Evidence for the Cancer Patientsâ€™ Pain Management: an Integrative Review
Keywords:Chronic Pain; Nursing Care; Management of Pain, Chronic pain, Nursing care, Management of pain.
BACKGROUND: On cancer, pain is one of the most frequent and distressing symptoms, being present in all stages of the disease. Knowing that, this study aimed to analyze the available evidence in the literature about chronic pain management by nurses in adult patients with cancer. METHODS AND FINDINGS: It is an integrative review searched in the PUBMED, LILACS, CINAHL and COCHRANE databases. Nineteen studies met the inclusion criteria proposed in the study, most controlled clinical trials. The articles were analyzed and grouped into three thematic categories: health education (52.6%), clinical practice (36.9%) and complementary therapies (10.5%). CONCLUSION: The nurse has various means for better pain management, promoting effective assistance, minimizing possible barriers, promoting the autonomy of the patient and the ability to self-control, resulting in greater patient satisfaction.
Stark L, Tofhagen C, Visovsky C, McMillan S. The symptom experience of patients with cancer. J Hosp Palliat Nurs. 2012; 14: 61-70.
Doyle N. Cancer survivorship: evolutionary concept analysis. JAN. 2008; 62: 499-509.
Macintyre P, Scott D, Schug S. Acute Pain Management: Scientific Evidence. 3th ed. Melbourne: Australian and New Zealend College of Anaesthetists and Faculty of Pain Medicine; 2010.
Handy CR, Krudy C, Boulis N. Gene therapy: a potential approach for cancer pain. Pain Res Treat. 2011; 2011: 1-12.
Rana S, Gupta R, Chaudhary P, Khurana D, Mishra S, Bhatnagar S. Cancer pain management: basic information for the young pain physician. Indian J Palliat Care. 2011;17: 127-30.
WengstrÃ¶m Y, Geerling J, RustÃ¸en T. European Oncology Nursing Society breakthrough cancer pain guidelines. Eur J Oncol Nurs. 2014;18: 127-31.
Garcia A, Whitehead D, Winter HS. Oncology nurses' perception of cancer pain: A qualitative exploratory study. Nurs Prax N Z. 2015; 31: 27-33.
Ferreira AM, Andrade D. RevisÃ£o integrativa da tÃ©cnica limpa e estÃ©ril: consensos e controvÃ©rsias na realizaÃ§Ã£o de curativos. Acta Paul Enferm. 2008; 21: 117-21.
Mendes KDS, Silveira RCCP, GalvÃ£o CM. RevisÃ£o integrativa: MÃ©todo de pesquisa para a incorporaÃ§Ã£o de evidÃªncias na saÃºde e na enfermagem. Texto & Contexto Enferm. 2008; 17: 758-64.
Fineout-overholt E, Melnyk BM, Stillwell SB, Williamson KM. Evidence-based practice step by step: Critical appraisal of the evidence: part I. Am J Nurs. 2010; 110: 47-52.
Sterman E, Gauker S, Krieger J. A comprehensive approach to improving cancer pain management and patient safisfaction. Oncol Nurs Forum. 2003; 30(5): 857-64.
Schumacher KL, Koresawa S, West C, Dodd M, Paul SM, Koo P, et al. The usefulness of a daily pain management diary for outpatients with cancer-related pain. Oncol Nurs Forum. 2002; 29: 1304-13.
Yildirim YK, Cicek F, Uyar M. Effects of pain education program on pain intensity, pain treatment satisfaction, and barriers in Turkish cancer patients. Pain Manag Nurs. 2009; 10: 220-8.
Yates P, Edwards H, Nash R, Aranda S, Purdie D, Walsh A, et al. A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns. 2004; 53: 227-37.
Lai YH, Guo SL, Keefe FJ, Tsai SL, Chien CC, Sung YC, et al. Effects of brief pain education on hospitalized cancer patients with moderate to severe pain. Support Care Cancer. 2004; 12: 645-52.
Sherwood P, Given BA, Given CW, Champion VL, Doorenbos AZ, Azzouz F, et al. A cognitive behavioral intervention for symptom management in patients with advanced cancer. Oncol Nurs Forum. 2005; 32: 1190-8.
Vallerand AH, Riley-Doucet C, Hasenau SM, Templin T. Improving cancer pain management by homecare nurses. Oncol Nurs Forum. 2004; 31: 809-16.
