nociceptive cancer pain: A comprehensive review. CA Cancer J Clin 2024; 74:286-313. [PMID: 38108561 DOI: 10.3322/caac.21823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Revised: 10/05/2023] [Accepted: 10/20/2023] [Indexed: 12/19/2023] Open
Abstract
Pain is one of the most burdensome symptoms in people with cancer, and opioid analgesics are considered the mainstay of cancer pain management. For this review, the authors evaluated the efficacy and toxicities of opioid analgesics compared with placebo, other opioids, nonopioid analgesics, and nonpharmacologic treatments for background cancer pain (continuous and relatively constant pain present at rest), and breakthrough cancer pain (transient exacerbation of pain despite stable and adequately controlled background pain). They found a paucity of placebo-controlled trials for background cancer pain, although tapentadol or codeine may be more efficacious than placebo (moderate-certainty to low-certainty evidence). Nonsteroidal anti-inflammatory drugs including aspirin, piroxicam, diclofenac, ketorolac, and the antidepressant medicine imipramine, may be at least as efficacious as opioids for moderate-to-severe background cancer pain. For breakthrough cancer pain, oral transmucosal, buccal, sublingual, or intranasal fentanyl preparations were identified as more efficacious than placebo but were more commonly associated with toxicities, including constipation and nausea. Despite being recommended worldwide for the treatment of cancer pain, morphine was generally not superior to other opioids, nor did it have a more favorable toxicity profile. The interpretation of study results, however, was complicated by the heterogeneity in the study populations evaluated. Given the limited quality and quantity of research, there is a need to reappraise the clinical utility of opioids in people with cancer pain, particularly those who are not at the end of life, and to further explore the effects of opioids on immune system function and quality of life in these individuals.
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Affiliation(s)
- Christina Abdel Shaheed
- Faculty of Medicine and Health, School of Public Health, University of Sydney, Sydney, New South Wales, Australia
- Sydney Musculoskeletal Health, University of Sydney and Sydney Local Health District, Sydney, Australia
| | - Christopher Hayes
- College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia
| | - Christopher G Maher
- Faculty of Medicine and Health, School of Public Health, University of Sydney, Sydney, New South Wales, Australia
- Sydney Musculoskeletal Health, University of Sydney and Sydney Local Health District, Sydney, Australia
| | - Jane C Ballantyne
- University of Washington School of Medicine, Seattle, Washington, USA
| | - Martin Underwood
- Warwick Clinical Trials Unit, University of Warwick, Coventry, United Kingdom
- University Hospitals of Coventry and Warwickshire, Coventry, United Kingdom
| | - Andrew J McLachlan
- Faculty of Medicine and Health, Sydney Pharmacy School, University of Sydney, Sydney, New South Wales, Australia
| | - Jennifer H Martin
- College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia
| | - Sujita W Narayan
- Faculty of Medicine and Health, School of Public Health, University of Sydney, Sydney, New South Wales, Australia
- Sydney Musculoskeletal Health, University of Sydney and Sydney Local Health District, Sydney, Australia
- Faculty of Medicine and Health, Sydney Pharmacy School, University of Sydney, Sydney, New South Wales, Australia
| | - Mark A Sidhom
- Cancer Therapy Centre, Liverpool Hospital, Liverpool, New South Wales, Australia
- South Western Clinical School, University of New South Wales, Sydney, New South Wales, Australia
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7
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Chang P, Amaral LJ, Asher A, Clauw D, Jones B, Thompson P, Warner AS. A perspective on a precision approach to pain in cancer; moving beyond opioid therapy. Disabil Rehabil 2024; 46:2174-2183. [PMID: 37194659 DOI: 10.1080/09638288.2023.2212916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Accepted: 05/07/2023] [Indexed: 05/18/2023]
Abstract
PURPOSE Cancer-related pain is primarily treated with opioids which while effective can add significant patient burden due to side effects, associated stigma, and timely access. The purpose of this perspective discussion is to argue for a precision approach to pain in cancer based on a biopsychosocial and spiritual model which we argue can offer a higher quality of life while limiting opioid use. CONCLUSIONS Pain in cancer represents a heterogenous process with multiple contributing and modulating factors. Specific characterization of pain as either nociceptive, neuropathic, nociplastic, or mixed can allow for targeted treatments. Additional assessment of biopsychosocial and spiritual issues can elucidate further points of targeted intervention which can lead to overall greater pain control.
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Affiliation(s)
- Philip Chang
- Philip Chang - Cedars Sinai Medical Center, Los Angeles, CA
| | | | - Arash Asher
- Arash Asher - Cedars Sinai Medical Center, Los Angeles, CA
| | | | - Bronwen Jones
- Bronwen Jones - Cedars Sinai Medical Center, Los Angeles, CA
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8
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Wang J, Kang DX, Zhang AJ, Li BR. Effects of psychological intervention on negative emotions and psychological resilience in breast cancer patients after radical mastectomy. World J Psychiatry 2024; 14:8-14. [PMID: 38327881 PMCID: PMC10845232 DOI: 10.5498/wjp.v14.i1.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 11/23/2023] [Accepted: 12/07/2023] [Indexed: 01/19/2024] Open
Abstract
Breast cancer (BC)is the most common malignant tumor in women, and the treatment process not only results in physical pain but also significant psychological distress in patients. Psychological intervention (PI) has been recognized as an important approach in treating postoperative psychological disorders in BC patients. It has been proven that PI has a significant therapeutic effect on post-operative psychological disorders, improving patients' negative emotions, enhancing their psychological resilience, and effectively enhancing their quality of life and treatment compliance.
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Affiliation(s)
- Jing Wang
- Department of Surgery, The Fourth Affiliated Hospital of China Medical University, Shenyang 110033, Liaoning Province, China
| | - Dong-Xue Kang
- Operating Room, The Fourth Affiliated Hospital of China Medical University, Shenyang 110033, Liaoning Province, China
| | - Ai-Jun Zhang
- Department of Central Sterile Supply, The Fourth Affiliated Hospital of China Medical University, Shenyang 110033, Liaoning Province, China
| | - Bing-Rui Li
- Department of Surgery, The Fourth Affiliated Hospital of China Medical University, Shenyang 110033, Liaoning Province, China
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Erdal S, Harman Özdoğan M, Yildirim D, Kuni A, Selçuk S, Güneri A, Arslan EN. Effects of Orange Oil Aromatherapy on Pain and Anxiety During Invasive Interventions in Patients With Hematopoietic Stem Cell Transplants. JOURNAL OF INFUSION NURSING 2024; 47:54-60. [PMID: 38211616 DOI: 10.1097/nan.0000000000000529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Abstract
Invasive interventions, such as peripheral intravenous cannula, port needle placement, and blood collection, are often required for both inpatient and outpatient follow-up patients with hematological malignancies and hematopoietic stem cell transplants. This prospective, randomized controlled experimental study assessed the effect of orange oil inhalation used in aromatherapy on pain and anxiety levels in invasive interventions with hematological malignancies and hematopoietic stem cell transplants. It was conducted prospectively with 80 patients with hematological malignancies who were treated in the adult bone marrow transplant unit and adult hematology service of a private hospital between May 2021 and April 2022. The orange oil inhalation used in aromatherapy was applied to patients in the intervention group. The Visual Analog Scale (VAS) and State-Trait Anxiety Inventory (STAI) were used for data collection. Regarding the personal characteristics of the patients, 42.5% were ≥61 years old, 60% were men, and 85% were married. VAS pain scores of the intervention group were statistically lower than those of the control group (P < .001). However, there was no statistically significant difference in the STAI scores of groups (P >.05). The study results show that orange oil inhalation has been determined to reduce pain during invasive interventions.
