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Effectiveness of a Teach-Back Education Program on Perioperative Pain in Patients With Lung Cancer: An Intervention
Peng Wang1, Qian Zhang1, Gui-Ping Li2
1Department of International Medical Care, Peking Union Medical College Hospital, Beijing, China.
Summary
A teach-back educational intervention, guided by the Behavior Change Wheel (BCW) framework, effectively reduced perioperative pain in lung cancer patients. This approach also decreased patient-controlled analgesia use and improved satisfaction.
Area of Science:
- Oncology Nursing
- Pain Management
- Health Education
Background:
- Perioperative pain is a significant concern for lung cancer patients, impacting recovery and quality of life.
- Effective pain management strategies are crucial for improving patient outcomes following lung cancer surgery.
- The Behavior Change Wheel (BCW) framework offers a structured approach to developing behavior change interventions.
Purpose of the Study:
- To evaluate the efficacy of a teach-back educational intervention, utilizing the BCW framework, for managing perioperative pain in lung cancer patients.
- To compare pain levels, analgesic consumption, and patient satisfaction between patients receiving the intervention and those receiving routine care.
Main Methods:
- A prospective quasi-experimental study involving 88 lung cancer patients.
- Patients were assigned to either a control group (routine care) or an intervention group (teach-back education based on BCW).
- Pain was assessed using the Visual Analog Scale (VAS) at multiple time points post-surgery. Patient-controlled analgesia (PCA) use, hospital stay, and satisfaction were also recorded.
Main Results:
- The intervention group reported significantly lower levels of rest pain, pain during coughing, and pain during activity at T0 and T1 compared to the control group.
- Pain during coughing remained significantly milder in the intervention group at T2 and T3.
- The intervention group demonstrated reduced PCA usage (number of self-control times, duration, total dose) and higher patient satisfaction with nursing services.
Conclusions:
- A teach-back educational intervention, grounded in the BCW framework, is effective for perioperative pain management in lung cancer patients.
- This study highlights the successful application of the teach-back method and BCW in designing patient education to alleviate perioperative pain.
- The findings support the integration of this educational approach into clinical practice to enhance recovery and patient experience.
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