Nursing Interventions in Promoting Self-Management of Cancer Pain in Tenwek Hospital, Bomet County, Kenya
DOI:
https://doi.org/10.53819/81018102t6051Abstract
Approximately 60% of cancer patients attending outpatients’ clinics experience severe unremitting pain hence self-management of cancer pain is critical. Nurses play an important role in treatment, pain management, and promotion of self-care of patients of cancer patients. The aim of the study was to evaluate nursing interventions in promoting self-management of cancer pain at Tenwek Hospital, Bomet County, Kenya. This was a qualitative study that utilized case study approach. Data was collected in a period of six months whereby interviewer administered semi-structured interview guide with predetermined themes. On the assistance offered by the nurses in self-management of pain, each participant reported to assist their patients differently. The main intervention nurses used in supporting cancer patients in self-management of cancer pain were a multidisciplinary approach involving all the health care providers, pharmacological counselling and patient education. The study also concludes that nurses’ interventions in self-management of cancer can help improve patient outcomes and their quality of life. The study recommends that nurses should incorporate support for self-management of cancer pain in their daily practice with cancer patients. The concept of self-management should be promulgated in such a way that it entails a holistic management of symptoms. Healthcare personnel should initiate self-management of cancer pain at the early trajectory of the disease, at the first contact with the patients.
Keywords: Nursing interventions, self-management of cancer pain, Bomet County
References
Admass, B. A., Endalew, N. S., Tawuye, H. Y., & Mersha, A. T. (2020, September 25).
Knowledge and Attitude of Ethiopian Oncology Nurses about Cancer Pain Management: National Survey
. Cancer Management and Research; Dove Press. https://doi.org/10.2147/CMAR.S261172Affey, F. A., & Mwenda, C. (2019). Cancer Pain Management at Garissa County Referral Hospital, Kenya. https://doi.org/10.29322/IJSRP.9.08.2019.p9223
Budhwani, S., Wodchis, W. P., Zimmermann, C., Moineddin, R., & Howell, D. (2019). Self-management, self-management support needs and interventions in advanced cancer: A scoping review. BMJ Supportive & Palliative Care, 9(1), 12–25. https://doi.org/10.1136/bmjspcare-2018-001529
Chwistek, M. (2017). Recent advances in understanding and managing cancer pain. F1000Research, 6, 945. https://doi.org/10.12688/f1000research.10817.1
Cooley, M. E., Abrahm, J. L., Berry, D. L., Rabin, M. S., Braun, I. M., Paladino, J., Nayak, M. M., & Lobach, D. F. (2018). Algorithm-based decision support for symptom self-management among adults with Cancer: Results of usability testing. BMC Medical Informatics and Decision Making, 18(1), 1. https://doi.org/10.1186/s12911-018-0608-8
Deficient Knowledge – Nursing Diagnosis & Care Plan. (2016, September 29). Nurseslabs. https://nurseslabs.com/deficient-knowledge/
El-Aqoul, A., Obaid, A., Jarrah, I., Al-Rawashdeh, K., & Al Hroub, A. (2020). Effectiveness of Education Program on Nursing Knowledge and Attitude toward Pain Management. Asia-Pacific Journal of Oncology Nursing, 7(4), 382–388. https://doi.org/10.4103/apjon.apjon_17_20
ElMokhallalati, Y., Mulvey, M. R., & Bennett, M. I. (2018). Interventions to support self-management in cancer pain. Pain Reports, 3(6). https://doi.org/10.1097/PR9.0000000000000690
Givler, A., Bhatt, H., & Maani-Fogelman, P. A. (2021). The Importance of Cultural Competence in Pain and Palliative Care. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK493154/
Hochstenbach, L. M., Courtens, A. M., Zwakhalen, S. M., van Kleef, M., & de Witte, L. P. (2015). Self-management support intervention to control cancer pain in the outpatient setting: A randomized controlled trial study protocol. BMC Cancer, 15. https://doi.org/10.1186/s12885-015-1428-1
Jahn, P., Kuss, O., Schmidt, H., Bauer, A., Kitzmantel, M., Jordan, K., Krasemann, S., & Landenberger, M. (2019). Improvement of pain-related self-management for cancer patients through a modular transitional nursing intervention: A cluster-randomized multicenter trial. Pain, 155(4), 746–754. https://doi.org/10.1016/j.pain.2014.01.006
Kwon, J. H. (2014). Overcoming Barriers in Cancer Pain Management. Journal of Clinical Oncology, 32(16), 1727–1733. https://doi.org/10.1200/JCO.2013.52.4827
Liu, W. C., Zheng, Z. X., Tan, K. H., & Meredith, G. J. (2017). Multidimensional Treatment of Cancer Pain. Current Oncology Reports, 19(2), 10. https://doi.org/10.1007/s11912-017-0570-0
Macharia, L. W., Mureithi, M. W., & Anzala, O. (2019). Cancer in Kenya: Types and infection-attributable. Data from the adult population of two National referral hospitals (2008-2012). AAS Open Research, 1. https://doi.org/10.12688/aasopenres.12910.5
Maranga, I. O. (2021). Clinico-pathological Characteristics, Management, and Survival of Patients Treated for Cancer of the Vulva at Kenyatta National Hospital, Kenya-2012-2017 (Doctoral dissertation, University of Nairobi). http://erepository.uonbi.ac.ke/handle/11295/160714
McKee, R. (2018). The Challenge of Cancer Pain Assessment. The Ulster Medical Journal, 87(3), 181–183.