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Affiliation(s)
- Seckin Erdal
- Acibadem Altunizade Hospital, Adult Bone Marrow Transplantation Unit, İstanbul, Turkey (Erdal, Kuni, Selçuk, Güneri, and Arslan); Department of Medical Services and Techniques, Vocational School of Health Services, Sinop University, Sinop, Turkey (Harman Özdoğan); and Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey (Yildirim)
- Seckin Erdal, RN, is currently working as a nurse in charge in the adult bone marrow transplant unit at Acibadem Altunizade Hospital. She started her professional career as an emergency, internal medicine, and oncology nurse and has been a nurse in charge of bone marrow transplantation since 1989. In 2015, she founded and chaired the European Blood and Bone Marrow Transplantation Turkey Nurse Group
- Merve Harman Özdoğan, MSN, RN, completed her undergraduate education in 2011 and her graduate education in 2016. She worked as a nurse in the stem cell transplant service for 8 years. She has been working as a lecturer at Sinop University since 2019. Her areas of interest are internal medicine, oncology, hematology, and dialysis
- Dilek Yıldırım, PhD, RN, graduated from Istanbul University Florence Nightingale School of Nursing in 2009. She completed her master's degree at Istanbul University Institute of Health Sciences, Internal Medicine Nursing Master Program, in 2013. She completed a doctorate program at the same university in 2018. Her research areas of interest concern nursing education, palliative care, cancer, pain, cancer symptoms, intensive care nursing research, and internal medicine nursing. Dr. Yildirim is working as an assistant professor at the nursing department in Istanbul Aydin University, Faculty of Health Sciences
- Ayşem Kuni, RN, graduated from Sakarya University, Department of Nursing, in 2014. She has been working as a case manager nurse in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital since 2014
- Sevinc Selçuk, RN, has been working as a training nurse in the adult hematology service of Acıbadem Altunizade Hospital since 2014. She graduated from Ege University, Department of Nursing, in 2014
- Azize Güner, RN, graduated from Konya Health Vocational High School Nursing Department in 2011. She is currently working as a nurse team leader in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital. She began her professional career as a surgery, internal medicine nurse. She has been working as an adult bone marrow transplant nurse since 2014
- Elif Naz Arslan, MPsych, is a clinical psychologist and has a master of science degree in the clinical and community psychology field in University of East London (UEL). She has worked with adults in private clinics since 2017 and is currently working as a clinical psychologist in the adult bone marrow transplantation unit, hematolytic service, and her private clinic
| | - Merve Harman Özdoğan
- Acibadem Altunizade Hospital, Adult Bone Marrow Transplantation Unit, İstanbul, Turkey (Erdal, Kuni, Selçuk, Güneri, and Arslan); Department of Medical Services and Techniques, Vocational School of Health Services, Sinop University, Sinop, Turkey (Harman Özdoğan); and Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey (Yildirim)
- Seckin Erdal, RN, is currently working as a nurse in charge in the adult bone marrow transplant unit at Acibadem Altunizade Hospital. She started her professional career as an emergency, internal medicine, and oncology nurse and has been a nurse in charge of bone marrow transplantation since 1989. In 2015, she founded and chaired the European Blood and Bone Marrow Transplantation Turkey Nurse Group
- Merve Harman Özdoğan, MSN, RN, completed her undergraduate education in 2011 and her graduate education in 2016. She worked as a nurse in the stem cell transplant service for 8 years. She has been working as a lecturer at Sinop University since 2019. Her areas of interest are internal medicine, oncology, hematology, and dialysis
- Dilek Yıldırım, PhD, RN, graduated from Istanbul University Florence Nightingale School of Nursing in 2009. She completed her master's degree at Istanbul University Institute of Health Sciences, Internal Medicine Nursing Master Program, in 2013. She completed a doctorate program at the same university in 2018. Her research areas of interest concern nursing education, palliative care, cancer, pain, cancer symptoms, intensive care nursing research, and internal medicine nursing. Dr. Yildirim is working as an assistant professor at the nursing department in Istanbul Aydin University, Faculty of Health Sciences
- Ayşem Kuni, RN, graduated from Sakarya University, Department of Nursing, in 2014. She has been working as a case manager nurse in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital since 2014
- Sevinc Selçuk, RN, has been working as a training nurse in the adult hematology service of Acıbadem Altunizade Hospital since 2014. She graduated from Ege University, Department of Nursing, in 2014
- Azize Güner, RN, graduated from Konya Health Vocational High School Nursing Department in 2011. She is currently working as a nurse team leader in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital. She began her professional career as a surgery, internal medicine nurse. She has been working as an adult bone marrow transplant nurse since 2014
- Elif Naz Arslan, MPsych, is a clinical psychologist and has a master of science degree in the clinical and community psychology field in University of East London (UEL). She has worked with adults in private clinics since 2017 and is currently working as a clinical psychologist in the adult bone marrow transplantation unit, hematolytic service, and her private clinic
| | - Dilek Yildirim
- Acibadem Altunizade Hospital, Adult Bone Marrow Transplantation Unit, İstanbul, Turkey (Erdal, Kuni, Selçuk, Güneri, and Arslan); Department of Medical Services and Techniques, Vocational School of Health Services, Sinop University, Sinop, Turkey (Harman Özdoğan); and Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey (Yildirim)
- Seckin Erdal, RN, is currently working as a nurse in charge in the adult bone marrow transplant unit at Acibadem Altunizade Hospital. She started her professional career as an emergency, internal medicine, and oncology nurse and has been a nurse in charge of bone marrow transplantation since 1989. In 2015, she founded and chaired the European Blood and Bone Marrow Transplantation Turkey Nurse Group
- Merve Harman Özdoğan, MSN, RN, completed her undergraduate education in 2011 and her graduate education in 2016. She worked as a nurse in the stem cell transplant service for 8 years. She has been working as a lecturer at Sinop University since 2019. Her areas of interest are internal medicine, oncology, hematology, and dialysis
- Dilek Yıldırım, PhD, RN, graduated from Istanbul University Florence Nightingale School of Nursing in 2009. She completed her master's degree at Istanbul University Institute of Health Sciences, Internal Medicine Nursing Master Program, in 2013. She completed a doctorate program at the same university in 2018. Her research areas of interest concern nursing education, palliative care, cancer, pain, cancer symptoms, intensive care nursing research, and internal medicine nursing. Dr. Yildirim is working as an assistant professor at the nursing department in Istanbul Aydin University, Faculty of Health Sciences
- Ayşem Kuni, RN, graduated from Sakarya University, Department of Nursing, in 2014. She has been working as a case manager nurse in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital since 2014
- Sevinc Selçuk, RN, has been working as a training nurse in the adult hematology service of Acıbadem Altunizade Hospital since 2014. She graduated from Ege University, Department of Nursing, in 2014
- Azize Güner, RN, graduated from Konya Health Vocational High School Nursing Department in 2011. She is currently working as a nurse team leader in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital. She began her professional career as a surgery, internal medicine nurse. She has been working as an adult bone marrow transplant nurse since 2014
