Zhou, L., Liu, X.L., Tan, J.Y., Yu, H.P., Pratt, J., & Peng, Y.Q. (2015). Nurse‐led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review. International Nursing Review, 62, 218–230.
Purpose
STUDY PURPOSE: To evaluate the effects of nurse-led education interventions on pain outcomes
TYPE OF STUDY: Meta-analysis and systematic review
Search Strategy
DATABASES USED: CINAHL, MEDLINE, EMBASE, PsycINFO, Cochrane Library, China National Knowledge Infrastructure, and Proquest
KEYWORDS: Health education, education, psychoeducation, management, intervention, program, and cancer
INCLUSION CRITERIA: Randomized, controlled trials or quasi-experimental studies using any kind of educational intervention led by nurses for adult outpatients with cancer who were experiencing cancer-related pain with standard or usual care as comparator
EXCLUSION CRITERIA: Not specified
Literature Evaluated
TOTAL REFERENCES RETRIEVED: 1,093
EVALUATION METHOD AND COMMENTS ON LITERATURE USED: Johanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research
Sample Characteristics
- FINAL NUMBER STUDIES INCLUDED = 6
- TOTAL PATIENTS INCLUDED IN REVIEW = 78
- SAMPLE RANGE ACROSS STUDIES: 74–227 patients
Phase of Care and Clinical Applications
APPLICATIONS: Palliative care
Results
Four studies included reported pain intensity, and the meta-analysis did not show a significant impact on pain intensity. Two of the four studies looking at patient attitudes showed decreased patient barriers to analgesic use. The studies reported improved patient knowledge.
Conclusions
Nurse-led psychoeducational interventions improved patient knowledge for pain management, reduced barriers to analgesic use, and may have reduced pain intensity.
Limitations
- High heterogeneity
- Very few studies included in the review
Nursing Implications
This review did not add substantially to the current body of evidence regarding the effects of psychoeducational interventions on pain management. It did show that psychoeducational interventions can be beneficial in improving patient knowledge, reducing patient barriers to analgesic use, and possibly reducing pain intensity.
Legacy ID
5565