9739
document
Pain and fatigue management : results of a nursing randomized clinical trial . PURPOSE/OBJECTIVES Through a randomized clinical trial , to compare patients undergoing an initial course of chemotherapy who report pain and fatigue at baseline and who are receiving conventional care alone with those receiving conventional care plus a nursing intervention on outcomes reported at 20 weeks . SETTING Chemotherapy clinics of two comprehensive and two community cancer centers . METHODS Interviews were conducted at baseline and 10 and 20 weeks . An 18-week , 10-contact nursing intervention utilizing problem-solving approaches to symptom management and improving physical functioning and emotional health was implemented . SAMPLE The sample consisted of 53 patients in the experimental arm and 60 in the control arm who reported pain and fatigue at baseline . VARIABLES Pain and fatigue , numbers of other symptoms , and physical role impact and social-functioning subscales from the Medical Outcomes Study 36 Short Form . FINDINGS Patients who received the intervention reported a significant reduction in the number of symptoms experienced and improved physical and social functioning . Fewer patients in the experimental arm reported both pain and fatigue at 20 weeks . CONCLUSIONS Behavioral interventions targeted to patients with pain and fatigue can reduce symptom burden , improve the quality of the daily life of patients , and demonstrate the " value-added " role of nursing care for patients undergoing chemotherapy . IMPLICATIONS FOR NURSING These data support the " value-added " role of nursing interventions for symptom management and improved quality of life during the course of cancer treatment .
9740
Intervention_Physical
chemotherapy
9741
Intervention_Educational
conventional care alone
9742
Intervention_Educational
conventional care plus a nursing intervention
9743
Intervention_Psychological
nursing intervention utilizing problem-solving approaches to symptom management and improving physical functioning and emotional health
9744
Intervention_Educational
intervention
9745
Intervention_Educational
Behavioral interventions
9746
Intervention_Psychological
nursing care
9747
Intervention_Educational
nursing interventions
9748
Outcome_Pain
Pain
9749
Outcome_Pain
pain
9750
Outcome_Physical
physical functioning
9751
Outcome_Mental
emotional health
9752
Outcome_Pain
pain
9753
Outcome_Physical
fatigue
9754
Outcome_Pain
Pain
9755
Outcome_Physical
fatigue
9756
Outcome_Pain
numbers of other symptoms
9757
Outcome_Physical
physical role impact
9758
Outcome_Physical
number of symptoms experienced
9759
Outcome_Physical
physical
9760
Outcome_Physical
social functioning
9761
Outcome_Pain
pain
9762
Outcome_Physical
fatigue
9763
Outcome_Pain
pain
9764
Outcome_Physical
fatigue
9765
Outcome_Physical
symptom burden
9766
Outcome_Physical
quality of the daily life
9767
Outcome_Physical
improved quality of life
9768
Participant_Condition
cancer
9769
Participant_Sample-size
53
9770
Participant_Sample-size
60