- Elif Naz Arslan, MPsych, is a clinical psychologist and has a master of science degree in the clinical and community psychology field in University of East London (UEL). She has worked with adults in private clinics since 2017 and is currently working as a clinical psychologist in the adult bone marrow transplantation unit, hematolytic service, and her private clinic
| | - Ayşem Kuni
- Acibadem Altunizade Hospital, Adult Bone Marrow Transplantation Unit, İstanbul, Turkey (Erdal, Kuni, Selçuk, Güneri, and Arslan); Department of Medical Services and Techniques, Vocational School of Health Services, Sinop University, Sinop, Turkey (Harman Özdoğan); and Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey (Yildirim)
- Seckin Erdal, RN, is currently working as a nurse in charge in the adult bone marrow transplant unit at Acibadem Altunizade Hospital. She started her professional career as an emergency, internal medicine, and oncology nurse and has been a nurse in charge of bone marrow transplantation since 1989. In 2015, she founded and chaired the European Blood and Bone Marrow Transplantation Turkey Nurse Group
- Merve Harman Özdoğan, MSN, RN, completed her undergraduate education in 2011 and her graduate education in 2016. She worked as a nurse in the stem cell transplant service for 8 years. She has been working as a lecturer at Sinop University since 2019. Her areas of interest are internal medicine, oncology, hematology, and dialysis
- Dilek Yıldırım, PhD, RN, graduated from Istanbul University Florence Nightingale School of Nursing in 2009. She completed her master's degree at Istanbul University Institute of Health Sciences, Internal Medicine Nursing Master Program, in 2013. She completed a doctorate program at the same university in 2018. Her research areas of interest concern nursing education, palliative care, cancer, pain, cancer symptoms, intensive care nursing research, and internal medicine nursing. Dr. Yildirim is working as an assistant professor at the nursing department in Istanbul Aydin University, Faculty of Health Sciences
- Ayşem Kuni, RN, graduated from Sakarya University, Department of Nursing, in 2014. She has been working as a case manager nurse in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital since 2014
- Sevinc Selçuk, RN, has been working as a training nurse in the adult hematology service of Acıbadem Altunizade Hospital since 2014. She graduated from Ege University, Department of Nursing, in 2014
- Azize Güner, RN, graduated from Konya Health Vocational High School Nursing Department in 2011. She is currently working as a nurse team leader in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital. She began her professional career as a surgery, internal medicine nurse. She has been working as an adult bone marrow transplant nurse since 2014
- Elif Naz Arslan, MPsych, is a clinical psychologist and has a master of science degree in the clinical and community psychology field in University of East London (UEL). She has worked with adults in private clinics since 2017 and is currently working as a clinical psychologist in the adult bone marrow transplantation unit, hematolytic service, and her private clinic
| | - Sevinc Selçuk
- Acibadem Altunizade Hospital, Adult Bone Marrow Transplantation Unit, İstanbul, Turkey (Erdal, Kuni, Selçuk, Güneri, and Arslan); Department of Medical Services and Techniques, Vocational School of Health Services, Sinop University, Sinop, Turkey (Harman Özdoğan); and Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey (Yildirim)
- Seckin Erdal, RN, is currently working as a nurse in charge in the adult bone marrow transplant unit at Acibadem Altunizade Hospital. She started her professional career as an emergency, internal medicine, and oncology nurse and has been a nurse in charge of bone marrow transplantation since 1989. In 2015, she founded and chaired the European Blood and Bone Marrow Transplantation Turkey Nurse Group
- Merve Harman Özdoğan, MSN, RN, completed her undergraduate education in 2011 and her graduate education in 2016. She worked as a nurse in the stem cell transplant service for 8 years. She has been working as a lecturer at Sinop University since 2019. Her areas of interest are internal medicine, oncology, hematology, and dialysis
- Dilek Yıldırım, PhD, RN, graduated from Istanbul University Florence Nightingale School of Nursing in 2009. She completed her master's degree at Istanbul University Institute of Health Sciences, Internal Medicine Nursing Master Program, in 2013. She completed a doctorate program at the same university in 2018. Her research areas of interest concern nursing education, palliative care, cancer, pain, cancer symptoms, intensive care nursing research, and internal medicine nursing. Dr. Yildirim is working as an assistant professor at the nursing department in Istanbul Aydin University, Faculty of Health Sciences
- Ayşem Kuni, RN, graduated from Sakarya University, Department of Nursing, in 2014. She has been working as a case manager nurse in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital since 2014
- Sevinc Selçuk, RN, has been working as a training nurse in the adult hematology service of Acıbadem Altunizade Hospital since 2014. She graduated from Ege University, Department of Nursing, in 2014
- Azize Güner, RN, graduated from Konya Health Vocational High School Nursing Department in 2011. She is currently working as a nurse team leader in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital. She began her professional career as a surgery, internal medicine nurse. She has been working as an adult bone marrow transplant nurse since 2014
- Elif Naz Arslan, MPsych, is a clinical psychologist and has a master of science degree in the clinical and community psychology field in University of East London (UEL). She has worked with adults in private clinics since 2017 and is currently working as a clinical psychologist in the adult bone marrow transplantation unit, hematolytic service, and her private clinic
| | - Azize Güneri
- Acibadem Altunizade Hospital, Adult Bone Marrow Transplantation Unit, İstanbul, Turkey (Erdal, Kuni, Selçuk, Güneri, and Arslan); Department of Medical Services and Techniques, Vocational School of Health Services, Sinop University, Sinop, Turkey (Harman Özdoğan); and Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey (Yildirim)
- Seckin Erdal, RN, is currently working as a nurse in charge in the adult bone marrow transplant unit at Acibadem Altunizade Hospital. She started her professional career as an emergency, internal medicine, and oncology nurse and has been a nurse in charge of bone marrow transplantation since 1989. In 2015, she founded and chaired the European Blood and Bone Marrow Transplantation Turkey Nurse Group
- Merve Harman Özdoğan, MSN, RN, completed her undergraduate education in 2011 and her graduate education in 2016. She worked as a nurse in the stem cell transplant service for 8 years. She has been working as a lecturer at Sinop University since 2019. Her areas of interest are internal medicine, oncology, hematology, and dialysis
- Dilek Yıldırım, PhD, RN, graduated from Istanbul University Florence Nightingale School of Nursing in 2009. She completed her master's degree at Istanbul University Institute of Health Sciences, Internal Medicine Nursing Master Program, in 2013. She completed a doctorate program at the same university in 2018. Her research areas of interest concern nursing education, palliative care, cancer, pain, cancer symptoms, intensive care nursing research, and internal medicine nursing. Dr. Yildirim is working as an assistant professor at the nursing department in Istanbul Aydin University, Faculty of Health Sciences
- Ayşem Kuni, RN, graduated from Sakarya University, Department of Nursing, in 2014. She has been working as a case manager nurse in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital since 2014
- Sevinc Selçuk, RN, has been working as a training nurse in the adult hematology service of Acıbadem Altunizade Hospital since 2014. She graduated from Ege University, Department of Nursing, in 2014
- Azize Güner, RN, graduated from Konya Health Vocational High School Nursing Department in 2011. She is currently working as a nurse team leader in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital. She began her professional career as a surgery, internal medicine nurse. She has been working as an adult bone marrow transplant nurse since 2014
