The effect of a pain management program on patients with cancer pain.
BACKGROUND
Pain is 1 of the most common symptoms that a cancer patient would experience. A significant barrier to positive pain management is patients' misconceptions regarding analgesics and inadequate use of nonpharmacological strategies as pain relief.


OBJECTIVE
The purpose of this study was to investigate the effectiveness of a pain management program (PMP) on pain intensity, use of PRN drugs and nonpharmacological strategies as pain relief, and barriers to managing pain in cancer patients.


METHODS
The study was conducted in the palliative care and hospice ward of a public hospital in Hong Kong. Patients were randomized to either an experimental group (receiving the PMP) or a control group (routine care). There were 38 hospitalized patients, with 20 (13 males and 7 females) in the experimental group and 18 (11 males and 7 females) in the control group; mean age was 61.95 years (experimental group) to 63.94 years (control group).


RESULTS
Upon the completion of PMP, pain scores were significantly reduced in both groups, yet patients in the experimental group showed a significant increase in the use of PRN analgesics and nonpharmacological strategies to relieve pain (P < .05) and significantly reduce barriers to managing their cancer pain (P < .05) compared with the control group.


CONCLUSIONS
Cancer patients should be empowered with pain management education to gain knowledge and correct misconceptions in managing their cancer pain.


CONCLUSIONS
Integration of the PMP into routine clinical work may help to improve the standard of care for cancer patients. It is recommended to provide pain management education to all cancer patients.
School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong. hsmtse@inet.polyu.edu.hk
Mimi M Y
MM
Tse
Adrian C F
AC
Wong
H N
HN
Ng
H Y
HY
Lee
M H
MH
Chong
W Y
WY
Leung
D000328:Adult; D000368:Aged; D000701:Analgesics, Opioid / Q000627:therapeutic use; D005260:Female; D006723:Hong Kong; D017051:Hospice Care / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D059408:Pain Management; D010147:Pain Measurement; D010148:Intractable Pain / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D010166:Palliative Care / Q000379:methods; D010353:Patient Education as Topic / Q000379:methods; D015397:Program Evaluation; D011446:Prospective Studies; D011788:Quality of Life; D018570:Risk Assessment; D012720:Severity of Illness Index; D016019:Survival Analysis; D016896:Treatment Outcome
D000701:Analgesics, Opioid