| Summary: | 碩士 === 臺北醫學大學 === 護理學系 === 92 === Pain is a common manifestation related to cancer and pain induced discomfort over the body, possibly and indirectly reduced life quality and the meaning of survival. Pain is also a multi-modalities experienced, anxiety and depression of emotional disturbance also emphasize the feeling of pain. Therefore, pain can be treated and controlled by different methods. So the purpose of this study is to discuss an experience in comparison with accepting regular care of ordinary ward, giving pain education and pain education with relaxation training to improve cancer pain.
The study is a quasi-experimental design, choosing appropriate cancer pain patients from the related oncology wards among five northern teaching hospitals, performing interventional procedures for continues 5days and total 14 days observation. Eligible cancer patients with pain (N=40), were randomly assigned to three groups, including (1) control group which receive 15 minutes care as usual ward routine (n=15), (2) pain education group which receive 15 minutes education (Experimental group I, n=13), and (3) pain education plus relaxation training group which receive 15 minutes education and 12 minutes relaxation training (Experimental group II, n=12). To evaluate the effect of these interventions on pain intensity, pain interferences, beliefs about pain and narcotic analgesics, and mood status were used with the Brief Pain Inventory Short Form (BPI-S), Pain and Opioid Analgesic Beliefs Scale-Cancer (POABS-CA), and Profile of Mood State Short From for anxiety and depression (POMS-anxiety and depression). Studying the above information by descriptive statistics, paired t-test, one-way ANOVA and repeated measures ANOVA.
The results showed that (1) the most and average painful intensity had significant improvement in Experimental group I, (2) the total measured scales of painful disturbance had significant improvement in Experimental group I, (3) the total measured scales of painful disturbance had significant improvement in Experimental group II, (4) the negative effect of pain belief had significant improvement in two Experimental group, (5) the depressively emotional disturbance had significant improvement in Experimental group II, (6) relaxation training had immediate effects on improving pain, anxiety and depression. The study expressed giving correct pain education could improve the pain intensity, pain disturbance, depression emotion and negative effect of pain belief of cancer patients, and addition relaxation training could ameliorate depressively emotional disturbance and could have improving immediate effects on pain, anxiety and depression.
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