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Randomized controlled trial of standardized education and telemonitoring for pain in outpatients with advanced solid tumors

Authors
 Han Sang Kim  ;  Sang Joon Shin  ;  Sang Cheol Kim  ;  Surim An  ;  Sun Young Rha  ;  Joong Bae Ahn  ;  Byoung Chul Cho  ;  Hye Jin Choi  ;  Joo Hyuk Sohn  ;  Hyo Song Kim  ;  Hyun Cheol Chung  ;  Joo Hang Kim  ;  Jae Kyung Roh  ;  Soohyeon Lee 
Citation
 Supportive Care in Cancer, Vol.21(6) : 1751-1759, 2013 
Journal Title
 Supportive Care in Cancer 
ISSN
 0941-4355 
Issue Date
2013
Abstract
PURPOSE: Previous studies have not defined the role of telemonitoring with educational tools in outpatients with advanced cancers. We tested the effectiveness of standardized education and telemonitoring for improving pain, distress, anxiety, depression, quality of life (QoL), and performance in outpatients with advanced cancers. METHODS: A total of 108 patients were randomly assigned to receive pain education alone (control arm) or pain education plus telemonitoring (experimental arm). Nursing specialists provided video-assisted educational material in both arms and daily telemonitoring for the first week in the experimental arm. Assessment was performed at baseline and 1 week and included evaluations of pain (Brief Pain Inventory, BPI), distress (Distress Thermometer, DT), anxiety, and depression (Hospital Anxiety and Depression Scale, HADS), QoL (QLQ-C30), and a Karnofsky score. RESULTS: Overall (n = 108), pain intensity was significantly improved at 1 week, including worst pain (7.3 to 5.7, P < 0.01) and average pain (4.6 to 3.8, P < 0.01). Additionally, anxiety (HADS score ≥ 11, 75% to 56%, P < 0.01), depression (HADS score ≥ 11, 73% to 51%, P < 0.01), QoL (fatigue and insomnia), and the Karnofsky score (32 to 66, P < 0.01) were also significantly improved at 1 week. However, the level of distress did not improve. The telemonitoring plus standardized education group showed more significant improvement in portion of pain >4 on VAS scale (35% vs. 19%, P = 0.02). CONCLUSIONS: Standardized pain education using nursing specialists is an efficient way to improve not only pain itself but also anxiety, depression, performance, and QoL. The addition of telemonitoring helps to improve pain management in the outpatient setting.
Files in This Item:
T201303090.pdf Download
DOI
10.1007/s00520-013-1722-x
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pharmacology (약리학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김주항(Kim, Joo Hang)
김한상(Kim, Han Sang) ORCID logo https://orcid.org/0000-0002-6504-9927
김효송(Kim, Hyo Song) ORCID logo https://orcid.org/0000-0002-0625-9828
노재경(Roh, Jae Kyung)
라선영(Rha, Sun Young) ORCID logo https://orcid.org/0000-0002-2512-4531
손주혁(Sohn, Joo Hyuk) ORCID logo https://orcid.org/0000-0002-2303-2764
신상준(Shin, Sang Joon) ORCID logo https://orcid.org/0000-0001-5350-7241
안중배(Ahn, Joong Bae) ORCID logo https://orcid.org/0000-0001-6787-1503
이수현(Lee, Soo Hyeon)
정현철(Chung, Hyun Cheol) ORCID logo https://orcid.org/0000-0002-0920-9471
조병철(Cho, Byoung Chul) ORCID logo https://orcid.org/0000-0002-5562-270X
최혜진(Choi, Hye Jin) ORCID logo https://orcid.org/0000-0001-5917-1400
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87799
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