- Elif Naz Arslan, MPsych, is a clinical psychologist and has a master of science degree in the clinical and community psychology field in University of East London (UEL). She has worked with adults in private clinics since 2017 and is currently working as a clinical psychologist in the adult bone marrow transplantation unit, hematolytic service, and her private clinic
| | - Elif Naz Arslan
- Acibadem Altunizade Hospital, Adult Bone Marrow Transplantation Unit, İstanbul, Turkey (Erdal, Kuni, Selçuk, Güneri, and Arslan); Department of Medical Services and Techniques, Vocational School of Health Services, Sinop University, Sinop, Turkey (Harman Özdoğan); and Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey (Yildirim)
- Seckin Erdal, RN, is currently working as a nurse in charge in the adult bone marrow transplant unit at Acibadem Altunizade Hospital. She started her professional career as an emergency, internal medicine, and oncology nurse and has been a nurse in charge of bone marrow transplantation since 1989. In 2015, she founded and chaired the European Blood and Bone Marrow Transplantation Turkey Nurse Group
- Merve Harman Özdoğan, MSN, RN, completed her undergraduate education in 2011 and her graduate education in 2016. She worked as a nurse in the stem cell transplant service for 8 years. She has been working as a lecturer at Sinop University since 2019. Her areas of interest are internal medicine, oncology, hematology, and dialysis
- Dilek Yıldırım, PhD, RN, graduated from Istanbul University Florence Nightingale School of Nursing in 2009. She completed her master's degree at Istanbul University Institute of Health Sciences, Internal Medicine Nursing Master Program, in 2013. She completed a doctorate program at the same university in 2018. Her research areas of interest concern nursing education, palliative care, cancer, pain, cancer symptoms, intensive care nursing research, and internal medicine nursing. Dr. Yildirim is working as an assistant professor at the nursing department in Istanbul Aydin University, Faculty of Health Sciences
- Ayşem Kuni, RN, graduated from Sakarya University, Department of Nursing, in 2014. She has been working as a case manager nurse in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital since 2014
- Sevinc Selçuk, RN, has been working as a training nurse in the adult hematology service of Acıbadem Altunizade Hospital since 2014. She graduated from Ege University, Department of Nursing, in 2014
- Azize Güner, RN, graduated from Konya Health Vocational High School Nursing Department in 2011. She is currently working as a nurse team leader in the adult bone marrow transplant unit of Acıbadem Altunizade Hospital. She began her professional career as a surgery, internal medicine nurse. She has been working as an adult bone marrow transplant nurse since 2014
- Elif Naz Arslan, MPsych, is a clinical psychologist and has a master of science degree in the clinical and community psychology field in University of East London (UEL). She has worked with adults in private clinics since 2017 and is currently working as a clinical psychologist in the adult bone marrow transplantation unit, hematolytic service, and her private clinic
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Ikander T, Raunkiær M, Voetmann C, Pedersen CV, Jarlbaek L. Cancer-related pain experienced in daily life is difficult to communicate and to manage - for patients and for professionals. Scand J Pain 2024; 24:sjpain-2023-0107. [PMID: 38776518 DOI: 10.1515/sjpain-2023-0107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 05/01/2024] [Indexed: 05/25/2024]
Abstract
OBJECTIVES The aim of this study was to gain qualitative insight into cancer patients' experiences, explanations, and management strategies regarding their cancer-related pain (CP). METHODS Seventeen patients with CP were interviewed using a semi-structured interview approach. Braun and Clarke's thematic analysis method was used to analyze the transcribed interviews. The patients all participated in cancer rehabilitation courses arranged by the research clinic at The Danish Knowledge Centre for Rehabilitation and Palliative Care. RESULTS Three themes were identified: (1) Explaining CP: Patients found it difficult to explain how they experienced their pain. They lacked words, and they frequently used invasive metaphors such as "Pain feels like a heart attack" (2). Strategies and barriers to the management of CP: Initiatives provided by healthcare professionals (HCPs) were perceived as insufficient, and the patients missed guidance in both pharmacological and non-pharmacological approaches to pain management. Several saw medicine as unnatural for their body, and they focused on side effects and the medicine affecting their quality of life. (3) Responsibility for managing CP: A lack of responsiveness from the HCPs and taking on responsibility for pain management were experienced by several of the patients. The patients expressed uncertainty about whom to contact for help with the management of their CP. CONCLUSION The patients' difficulties in explaining, understanding, and communicating their pain and pain management contributed to insufficient pain management. They were also uncertain about who had the responsibility to help them to achieve pain relief. These results share the evidence drawn from studies on patients with chronic non-cancer pain. This qualitative study highlights the need for having more focus on a common language and shared understanding between patients and HCPs. It also underpins the importance of HCPs to assume their responsibility to help patients manage their pain conditions.
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Affiliation(s)
- Tine Ikander
- REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Mette Raunkiær
- REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Cecilie Voetmann
- REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Caroline V Pedersen
- REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Lene Jarlbaek
- REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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11
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Morikawa M, Kajiwara K, Kobayashi M, Yusuke K, Nakano K, Matsuda Y, Shimizu Y, Shimazu T, Kako J. Nursing Support for Pain in Patients With Cancer: A Scoping Review. Cureus 2023; 15:e49692. [PMID: 38161938 PMCID: PMC10757112 DOI: 10.7759/cureus.49692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/29/2023] [Indexed: 01/03/2024] Open
Abstract
Pain is subjective, warranting tailored responses in pharmacotherapy and nursing support. Despite this, the evidence for suitable nursing support for pain is not well established in terminally ill patients such as those with cancer; therefore, it is necessary to provide support in consideration of changes in physical symptoms and quality of life. However, interventional studies for such patients are often difficult. There have been no comprehensive studies to date on non-pharmacological support that can be implemented by nurses. Therefore, with the aim of examining nursing support applicable at the end of life, this scoping review comprehensively mapped nursing support for pain in cancer patients at all stages of the disease. This study complies with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and the Arksey and O'Malley framework. All available published articles from the time of database establishment to January 31, 2022, were systematically searched for in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), CENTRAL, and the Ichushi Web database of the Japanese Society of Medical Abstracts. Overall, 10,385 articles were screened, and 72 were finally included. Both randomized controlled trials (RCTs) (n = 62) and non-RCTs (n = 10) were included. Twenty-two types of nursing support were identified. Eighteen of them showed positive results; five of them were provided only to terminally ill patients, three of which were effective, namely, comfort care, foot bath, and combined therapy. It is important to examine the applicability of types of nursing support in clinical practice in the future.