Olaleye, O., & Ekrikpo, U. (2017). Epidemiology of Cancers in Sub-Saharan Africa. In O. A. Adedeji (Ed.), Cancer in Sub-Saharan Africa (pp. 3–19). Springer International Publishing. https://doi.org/10.1007/978-3-319-52554-9_1
Raphaelis, S., Frommlet, F., Mayer, H., & Koller, A. (2020). Implementation of a nurse-led self-management support intervention for patients with cancer-related pain: A cluster randomized phase-IV study with a stepped wedge design (EvANtiPain). BMC Cancer, 20(1), 1. https://doi.org/10.1186/s12885-020-06729-0
Scarborough, B., & Smith, C. B. (2018). Optimal Pain Management for Patients with Cancer in the Modern Era. CA: A Cancer Journal for Clinicians, 68(3), 182–196. https://doi.org/10.3322/caac.21453
Slev, V. N., Molenkamp, C. M., Eeltink, C. M., Roeline W Pasman, H., Verdonck-de Leeuw, I. M., Francke, A. L., & van Uden-Kraan, C. F. (2020). A nurse-led self-management support intervention for patients and informal caregivers facing incurable cancer: A feasibility study from the perspective of nurses. European Journal of Oncology Nursing, 45, 101716. https://doi.org/10.1016/j.ejon.2019.101716
Slev, V. N., Pasman, H. R. W., Eeltink, C. M., Uden-Kraan, C. F. van, Leeuw, I. M. V., & Francke, A. L. (2017). Self-management support and eHealth for patients and informal caregivers confronted with advanced cancer: An online focus group study among nurses. BMC Palliative Care, 16(1), 1. https://doi.org/10.1186/s12904-017-0238-4
van Dongen, S. I., de Nooijer, K., Cramm, J. M., Francke, A. L., Oldenmenger, W. H., Korfage, I. J., Witkamp, F. E., Stoevelaar, R., van der Heide, A., & Rietjens, J. A. (2020). Self-management of patients with advanced cancer: A systematic review of experiences and attitudes. Palliative Medicine, 34(2), 160–178. https://doi.org/10.1177/0269216319883976
Yamagishi, A., Morita, T., Miyashita, M., Igarashi, A., Akiyama, M., Akizuki, N., Shirahige, Y., & Eguchi, K. (2012). Pain Intensity, Quality of Life, Quality of Palliative Care, and Satisfaction in Outpatients with Metastatic or Recurrent Cancer: A Japanese, Nationwide, Region-Based, Multicenter Survey. Journal of Pain and Symptom Management, 43(3), 503–514. https://doi.org/10.1016/j.jpainsymman.2011.04.025
Yamanaka, M. (2018). Investigation of Specifics of Self-Management towards Dealing with Cancer Pain among Adult Outpatients. Health, 10(11), 11. https://doi.org/10.4236/health.2018.1011116
Yamanaka, M., & Suzuki, K. (2021). Evaluation of Appropriateness of A Nursing Intervention Program to Promote Pain Self-Management for Adult Outpatients with Cancer Pain. Asia-Pacific Journal of Oncology Nursing, 8(1), 33–39. https://doi.org/10.4103/apjon.apjon_37_20