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Oncol Nurs Forum. 1999 Oct;26(9):1499-504.

Improving pain outcomes of hospice patients with cancer.

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1
College of Nursing, University of South Florida, USA.

Abstract

PURPOSE/OBJECTIVES:

To evaluate the success of a multifaceted, hospicewide, nurse-focused pain-management intervention for improving patient pain outcomes.

DESIGN:

Comparative, descriptive.

SETTING:

A large, nonprofit hospice that primarily provides home care.

SAMPLE:

Two samples were included in the study. One sample (n = 47) was from a study completed in 1995 before the intervention, and one (n = 255) was from a study completed in 1997 after the intervention. All patients had been diagnosed with cancer and were alert and able to self-report.

METHODS:

Secondary analysis of data that were collected as part of two quality-of-life studies. The four-part intervention included intensive pain-management education for the nurses, development and implementation of pain-management policies and procedures, changes in pain assessment and management documentation, and development and use of quality assurance monitors by the nursing staff.

MAIN RESEARCH VARIABLES:

Pain at its worst, pain relief, and quality of life.

FINDINGS:

Adjusted mean pain-relief scores were significantly lower in 1995 (X = 5.8) than in 1997 (X = 8.4). In 1995, 43% of patients reported pain relief at a level of 5 or less (on a 0-10 scale). This number dropped to 10% by 1997. Adjusted mean pain-at-its-worst scores were significantly lower in 1997 (X = 6.1) than in 1995 (X = 6.7). Pain relief was found to be positively correlated (r = 0.41-0.51) with quality of life in both samples.

CONCLUSIONS:

The hospicewide pain-management intervention was effective.

IMPLICATIONS FOR NURSING PRACTICE:

Through careful study and multifaceted nurse-focused interventions, pain outcomes of hospice patients with cancer can be improved.

PMID:
11064881
[Indexed for MEDLINE]
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