Nursing Interventions in Promoting Self-Management of Cancer Pain in Tenwek Hospital, Bomet County, Kenya

Rose Makena, P. Kabue, Jacob Masika
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Abstract

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
护理干预在促进肿瘤疼痛自我管理中的作用,肯尼亚博梅特县tenweek医院
大约60%的癌症患者在门诊经历了严重的持续疼痛,因此癌症疼痛的自我管理至关重要。护士在治疗、疼痛管理和促进癌症患者的自我护理方面发挥着重要作用。本研究的目的是评估护理干预在促进自我管理癌症疼痛在tenweek医院,博梅特县,肯尼亚。这是一项采用案例研究方法的定性研究。数据是在六个月的时间里收集的,采访者用预先确定的主题管理半结构化的采访指南。在护士对疼痛自我管理提供的帮助方面,每个参与者报告的帮助方式不同。护士支持癌症患者自我管理癌症疼痛的主要干预措施是多学科方法,包括所有医疗保健提供者、药理学咨询和患者教育。该研究还得出结论,护士对癌症自我管理的干预有助于改善患者的预后和生活质量。该研究建议,护士应该在与癌症患者的日常实践中纳入对癌症疼痛自我管理的支持。自我管理的概念应该以这样一种方式传播,即它需要对症状进行全面管理。医护人员应在疾病的早期轨迹,在与患者的第一次接触开始癌症疼痛的自我管理。关键词:护理干预,癌性疼痛自我管理,博梅特县
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