Abstract
Background: The incidence of breast cancer in Indonesia is the highest among the types of cancer in women with a prevalence of estimated 40-89%. Unresolved pain creates discomfort and adverse effects on physical, psychological, and social that can lead to a decline in the quality of life.
Objective: The purpose of this study was to identify the effect of the convenience-based pain management model with coaching strategy in breast cancer patients.
Methods: This study used a quasi-experimental design of pre-post test control group. The subjects were chosen by continuous sampling counted 64 respondents (32 intervention group patients and 32 control group patients). Data were collected during pre-test, post-test 1 and post-test 2. All data were collected by nurse coaching and analyzed using ANOVA repeated measure.
Results: The results showed that there was a significant effect of comfort-based pain management model with coaching strategy to the decrease of pain rate, improvement of comfort, functional status improvement, status improvement of breast cancer patientsymptoms. However, there was no influence on health status nor global quality.
Conclusion: The convenience-based pain management model proved to be effective in reducing the degree of pain, increasing comfort, improving functional status and improving the symptom status of breast cancer patients.
Keywords: model of pain management, breast cancer, degree of pain, comfort, quality of life.
References
- Apolone, G.,Carli,O.,Caraceni, A., Negri, , Daendrea, S.,Montanari, M.,& Greco, M.T.(2009). Pattern and quality of care of cancer pain management.Results from the cancer pain outcome research study group. British Journal of Cancer,100(10): 1566 – 1574.
- Black, B.,Herr, K.,Fine, P.,Sanders, S.,Tang, X.,Jackson, K.B.,Titler, M.,Forcucci, C.(2011). The relationships among pain, nonpain symptom, and quality of life measures in older adult with cancer receiving hospice care. Pain Medicine,12:880 – 889.
- Desen, W., & Japaries, W. (2011). Buku ajar onkologi klinis, edisi 2. Jakarta: FKUI.
- Davidson, Neale, & King.(2004). Abnormal psychology. USA: John Wiley & Sons, Inc.
- Dowd, T., Kolcaba, K., & Steiner, R.(2000). Using cognitive strategies to enhance bladder control and comfort. Holistic Nursing Practice, 14(2):91-103.
- Dowd, T., Kolcaba, K., & Steiner, R.(2003). The addition of coaching to cognitive strategies; Intervention for person with compromised urinary bladder syndrome. Journal the Wound, Ostomy and Continence Nurses Society (JWOCN), 30(2):90-99.
- Eun Kim, J., Dodd, M., West, C., Paul, S., Facione, N., Schumacher, K., Tripathy, D., Koo, P., Miaskowski, C. (2004). The PRO-SELF pain control program improves patient’s knowledge of cancer pain management. Oncology Nursing Forum, 31(6): 1137 - 1143.
- Findik, U.Y., Topcu, S.Y, & Vatansever, O. (2013). Effects of drains on pain, comfort and anxiety in patients undergone surgery. International Journal of Caring Sciences, 6(3): 412 – 419.
- Foley, K.M.(2011). How well is cancer pain treated? Palliative Medicine, 25(5): 398-401.
- Fahey, K.F., Rao, S.M., Douglas, M.K., Thomas, M.L., Elliot, J.E., Miaskowski, C. (2008). Nurse coaching to explore and modify patient attitudinal barriers interfering with effective cancer pain management. Oncology Nursing Forum, 35 (2): 233 – 240.
- Fobair, P., Stewart, S.L., Chang, S., D’Onfrio, C., Banks, P.J., & Bloom, J,R. (2006). Body image and sexual problems in young women with breast cancer. Psychooncology, 15: 579.
- Hovind, I.L., Bredal, I.S., & Dihle, A.(2012). Women’s experience of acute and chronic pain following breast cancer surgery. Journal of Clinical Nursing, 22: 1044 – 1052.
- Kravitz, R.L. ,Tancredi, D.J., Grennan,T., Street, R.L., Kalauokalani,D., Wun,T., Slee, C., Dean, D.E., Oliver,J.W., Lorig, K., & Franks, P. (2011). Cancer Health Empowerment for Living without Pain (Ca-HELP): Effect of a tailored education and coaching intervention on pain and impairment. PAIN, 152: 1572 – 1582.
- Kalauokalani, D.,Franks, P.,Oliver, J.W.,Meyers, F.J., Kravitz, R.L.(2007). Can patient coaching reduce racial/ethnic disparities in cancer pain control? Secondary analysis of randomized controlled trial. Pain Medicine, 8: 17 – 24.
- Moorey, S., & Greer, S. (2006) Cognitive behavior therapy for people with cancer. New York: Oxford University Press.
- Mols, F., Vingerkoets, A., Coebergh, J., & Vande Poll-Franse, L. (2005). Quality of life among long-term breast cancer survivor. A systematic review. Eur Journal of Cancer, 41: 2613.
- Purwanto, H., Handojo, D.,Haryono, S.J.,& Harahap, W.A.(2015). Panduan penatalaksanaan kanker payudara. Jakarta: PERABOI.
- Park, K.U. (2008). Assessment of change of quality of life terminal ill patient under cancer pain management using the EORTC core quality of life questionnaire (QLQ C30) in Korean Sample. Oncology, 74(1):7-12.
- Peterson, S.J., dan Bredow, T.S. (2004). Middle range theoriest : Aplication nursing research. Philadhelpia: Lippincott Williams dan Walkins.
- Rana, S., Gupta, R.,Chaudary, P.,Khurana, D.,Mishra, S., Bhatnagar, S.(2011). Cancer pain management: Basic information for the young pain physicians.Indian Journal of Palliative Care,17(2): 127 - 130.
- Rief, W., Bardwell, W.A., Dimsdale, J.E., Natarajan, L., Flatt, S.W., & Pierce, J.P.(2011). Long-term course of pain in breast cancer survivors: a 4-year longitudinal study. Breast Cancer Res Treat, 130: 579-586.
- Satija, A., Ahmed, S.M., Gupta, R., Ahmed, A., Rana, S.P., Sing, S.P., Mishra, S., & Bhatnagar, S. (2014). Breast cancer pain management: A review of current and novel therapis. Indian Journal Med Res, 103: 216 – 225.
- Suzanna, E., Sirait, T., Rahayu, P.S., Shalmont, G., Anwar, E, & Andalusia, R.(2012). Registrasi kanker berbasis rumah sakit di rumah sakit kanker “Dharmais”.Pusat kanker Nasional. Indonesian Journal of Cancer, 6: 1-12.
- Schuiling, K.D.(2003). Exploring the presence of comfort within the context of childbirth. Disertation, ProQuest Information and Learning Company: UMI Microform 3106158.
- Siefert, M.L.(2002). Concept analysis of comfort. Nursing Forum, 37 (4) : 16-23.
- Witjaksono, M.A. (2012). Panduan penatalaksanaan nyeri kanker bagi tenaga kesehatan. Unit Paliatif Rumah Sakit Kanker Dharmais. Jakarta: PT Mahakam Beta Farma.
- Wool, M.S.,&Vincent Mor. (2005). A multidimensional model for understanding cancer pain. Cancer Investigation, 23:727-7
Corresponding Author
Sudirman
Nursing Department of Ministry of Health Polytechnic of Semarang
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