The Influence of Education on Cancer Pain Reduction: A Systematic Review

Paulo Marques^1, , Patrícia Gonçalves², Elisabete Meira³, Nícia Pereira⁴ and Ana Sousa⁵

¹Center for Health Technology and Services Research (CINTESIS), Nursing School of Porto, Porto, Portugal

²Magalhães Lemos Hospital, Porto, Portugal

³Ave Alto Hospital, Guimarães, Portugal

⁴Porto, Portugal

⁵Plastic Surgery Clinic Artlaser, Porto, Portugal

Cite this paper:
Paulo Marques, Patrícia Gonçalves, Elisabete Meira, Nícia Pereira and Ana Sousa. The Influence of Education on Cancer Pain Reduction: A Systematic Review. Journal of Cancer Research and Treatment. 2015; 3(1):6-10. doi: 10.12691/jcrt-3-1-2

Abstract

Aims: This literature review aims to assess the contribution of pain education in reducing cancer pain. Methods and sample: An electronic search of articles was performed in CINAHL and MEDLINE with Full Text, from 2003 to 2013, using the EBSCOhost motor search at the Porto Nursing School. The studies were selected obeying search limits 'find all my search terms', 'full text', 'adult', ‘portuguese’, ‘english’ and ‘french’ languages, 'Randomised Control Trials', based on the following inclusion criteria: articles whose participants are patients with cancer pain admitted to medical and surgical units or outpatient services, articles whose intervention includes education on pain and articles which report the implications of intervention in cancer pain intensity. Results: Five studies with a high level of evidence were included in the review. Four studies reported a reduction in pain intensity after intervention, three of them with statistically significant pain reduction. Conclusions: Education can be an important resource for the reduction of pain intensity, and can be implemented by different health professionals, particularly nurses. Its implementation is recommended for the reduction of this specific type of pain. Implications for practice: It is hoped that our findings will increase nurses’ awareness of the importance of involving patients in their own care; Pain education may improve patient’s ability to manage their own pain.

Keywords:
cancer neoplasms pain management education nursing

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	International Association for the Study of Pain [IASP], 2012. IASP Taxonomy, [Consulted on December 2013]. Available online: <URL: http://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698&navItemNumber=576#Pain
[2]	Health Directorate-General [DGS], 2003. Pain as the 5th vital sign. Systematic registration of pain intensity. DGS, Lisbon.
[3]	Health Directorate-General [DGS], 2008. National program for pain control. DGS, Lisbon.
[4]	Ducci, A.J., Pimenta, C.A.M., 2003. Educational programs and cancer pain. Revista Brasileira de Cancerologia 49(3), 185-192.
[5]	International Council of Nurses. International Classification for Nursing Practice [ICNP] (2013 release). [Online] [Consulted March 2014]. Available online: URL:http://www.icn.ch/images/stories/documents/pillars/Practice/icnp/translations/icnp-English translation.pdf.
[6]	International Association for the Study of Pain [IASP]. Global Year Against Cancer Pain 2008-2009 (updated 2014). [Consulted on February 2014]. Available online: URL:http://www.iasp-pain.org/Advocacy/GYAP.aspx?ItemNumber=772.
[7]	Folhas, G., Oliveira, C., Rato, C., França, C., Ferreira, A.C., 2007. Massage and relaxation for cancer pain relief: project «wellness». Dor 15(1), 37-40.
[8]	Council of Nurses, 2008. Pain – Good practice guidance guide. Association of Nurses, Lisbon.
[9]	Broadfield, L., Banerjee, S., Jewers, H., Pollett, A.J., Simpson, J., 2005. Guidelines for the Management of Cancer-Related Pain in Adults. Supportive Care Cancer Site Team, Cancer Care Nova Scotia.
[10]	The Joanna Briggs Institute, 2011. Joanna Briggs Institute Reviewers’ Manual, 2011 edition. The Joanna Briggs Institute.
[11]	Koller, A., Miaskowski, C., De Geest, S., Opitz, O., Spichiger, E., 2013. Results of a randomized controlled pilot study of a self-management intervention for cancer pain. European Journal of Oncology Nursing 17, 284-291.
[12]	Peet E.H., Everdingen, M., Patijn, J., Schouten, H.C., Kleef, M., Courtens, A.M., 2009. Randomized Clinical Trial of an Intensive Nursing-based Pain Education Program for Cancer Outpatients Suffering from Pain. Support Care Cancer 17, 1089-1099.
[13]	Thomas, M.L., Elliott, J.E., Rao, S.M., Fahey, K.F., Paul, S.M., Miaskowski, C., 2012. A Randomized, Clinical Trial of Education or Motivational-Interviewing-Based Coaching Compared to Usual Care to Improve Cancer Pain Management. Oncology Nursing Forum 39(1), 39-49.
[14]	Yildirim, Y.K., Cicek, F., Uyar, M., 2009. Effects of Pain Education Program on Pain Intensity, Pain Treatment Satisfaction, and Barriers in Turkish Cancer Patients. Pain Management Nursing 10(4), 220-228.
[15]	Yates, P., Edwards, E., Nash, R., Aranda, S., Purdie, D., Najman, J. [et al.], 2004. A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Education and Counseling 53, 227-237.
[16]	The British Pain Society, 2010. Cancer Pain Management A perspective from the British Pain Society, supported by the Association for Palliative Medicine and the Royal College of General Practitioners. The British Pain Society, London.
[17]	Bennett, M.I., Bagnall, A.M., José Closs S., 2009. How effective are patient-based educational interventions in the management of cancer pain? Systematic review and meta-analysis. Pain 143(3), 192-199.
[18]	The British Pain Society, 2007. Recommended Guidelines For Pain Management Programmes For Adults. The British Pain Society, London.
[19]	Miaskowski, C., Dodd, M., West, C., Schumacher, K., Paul, S.M., Tripathy, D. et al. 2004. Randomized Clinical Trial of the Effectiveness of a Self-Care Intervention to Improve Cancer Pain Management. Journal of Clinical Oncology 22(9), 1713-1720.
[20]	Scottish Intercollegiate Guidelines Network, 2008. Control of Pain in Adults with Cancer A National Clinical Guideline. Scottish Intercollegiate Guidelines Network, Edinburgh.