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护士主导干预对慢性非恶性疼痛患者生活质量的影响:开放式随机对照试验
Author(s) -
MoralesFernández Ángeles,
JimenezMartín José Manuel,
MoralesAsencio José Miguel,
VergaraRomero Manuel,
MoraBandera Ana María,
ArandaGallardo Marta,
CancaSanchez José Carlos
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14608
Subject(s) - medicine , anxiety , quality of life (healthcare) , randomized controlled trial , depression (economics) , physical therapy , intervention (counseling) , mental health , chronic pain , nursing , psychiatry , economics , macroeconomics
Aims To determine the effect of a comprehensive nurse‐led programme for patients with chronic non‐malignant pain, on quality of life, level of pain, anxiety, and depression, as primary outcomes and patients' satisfaction as a secondary end point. Design An open‐label randomized controlled trial was carried out. Methods The experimental group received both a nurse‐led intervention on healthy lifestyles, education on self‐esteem, pain awareness, communication, and relaxation techniques. The control group received usual care. Quality of life, level of pain, anxiety, and depression were the main outcomes. Data were obtained at baseline, immediately after the intervention, and 6 and 9 months. The study was carried out from 2015–2017. Results The sample was composed of 279 patients. At 9 months, the effect size (non‐parametric effect size statistic A ) favoured the intervention group for SF‐36 mental health score ( A = 0.79; 95% CI: 0.73–0.85), anxiety ( A = 0.58; 95% CI: 0.51–0.65), pain intensity ( A = 0.57; 95% CI: 0.51–0.64), and depression ( A = 0.58; 95% CI: 0.51–0.65). Smaller differences were found on physical scores between the intervention and the usual care group. Patients showed a high level of satisfaction with the introduced intervention. Conclusion A comprehensive nurse‐led programme for patients with chronic non‐malignant pain has a positive impact on their quality of life, level of pain, and mental health. Impact Studies have reported that the problem of chronic pain is not optimally controlled. A structured nurse‐led programme has been tested to facilitate healthy behaviours to help patients manage their chronic pain and to provide them with the necessary tools for their self‐care. This nurse‐led intervention improved their mental health and decreased their level of pain.