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Affiliation(s)
| | - Kohei Kajiwara
- Faculty of Nursing, Japanese Red Cross Kyushu International College of Nursing, Munakata, JPN
| | - Masamitsu Kobayashi
- Graduate School of Nursing Science, St. Luke's International University, Tokyo, JPN
| | - Kanno Yusuke
- Department of Home Health and Palliative Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, JPN
| | - Kimiko Nakano
- Clinical Research Center for Developmental Therapeutics, Tokushima University Hospital, Tokushima, JPN
| | - Yoshinobu Matsuda
- Department of Psychosomatic Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, JPN
| | - Yoichi Shimizu
- Department of Adult Nursing, National College of Nursing, Japan, Tokyo, JPN
| | - Taichi Shimazu
- Division of Behavioral Sciences, National Cancer Center Institute for Cancer Control, National Cancer Center, Tokyo, JPN
| | - Jun Kako
- Graduate School of Medicine, Mie University, Tsu, JPN
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12
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Zhang T, Wakefield CE, Ren Z, Chen W, Du X, Shi C, Lai L, Zhao C, Gao Y, Chen Z, Zhou Y, Wu T, Cai M. Effects of digital psychological interventions on physical symptoms in cancer patients: A systematic review and meta-analysis. Gen Hosp Psychiatry 2023; 84:47-59. [PMID: 37385139 DOI: 10.1016/j.genhosppsych.2023.05.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 05/12/2023] [Accepted: 05/25/2023] [Indexed: 07/01/2023]
Abstract
PURPOSE This meta-analysis was to assess the efficacy of digital psychological interventions to improve physical symptoms (i.e., fatigue, pain, disturbed sleep, and physical well-being) among cancer patients, as well as to evaluate the variables that possibly moderate intervention effects. METHODS Nine databases were searched for the literature up to February 2023. Two reviewers independently conducted a quality assessment. Effect sizes were reported as the standardized mean difference (Hedge's g) and estimated using a random-effects model. RESULTS The meta-analysis included 44 randomized clinical trials comprising 7200 adults with cancer. Digital psychological interventions were associated with significant improvements in short-term fatigue (g = -0.33; 95% CI, -0.58 to -0.07) and disturbed sleep (g = -0.36; 95% CI, -0.57 to -0.15), but with non-significant changes in pain (g = -0.23; 95% CI, -0.68 to 0.21) and physical well-being (g = 0.31; 95% CI, -0.18 to 0.80). Additionally, no alleviation in long-term physical symptoms was observed. In subgroup analysis, results suggest that the country significantly moderated the effectiveness of digital psychological interventions in alleviating fatigue. CONCLUSIONS Digital psychological interventions can be effective for improving short-term fatigue and disturbed sleep in patients with cancer. Clinicians could consider digital psychological interventions as a possible and efficient addition to better manage some of the physical symptoms during and after cancer treatment.
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Affiliation(s)
- Tao Zhang
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Claire Elizabeth Wakefield
- School of Clinical Medicine, UNSW Medicine and Health, Randwick Clinical Campus, Discipline of Paediatrics, UNSW Sydney, Sydney, New South Wales, Australia; Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia
| | - Zhihong Ren
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China.
| | - Wenke Chen
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Xiayu Du
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Congrong Shi
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Lizu Lai
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Chunxiao Zhao
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Yujun Gao
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
| | - Zhuang Chen
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Yubu Zhou
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Tong Wu
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
| | - Manqi Cai
- Key Laboratory of Adolescent Cyberpsychology and Behaviour (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, China
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Mestdagh F, Steyaert A, Lavand'homme P. Cancer Pain Management: A Narrative Review of Current Concepts, Strategies, and Techniques. Curr Oncol 2023; 30:6838-6858. [PMID: 37504360 PMCID: PMC10378332 DOI: 10.3390/curroncol30070500] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 07/15/2023] [Accepted: 07/17/2023] [Indexed: 07/29/2023] Open
Abstract
Pain is frequently reported during cancer disease, and it still remains poorly controlled in 40% of patients. Recent developments in oncology have helped to better control pain. Targeted treatments may cure cancer disease and significantly increase survival. Therefore, a novel population of patients (cancer survivors) has emerged, also enduring chronic pain (27.6% moderate to severe pain). The present review discusses the different options currently available to manage pain in (former) cancer patients in light of progress made in the last decade. Major progress in the field includes the recent development of a chronic cancer pain taxonomy now included in the International Classification of Diseases (ICD-11) and the update of the WHO analgesic ladder. Until recently, cancer pain management has mostly relied on pharmacotherapy, with opioids being considered as the mainstay. The opioids crisis has prompted the reassessment of opioids use in cancer patients and survivors. This review focuses on the current utilization of opioids, the neuropathic pain component often neglected, and the techniques and non-pharmacological strategies available which help to personalize patient treatment. Cancer pain management is now closer to the management of chronic non-cancer pain, i.e., "an integrative and supportive pain care" aiming to improve patient's quality of life.
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Affiliation(s)
- François Mestdagh
- Department of Anesthesiology and Pain Clinic, Cliniques Universitaires Saint Luc, University Catholic of Louvain, Av Hippocrate 10, B-1200 Brussels, Belgium
| | - Arnaud Steyaert
- Department of Anesthesiology and Pain Clinic, Cliniques Universitaires Saint Luc, University Catholic of Louvain, Av Hippocrate 10, B-1200 Brussels, Belgium
| | - Patricia Lavand'homme
- Department of Anesthesiology and Acute Postoperative & Transitional Pain Service, Cliniques Universitaires Saint Luc, University Catholic of Louvain, Av Hippocrate 10, B-1200 Brussels, Belgium
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14
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Zhang Y, Zhang Y, Liu S, Li B, Song Z, Han Q, Wang C, Wang Y, Yu Y, Xia H, Wang C, Li J. Acupuncture for cancer pain: a scoping review of systematic reviews and meta-analyses. Front Oncol 2023; 13:1169458. [PMID: 37256179 PMCID: PMC10226720 DOI: 10.3389/fonc.2023.1169458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 04/25/2023] [Indexed: 06/01/2023] Open
Abstract
Background Due to the effectiveness and safety, acupuncture, one of the traditional therapies of Chinese medicine, has been widely used in clinical practice globally. A few systematic review or meta-analyses have proved its effectiveness and safety towards patients with cancer pain, while there are no syntheses among those evidence. The aim of this scoping review is to summarize the evidence from systematic reviews of acupuncture for the treatment of cancer pain and evaluate the breadth and methodological quality of these evidence as well. Methods The scoping review process was guided by the methodology framework of Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA ScR) and "Arkseyand O'Malley six-stage framework". Electronic searches were carried out in several online databases from inception to Jan 2022. Systematic reviews and meta-analyses that involve any type of acupuncture for patients with cancer pain will be included. A pair of reviewers independently screened full texts. Moreover, review characteristics were extracted, and methodological quality was assessed using the AMSTAR 2 tool. Results Twenty-five systematic reviews and meta-analyses were included. Manual acupuncture is the most frequently included types of test group intervention (48%), followed by acupuncture + medicine (28%), and auricular acupuncture (12%). All the reviews have declared that acupuncture is an effective method for cancer pain treatment. Eleven reviews (44%) aiming at evaluating the safety also have confirmed that acupuncture is safe for treating cancer pain. However, most included studies were conducted in China. With certain geographical limitations, the findings were not representative within the region. The results of our review may owe to the synthesis of all kinds of cancer pain, and only 2 reviews described the type of cancer pain in detail. Conclusions This scoping review synthesizes and evaluates existing evidence of acupuncture for cancer pain. From this scoping review of systematic reviews and meta-analyses, there are clear recommendations for future studies: expanding the region of research in the world and trying to conduct the study of different types of cancer pain in details as much as possible. Evidences of acupuncture for cancer pain can inform clinical decision-making. Systematic review registration https://inplasy.com/inplasy-2022-1-0073/, identifier INPLASY202210073.