Herr K, Titler M, Fine PG, Sanders S, Tang X, Swegle J, et al. The effect of a Translating Research into Practice (TRIP) - cancer intervention on cancer pain management in older adults in hospice. Pain Med. 2012; 13: 1004-17.
Gustafsson M, Borglin G. Can a theory-based educational intervention change nursesâ€™ knowledge and attitudes concerning cancer pain management? A quasi-experimental design. BMC Health Serv Res. 2013; 13: 328-33.
Choi M, Kim HS, Chung SK, Ahn MJ, Yoo JY, Park OS, et al. Evidence-based practice for pain management for cancer patients in an acute care setting. Int J Nurs Pract. 2014; 20: 60â€“69.
Kutner JS, Smith MC, Corbin L, Benton K, Mellis BK, Beaty B, et al. Massage therapy versus simple touch to improve pain and mood in patients with advanced cancer: a randomized trial. Ann Intern Med. 2008; 149: 369-79.
Chang SY. Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Taehan Kanho Hakhoe Chi. 2008; 38: 493-502.
Ogasawara C, Hasegawa T, Kume Y, Takahashi I, Katayama Y, Andoh M, et al. Nursing diagnoses and interventions of Japanese patients with end-stage breast cancer admitted for different care purposes. Int J Nurs Terminol Classif. 2005; 16: 54-64.
RustÃ¸en T, Geerling JI, Pappa T, Weisse I, Williams SC, Zavratnik B, et al. A European survey of oncology nurse breakthrough cancer pain practices. Eur J Oncol Nurs. 2013; 17: 95-100.
Davies A, Buchanan A, Zeppetella G, Zucco F, Nauck F, Filbet M, et al. Breakthrough Cancer Pain: An Observational Study of 1000 European Oncology Patients. J Pain Symptom Manage. 2013; 46: 619-28.
Nunes BC, Garcia JBS, Sakata RK. Morfina como primeiro medicamento para tratamento da dor de cÃ¢ncer. Braz J Anesthesiol. 2014; 64: 236-40.
Nogueira RTE, Vieira EBM, Sousa LHA, Garcia JBS. Difficult situation in cancer pain: breakthrough pain. Rev Dor. 2014; 15(1): 41-47.
Costa AIS, Chaves MD. Pain in cancer patients under chemotherapy. Rev Dor. 2012; 13: 45-49.
Pereira DTS, Andrade LL, Agra G, Costa MML. Condutas terapÃªuticas utilizadas no manejo da dor em oncologia. J Res Fundam Care. 2015; 7: 1883-90.
Buchanan A, Geerling J, Davies A. Breakthrough cancer pain: the role of the nurse. Int J Palliat Nurs. 2014; 20: 126-30.
Cordeiro RA, Costa R. MÃ©todos nÃ£o farmacolÃ³gicos para alÃvio do desconforto e da dor no recÃ©m-nascido: uma construÃ§Ã£o coletiva da Enfermagem. Texto & Contexto Enferm. 2014; 23: 185-92.
Naveh P, Leshem R, Dror YF, Musgrave CF. Pain severity, satisfaction with pain management and patient- related barries to pain management in patients with cancer in Israel. Oncol Nurs Forum. 2011; 38: 305-13.
Ernst E. Massage therapy for cancer palliation and supportive care: a systematic review of randomised clinical trials. Support Care Cancer. 2009; 17: 333-37.
Wilkinson S, Barnes K, Storey L. Massage for symptom relief in patients with cancer: systematic review. JAN. 2008; 63: 430-39.
Primo CC, Leite FMC, Amorim MHC, Sipioni RM, Santos SH. Acta Paul Enferm. 2010; 23: 803-10.
Overcash J, Hanes D, Birkhimer D, Askew T. Pain Intensity and Pain Management of Hospitalized Patients with Cancer: An Opportunity for Improvement. Clin J Oncol Nurs. 2013; 17: 365-68.
Chapman S. Assessment and management of patients with cancer pain. Cancer Nurs Pract. 2011; 10: 28-36.
Farquhar-smith P, Chapman S. Neuraxial (epidural and intrathecal) opioids for intractable pain. Br J Pain. 2012; 6: 25-35.
Chapman S. Cancer pain part 2: assessment and management. Nursing Standard. 2012; 26(48): 44-49.
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