Nurse coaching to explore and modify patient attitudinal barriers interfering with effective cancer pain management

被引：29

作者：

Fahey, Kathleen F. ^{[1
,3
]}

Rao, Stephen M. ^{[2
]}

Douglas, Marilyn K. ^{[3
]}

Thomas, Mary L. ^{[3
]}

Elliott, Janette E. ^{[3
]}

Miaskowski, Christine ^{[4
]}

机构：

[1] El Camino Hosp, Mountain View, CA 94040 USA

[2] Univ So Calif, Sch Med, Dept Psychiat, San Francisco, CA USA

[3] Vet Adm Palo Alto Hlth Care Syst, Palo Alto, CA USA

[4] Univ Calif San Francisco, Dept Physiol Nursing, San Francisco, CA 94143 USA

来源：

ONCOLOGY NURSING FORUM | 2008年 / 35卷 / 02期

关键词：

D O I：

10.1188/08.ONF.233-240

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose/Objectives: To describe a complex coaching intervention to help patients with cancer pain explore beliefs and attitudinal barriers interfering with pain management. Patients were coached to explore beliefs about pain, communications about pain management, and the use of analgesics and nonpharmacologic interventions. Data Sources: Published journal articles, abstracts, and psychology textbooks. Data Synthesis: Personal beliefs, related attitudinal barriers, and associated behaviors impede patient adherence to and success with pain management treatments. Interventions targeting beliefs help patients overcome attitudinal barriers, improve treatment adherence, and obtain better pain relief. Conclusions: Coaching patients to explore beliefs reduces ineffective behaviors and improves pain treatment adherence. Implications for Nursing: A coaching intervention incorporating assessment of patient beliefs promotes self-management, self-efficacy, and adherence to pain management treatment plans. Advanced practice nurses should consider incorporating this intervention into their communications with patients experiencing cancer pain.

引用

页码：233 / 240

页数：8

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