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Affiliation(s)
- Yanji Zhang
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Yingrong Zhang
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Suzhen Liu
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Bocun Li
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Zhe Song
- School of Biomedical Engineering and Imaging, Hubei University of Science and Technology, Xianning, Hubei, China
| | - Qi Han
- Xianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Xianning, Hubei, China
| | - Chang Wang
- School of Biomedical Engineering and Imaging, Hubei University of Science and Technology, Xianning, Hubei, China
| | - Yiwei Wang
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Yanxin Yu
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Hongjie Xia
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Chun Wang
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Jia Li
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
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15
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Review of psychological interventions in patients with cancer. Support Care Cancer 2023; 31:210. [PMID: 36913136 DOI: 10.1007/s00520-023-07675-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Accepted: 03/07/2023] [Indexed: 03/14/2023]
Abstract
OBJECTIVE Cancer is one of the leading causes of mortality in the world and also causes morbidity and deterioration in the mental health of patients and their caregivers. The most commonly reported psychological symptoms include anxiety, depression, and the fear of recurrence. The purpose of this narrative review is to elaborate and discuss the effectiveness of the different interventions employed and their utilities in clinical practice. METHODS Scopus and PubMed databases were searched, with a timeframe from 2020 to 2022, to identify randomised controlled trials, meta-analyses, and reviews and reported using PRISMA guidelines. Articles were searched by the following keywords: "cancer, psychology, anxiety, and depression". An additional search was performed with the keywords "cancer, psychology, anxiety, depression, and [intervention name]". The most popular psychological interventions were included in these search criteria. RESULTS A total of 4829 articles were retrieved by the first preliminary search. After reducing duplicates, 2964 articles were assessed for inclusion according to eligibility criteria. After the full-text screening, 25 final articles were chosen. To systematise psychological interventions as described in the literature, the authors have divided them into 3 broad categories, each type targeting a specific domain of mental health: cognitive-behavioural, mindfulness, and relaxation. CONCLUSION The most efficient psychological therapies, as well as therapies which require more extensive research, were outlined in this review. The authors discuss the necessity of primary assessment of patients and whether they require the help of a specialist. With the limitations of the potential risk of bias, an overview of different therapies and interventions targeting various psychological symptoms is outlined.
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16
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The Impact of Bevacizumab and Chemotherapy on Quality of Life in Metastatic Colorectal Cancer Patients. Healthcare (Basel) 2023; 11:healthcare11040591. [PMID: 36833125 PMCID: PMC9956224 DOI: 10.3390/healthcare11040591] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/13/2023] [Accepted: 02/15/2023] [Indexed: 02/18/2023] Open
Abstract
Health-related quality is of life of great importance in cancer care. This prospective study aimed to evaluate the impact of chemotherapy and bevacizumab on the activities of daily living, cancer symptoms, and general well-being in 59 metastatic colorectal cancer patients. We gathered information using the EORTC QLQ-C30 and QLQ-CR29 questionnaires. The paired sample t-test, MANOVA test, and Pearson's correlation test were used to analyze the presence of significant differences in mean scores before and after 6 months of treatment. The results revealed significant differences in the functioning and symptoms that influence patients' quality of life after 6 months of treatment: increased pain (p = 0.003), nausea and vomiting (p = 0.003), diarrhea (p = 0.021) and decreased appetite (p = 0.003). At the same time, there were several aspects that improved the quality of life. Increases in emotional function (p = 0.009), cognitive function (p = 0.033), and perception of body image (p = 0.026) were observed after 6 months of treatment. Elderly patients reported a higher frequency of stools (p = 0.028), and young patients had increased concerns about body perception (p = 0.047). Assessing the quality of life of metastatic colorectal cancer patients is an important way to identify and treat symptoms related to both cancer and therapy by establishing a holistic care plan and implementing measures to increase the quality of life.
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Porzio G, Capela A, Giusti R, Lo Bianco F, Moro M, Ravoni G, Zułtak-Baczkowska K. Multidisciplinary approach, continuous care and opioid management in cancer pain: case series and review of the literature. Drugs Context 2023; 12:dic-2022-11-7. [PMID: 37077766 PMCID: PMC10108666 DOI: 10.7573/dic.2022-11-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 03/10/2023] [Indexed: 04/21/2023] Open
Abstract
Underlying cancer pain has heterogenous aetiologies and mechanisms. It requires detailed and comprehensive pain assessment, combined with personalized treatment. A multidisciplinary team is essential to providing the best management of cancer pain at every disease stage, improving the quality of life and outcomes in patients with cancer. This narrative literature review emphasizes the value of providing all patients with multidisciplinary pain management in their preferred care setting. Real-life experiences are also reported to witness the efforts of physicians to properly manage cancer pain. This article is part of the Management of breakthrough cancer pain Special Issue: https://www.drugsincontext.com/special_issues/management-of-breakthrough-cancer-pain.
