Effectiveness of Pain Self-Management Support Intervention on Pain and Its Interference with Daily Activities among Patients with Cancer in Vinh Phuc Province
Authors:   MSN, Faculty of Medicine and Pharmacy, Vinh Phuc College, Vietnam., Vu Son Dinh , Cam Pham Phuong ,   Assoc.Prof, Center for Nuclear Medicine and Oncology, Bach Mai Hospital, Vietnam., Minh Nguyen Chinh Thi ,   Ph.D, Department for Training Management, Nam Dinh University of Nursing, Vietnam., Than Ly Van ,   MSN, Faculty of Medicine and Pharmacy, Vinh Phuc College, Vietnam., Le Hoan Quoc ,   MSN, Faculty of Medicine and Pharmacy, Vinh Phuc College, Vietnam., Nguyen Loan Thi Bich ,   MSN, Center for Nuclear Medicine and Oncology, Vinh Phuc General Hospital, Vietnam.
Published: October 2023

Objective: This study was carried out to evaluate the effectiveness of pain self-management support intervention on pain and its interference with daily activities among patients with cancer in Vinh Phuc Province after 1 week of discharge from the hospital. Methods: A randomized controlled clinical trial was used. The study was conducted on 116 patients with cancer with pain treated at Vinh Phuc Provincial General Hospital. The pain self-management support intervention for patients with cancer through health education consultation is carried out 1 week before the patient leaves the hospital until 01 week after discharge. Intervention content includes providing information about pain, building pain management skills, and supporting patients with cancer with self-care. Patients completed the questionnaire before implementing the program and 01 week after discharge. The research period is from February 2023 to the end of July 2023. Data were analyzed using SPSS 20.0 using descriptive statistics algorithms, parametric and non-parametric tests. Results: In the intervention group, there was a statistically significant difference in the average score before intervention and after 1 week of discharge in worst pain (4.88 ± 1.55 and 3.64 ± 1.45, p < 0.05), mildest pain (2.14 ± 1.05 and 1.68 ± 0.92, p<0.05), moderate pain (3.54 ± 1.39 and 2.38 ± 1.04, p<0, 05), current pain (3.09 ± 1.76 and 2.25 ± 1.25, p<0.05), general pain (3.41 ± 1.28 and 2.49 ± 1.07, p <0.05), pain interference on daily activities (4.23 ± 1.75 and 3.48 ± 1.91, p <0.05). The study also showed that there was a statistically significant difference in the average score between the intervention group and the control group at 1 week of discharge in worst pain (3.64 ± 1.45 and 5.00). ± 1.71, p<0.05), moderate pain (2.38 ± 1.04 and 3.46 ± 1.61, p<0.05), current pain (2.25 ± 1.25 and 3.31 ± 1.88, p < 0.05), general pain (2.49 ± 1.07 and 3.50 ± 1.52, p < 0.05), pain interference on daily activities days (3.48 ± 1, 91 and 4.35 ± 2.18, p<0.05). The influence coefficient for general pain intensity is moderate (Cohen's d = 0.76), and the influence coefficient for the influence of pain on daily activities is small (Cohen'sd = 0.42). Conclusions: The pain self-management support intervention for patients with cancer through health education consultation has been effective in reducing pain and reducing pain interference with daily activities in patients with cancer. In caring for patients with cancer, it is recommended to strengthen health education and counseling on pain management for them so that they can self-manage pain and contribute to controlling their pain.