Related Experiment Videos
A Nurse-Led Multicomponent Self-Management Intervention for Patients With Cancer-Related Pain: A Randomized
Junfeng Zhang1, Xing Wu2, Wenru Yu1
1The Affiliated Dongguan Songshan Lake Central Hospital of Guangdong Medical University, Dongguan, Guangdong, People's Republic of China.
Summary
A nurse-led multicomponent self-management intervention (MSMI) effectively reduced cancer pain intensity and improved self-efficacy and knowledge in Chinese patients. This digital health approach supports outpatient cancer pain management.
Area of Science:
- Oncology
- Digital Health Interventions
- Pain Management
Background:
- Cancer pain is a significant challenge, particularly during the transition to outpatient care, complicating patient self-management.
- Existing research on mHealth-supported interventions for cancer pain self-management in China is limited.
- The Information-Motivation-Behavioral Skills (IMB) model provides a framework for health behavior change.
Purpose of the Study:
- To evaluate a nurse-led multicomponent self-management intervention (MSMI) based on the IMB model.
- To assess the intervention's effectiveness in reducing pain intensity and improving self-efficacy, quality of life (QoL), pain-related knowledge, and medication adherence in cancer pain patients.
- To address the gap in research on digitally enhanced interventions for cancer pain self-management in China.
Main Methods:
- A prospective, single-blinded, parallel-group randomized controlled trial was conducted.
- 88 adult patients with cancer-related pain were recruited from an oncology center in southern China and randomized into MSMI or control groups.
- The MSMI group received the intervention, while the control group received usual care. Outcomes (pain intensity, self-efficacy, QoL, knowledge, adherence) were measured at baseline, immediately postintervention, and 4 weeks postintervention.
Main Results:
- The MSMI group demonstrated significantly greater reductions in pain intensity compared to the control group.
- Significant improvements in self-efficacy were observed in the MSMI group at both immediate postintervention and 4-week follow-up.
- The MSMI group also showed significant improvements in pain-related knowledge postintervention; no significant differences were found for QoL or medication adherence.
Conclusions:
- The nurse-led, digitally enhanced MSMI, grounded in the IMB model, is effective for managing moderate-to-severe cancer pain in Chinese outpatients.
- The intervention successfully improves pain intensity, self-efficacy, and pain-related knowledge.
- Proactive implementation of MSMI enhances self-efficacy and pain reduction, supporting continuity of care and recommending integration into standard outpatient cancer pain management.