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Affiliation(s)
| | - Andreia Capela
- Centro Hospitalar Vila Nova de Gaia, Espinho; Associação de Investigação de Cuidados de Suporte em Oncologia (AICSO), Arcozelo – Vila Nova de Gaia, Portugal
| | - Raffaele Giusti
- Medical Oncology Unit, Sant’Andrea Hospital of Rome, Sapienza University of Rome, Rome, Italy
| | - Francesca Lo Bianco
- Medical Oncology Unit, Sant’Andrea Hospital of Rome, Sapienza University of Rome, Rome, Italy
| | - Mirella Moro
- Medical Oncology Unit, Sant’Andrea Hospital of Rome, Sapienza University of Rome, Rome, Italy
| | - Giulio Ravoni
- Tuscany Tumor Association, Home Care Service, Florence, Italy
| | - Katarzyna Zułtak-Baczkowska
- Zakład Zdrowia Publicznego, Wydział Nauk o Zdrowiu, Pomorski Uniwersytet Medyczny w Szczecinie, Stettin, Poland
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18
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Li C, Zhao C, Zhao J, Wang M, Luo F, Zhou J. Global research trends of acupuncture therapy on cancer pain: A bibliometric and visualized study. Front Oncol 2023; 13:1077961. [PMID: 36950556 PMCID: PMC10026736 DOI: 10.3389/fonc.2023.1077961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Accepted: 02/10/2023] [Indexed: 03/08/2023] Open
Abstract
Background The number of publications on acupuncture for cancer pain is increasing rapidly with an upward tendency. Considering that no bibliometric articles related to this topic have been published yet. It is necessary to evaluate the global scientific output of research in this field, and shed light on the direction of clinical cancer pain management in the future. Methods Research publications regarding acupuncture on cancer pain from inception to 2022 were downloaded from the Web of Science Core Collection. Bibliometric analyses were performed using CiteSpace software, the bibliometrix R package, and VOSviewer software. Network maps were generated to assess the collaborations between different countries, institutions, authors, and keywords. And clusters map was generated to evaluate reference. Results A total of 790 articles related to acupuncture therapy for cancer pain were identified. We observe that the number of publications is gradually increasing over time. China and the United States were the main contributors. Mem Sloan Kettering Canc Ctr (38 papers) and Beijing Univ Chinese Med (28 papers) contributed the most publications, becoming the leading contributors in this field. Although J Clin Oncol (28 articles) ranked ninth in terms of publication volume, it was the journal with the most citations and the highest number of IF (50.717) and H-index (494) at the same time. MAO J from Mem Sloan Kettering Canc Ctr was the most prolific author (23 articles). The main hot topics included matters related to acupuncture (239 times), pain (199 times), management (139 times), quality of life (107 times), electroacupuncture (100 times), and breast cancer (82 times). Conclusion Our bibliometric analysis provides a comprehensive overview of the development of acupuncture for cancer pain, enabling relevant authors and research teams to identify the current research status in this field. At the same time, acupuncture for breast cancer (BC) pain, aromatase inhibitor-induced arthralgia (AIA), and chemotherapy-induced peripheral neuropathy (CIPN) may soon become prospective focus.
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Affiliation(s)
- Chunyu Li
- Acupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Can Zhao
- College of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Jingjing Zhao
- Department of Acupuncture, Sichuan Second Hospital of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Min Wang
- Department of Acupuncture, Sichuan Second Hospital of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Furong Luo
- Department of Traditional Chinese Medicine, Xi’an No. 3 Hospital, the Affiliated Hospital of Northwest University, Xi’an, Shanxi, China
| | - Jianwei Zhou
- Sichuan Academy of Chinese Medicine Sciences, Chengdu, Sichuan, China
- *Correspondence: Jianwei Zhou,
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19
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Li C, Hou W, Ding D, Yang Y, Gu S, Zhu Y. Evidence Mapping Based on Systematic Reviews of Cognitive Behavioral Therapy for Neuropathic Pain. Neural Plast 2023; 2023:2680620. [PMID: 36994240 PMCID: PMC10041341 DOI: 10.1155/2023/2680620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 01/03/2023] [Accepted: 02/18/2023] [Indexed: 03/31/2023] Open
Abstract
Objective This evidence mapping is aimed at identifying, summarizing, and analyzing the available evidence on cognitive behavioral therapy (CBT) for neuropathic pain (NP). Methods This study was conducted following the methodology of Global Evidence Mapping (GEM). Searches were conducted in PubMed, Embase, the Cochrane Library, and PsycINFO to identify systematic reviews (SRs) with or without meta-analysis published before February 15, 2022. The authors independently assessed eligibility, extracted data, and evaluated the methodological quality of the included SRs using AMSTAR-2. The results were presented in the tables and a bubble plot based on the identified population-intervention-comparison-outcome (PICO) questions. Results A total of 34 SRs met the eligibility criteria. According to the AMSTAR-2, 2 SRs were rated "high," 2 SRs were rated "moderate," 6 SRs were rated "low," and 24 SRs were rated "critically low." The most common study design utilized to evaluate the efficacy of CBT for NP was the randomized controlled trial. In total, 24 PICOs were identified. Migraine was the most studied population. CBT for NP usually reaches the "potentially better" result at follow-up. Conclusions Evidence mapping is a useful way to present existing evidence. Currently, the existing evidence on CBT for NP is limited. Overall, the methodological quality of the included SRs was low. Further improvements in the methodological quality of SRs and more research on the most efficient CBT formats for NP are recommended in the future.
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Affiliation(s)
- Conghui Li
- 1The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, China
- 2Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan 450000, China
| | - Weiqian Hou
- 1The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, China
- 2Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan 450000, China
| | - Dongfang Ding
- 1The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, China
- 2Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan 450000, China
| | - Yujie Yang
- 3University of Health and Rehabilitation Sciences, Qingdao, Shandong 266000, China
| | - Shanshan Gu
- 4Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada
| | - Yi Zhu
- 1The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, China
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20
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Pang L, Yao S, Li W, Jing Y, Yin X, Cheng H. Impact of the CALM intervention on breast cancer patients during the COVID-19 pandemic. Support Care Cancer 2023; 31:121. [PMID: 36648574 PMCID: PMC9843115 DOI: 10.1007/s00520-023-07582-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 01/06/2023] [Indexed: 01/18/2023]
Abstract
OBJECTIVE The COVID-19 outbreak has adversely affected breast cancer patients both physically and mentally. Managing Cancer and Living Meaningfully (CALM) is a psychological intervention that is easy to implement. It also decreases the possibility of virus transmission because it can be administered online. Therefore, this study investigated the effects of CALM on the sleep quality, memory, psychological distress, and quality of life (QoL) of breast cancer patients during the ongoing COVID-19 pandemic. METHODS Sixty breast cancer patients were recruited and randomly assigned to a CALM group and a Care as Usual (CAU) group. They filled in questionnaires before and after the CALM intervention and CAU. These included the Sleep Quality Scale (SQS), Prospective Memory Scale (PM), Retrospective Memory Scale (RM), Psychological Distress Thermometer (DT), and Quality of life (QoL) Scale. RESULTS The scores of all the aforementioned scales after the CALM intervention (ACM) were significantly lower compared to the said scores before the CALM intervention (BCM) and after Care as Usual (ACU) (t = 12.369/8.013, t = 8.632/4.583, t = 7.500/6.900, t = 12.479/9.780, t = 12.224/6.729 respectively, P < 0.05) There was a linear correlation between the QoL, DT, and SQS scores. CONCLUSION CALM is an effective psychotherapy for breast cancer patients, especially during the COVID-19 pandemic, for improving the QoL because it relieves psychological distress and enhances sleep quality.
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Affiliation(s)
- Lulian Pang
- Department of Oncology, The Second Hospital of Anhui Medical University, Hefei, 230601 Anhui China
| | - Senbang Yao
- Department of Oncology, The Second Hospital of Anhui Medical University, Hefei, 230601 Anhui China
| | - Wen Li
- Department of Oncology, The Second Hospital of Anhui Medical University, Hefei, 230601 Anhui China
| | - Yanyan Jing
- Department of Oncology, The Second Hospital of Anhui Medical University, Hefei, 230601 Anhui China
| | - Xiangxiang Yin
- Department of Oncology, The Second Hospital of Anhui Medical University, Hefei, 230601 Anhui China
| | - Huaidong Cheng
- Department of Oncology, The Second Hospital of Anhui Medical University, Hefei, 230601, Anhui, China. .,The Third School of Clinical Medicine, Southern Medical University, Guangzhou, 510500, China. .,Department of Oncology, Shenzhen Hospital of Southern Medical University, Shenzhen, 518000, Guangdong, China.
