2.50
Hdl Handle:
http://hdl.handle.net/10755/165734
Category:
Abstract
Type:
Presentation
Title:
Pain and Fatigue Management: Results of a Nursing Randomized Clinical Trial
Author(s):
Given, Barbara
Author Details:
Barbara Given, RN, PhD, FAAN, Professor and Research Director, Michigan State University, College of Nursing, East Lansing, Michigan, USA, email: bgiven@msu.edu
Abstract:
Patients with breast, colon, lung, and other solid tumors who undergo a course of chemotherapy are at high risk of experiencing pain and fatigue. Pain and fatigue can have significant impact on the presence of others symptoms and upon level of physical functioning. To assist patients to better control pain and fatigue, a randomized clinical trial (RCT) of a nurse-directed, 20 week, 10 contact intervention was implemented for patients undergoing a new course of chemotherapy and their family caregivers. The purpose of this report is to compare patients undergoing an initial course of chemotherapy who report pain and fatigue and who are receiving conventional care alone with those receiving conventional care plus the nursing intervention with respect to the severity and limitations of pain and fatigue, and numbers of other symptoms reported at 20 weeks. A cognitive-behavioral conceptual framework focusing on problem solving approaches to symptom management, improving physical functioning, and emotional health were implemented at each contact. Pain and fatigue were sentinel problems toward which the intervention was directed. Sample. The sample consisted of 35 patients in each arm of the trial who reported pain and fatigue at baseline following recruitment and consent. Seventy-one percent of the sample was female with mean age of 54 (SD = 8). Interviews were conducted at baseline, 10, 20, and 32 weeks. Outcomes were measured by the brief pain and brief fatigue inventories. All measures met acceptable psychometric standards. Results. Groups were assessed for equivalence at baseline and to determine if there were differences by accrual setting. Analyses of variance were used to assess group effects, group by time, and group by time by covariates (age, gender, stage (II or III-IV). Patients who received the intervention reported significantly less severity and fewer limitations from pain and fatigue at the 20- and 32-week observations. In addition, patients receiving the intervention reported fewer "other" symptoms at both observations. Implications. These data support the need for targeted interventions to assist patients undergoing chemotherapy to manage pain and fatigue.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePain and Fatigue Management: Results of a Nursing Randomized Clinical Trialen_GB
dc.contributor.authorGiven, Barbaraen_US
dc.author.detailsBarbara Given, RN, PhD, FAAN, Professor and Research Director, Michigan State University, College of Nursing, East Lansing, Michigan, USA, email: bgiven@msu.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165734-
dc.description.abstractPatients with breast, colon, lung, and other solid tumors who undergo a course of chemotherapy are at high risk of experiencing pain and fatigue. Pain and fatigue can have significant impact on the presence of others symptoms and upon level of physical functioning. To assist patients to better control pain and fatigue, a randomized clinical trial (RCT) of a nurse-directed, 20 week, 10 contact intervention was implemented for patients undergoing a new course of chemotherapy and their family caregivers. The purpose of this report is to compare patients undergoing an initial course of chemotherapy who report pain and fatigue and who are receiving conventional care alone with those receiving conventional care plus the nursing intervention with respect to the severity and limitations of pain and fatigue, and numbers of other symptoms reported at 20 weeks. A cognitive-behavioral conceptual framework focusing on problem solving approaches to symptom management, improving physical functioning, and emotional health were implemented at each contact. Pain and fatigue were sentinel problems toward which the intervention was directed. Sample. The sample consisted of 35 patients in each arm of the trial who reported pain and fatigue at baseline following recruitment and consent. Seventy-one percent of the sample was female with mean age of 54 (SD = 8). Interviews were conducted at baseline, 10, 20, and 32 weeks. Outcomes were measured by the brief pain and brief fatigue inventories. All measures met acceptable psychometric standards. Results. Groups were assessed for equivalence at baseline and to determine if there were differences by accrual setting. Analyses of variance were used to assess group effects, group by time, and group by time by covariates (age, gender, stage (II or III-IV). Patients who received the intervention reported significantly less severity and fewer limitations from pain and fatigue at the 20- and 32-week observations. In addition, patients receiving the intervention reported fewer "other" symptoms at both observations. Implications. These data support the need for targeted interventions to assist patients undergoing chemotherapy to manage pain and fatigue.en_GB
dc.date.available2011-10-27T12:23:57Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:23:57Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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