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21
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Kalroozi F, Moradi M, Ghaedi-Heidari F, Marzban A, Raeisi-Ardali SR. Comparing the effect of emotional freedom technique on sleep quality and happiness of women undergoing breast cancer surgery in military and nonmilitary families: A quasi-experimental multicenter study. Perspect Psychiatr Care 2022; 58:2986-2997. [PMID: 36192125 DOI: 10.1111/ppc.13150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 07/04/2022] [Accepted: 09/20/2022] [Indexed: 11/05/2022] Open
Abstract
PURPOSE The aim of this study was to compare the effect of emotional freedom technique (EFT) on sleep quality and happiness of women who underwent breast cancer surgery and lived in military and nonmilitary families. DESIGN AND METHODS The patients were randomly divided into four groups of military intervention (n = 34), nonmilitary intervention (n = 33), military control (n = 31), and nonmilitary control (n = 35). Data were collected using demographic information form, Pittsburgh Sleep Quality Index, and Oxford Happiness Questionnaire. FINDINGS The mean scores of sleep quality and happiness in military and nonmilitary intervention groups improved significantly immediately and 1 month after the intervention compared to control groups (p < 0.001). However, there was no statistically significant difference between the military and nonmilitary intervention groups regarding the mean scores of sleep quality and happiness before, immediately, and 1 month after the intervention (p > 0.05). PRACTICE IMPLICATIONS Given the efficacy of EFT in improving sleep quality and happiness, it is recommended that this technique be taught to nurses to implement in the entire process of providing nursing care to cancer patients.
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Affiliation(s)
- Fatemeh Kalroozi
- Department of Pediatric Nursing, Aja University of Medical Sciences, Tehran, Iran
| | - Mohsen Moradi
- Department of Psychiatric Nursing, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fatemeh Ghaedi-Heidari
- Department of Psychiatric Nursing, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Arash Marzban
- Department of Psychiatric Nursing, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Siamak R Raeisi-Ardali
- University of Medical Sciences, Shahrekord University of Medical Sciences, Shahrekord, Iran
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22
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Krysa K, Kowalczyk E, Borysowski J, Lachota M, Pasierski T. Exclusion of older adults from clinical trials in cancer-related pain. Front Med (Lausanne) 2022; 9:945481. [PMID: 35991635 PMCID: PMC9385985 DOI: 10.3389/fmed.2022.945481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 07/21/2022] [Indexed: 11/13/2022] Open
Abstract
Pain is one of the most common symptoms in cancer patients including older adults. The objective of this study was to evaluate the enrollment criteria that can limit the inclusion of older adults in clinical trials concerning cancer-related pain (CRP). The study included 356 trials registered with ClinicalTrials.gov. Our primary outcome measures were the proportion of trials that excluded patients based on upper age limits (80 years of age or less), strict organ-specific exclusion criteria, broad and imprecise criteria, and inadequate performance score. One hundred and twenty-six trials (35.4%) had upper age limits. Strict exclusion criteria were used in 95 (26.7%) trials. Broad and imprecise exclusion criteria were listed in 57 (16.2%) trials. Low performance score was used as an exclusion criterion in 4 trials (1.1%). Overall, in 241 trials (67.7%) there was either an upper age limit or at least one strict or broad and imprecise exclusion criterion, or a criterion involving the performance status. The odds of excluding older adults were significantly higher in certain neoplasm types, study objectives, intervention types, and center locations. In conclusion, considerable proportion of recent clinical trials concerning CRP either explicitly exclude older adults or create high risk of such exclusion which substantially limits the evidence base for the treatment of such patients in clinical practice. Sponsors and investigators should consider careful modification of the enrollment criteria to improve the inclusion of older individuals who make up the major proportion of cancer patients population.
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Affiliation(s)
| | - Ewa Kowalczyk
- Clinical Research Development Centre, Medical Research Agency, Warsaw, Poland
| | - Jan Borysowski
- Department of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland
- Centre for Studies on Research Integrity, Institute of Law Studies, Polish Academy of Sciences, Warsaw, Poland
- *Correspondence: Jan Borysowski
| | - Mieszko Lachota
- Department of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland
| | - Tomasz Pasierski
- Department of Medical Ethics and Palliative Medicine, Medical University of Warsaw, Warsaw, Poland
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23
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Zhang Z, Cao X, Wang Q, Yang Q, Sun M, Ge L, Tian J. Quality Assessment of Cancer Pain Clinical Practice Guidelines. Front Oncol 2022; 12:890951. [PMID: 35712505 PMCID: PMC9196585 DOI: 10.3389/fonc.2022.890951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 04/25/2022] [Indexed: 11/17/2022] Open
Abstract
Introduction Several clinical practice guidelines (CPGs) for cancer pain have been published; however, the quality of these guidelines has not been evaluated so far. The purpose of this study was to evaluate the quality of CPGs for cancer pain and identify gaps limiting knowledge. Methods We systematically searched seven databases and 12 websites from their inception to July 20, 2021, to include CPGs related to cancer pain. We used the validated Appraisal of Guidelines for Research and Evaluation Instrument II (AGREE II) and Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist to assess the methodology and reporting quality of eligible CPGs. The overall agreement among reviewers with the intraclass correlation coefficient (ICC) was calculated. The development methods of CPGs, strength of recommendations, and levels of evidence were determined. Results Eighteen CPGs published from 1996 to 2021 were included. The overall consistency of the reviewers in each domain was acceptable (ICC from 0.76 to 0.95). According to the AGREE II assessment, only four CPGs were determined to be recommended without modifications. For reporting quality, the average reporting rates for all seven domains of CPGs was 57.46%, with the highest domain in domain 3 (evidence, 68.89%) and the lowest domain in domain 5 (review and quality assurance, 33.3%). Conclusion The methodological quality of cancer pain CPGs fluctuated widely, and the complete reporting rate in some areas is very low. Researchers need to make greater efforts to provide high-quality guidelines in this field to clinical decision-making.
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Affiliation(s)
- Zhigang Zhang
- Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.,Department of Intensive Care Unit, The First Hospital of Lanzhou University, Lanzhou, China
| | - Xiao Cao
- Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China
| | - Qi Wang
- Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China
| | - Qiuyu Yang
- Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China
| | - Mingyao Sun
- Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China
| | - Long Ge
- Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China.,The Key Laboratory of Evidence-Based Medicine and Clinical Transformation in Gansu Province, Lanzhou University, Lanzhou, China
| | - Jinhui Tian
- Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.,The Key Laboratory of Evidence-Based Medicine and Clinical Transformation in Gansu Province, Lanzhou University, Lanzhou, China
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