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Research: DEVINE,
Listed in Issue 90
Abstract
DEVINE, School of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA, ecd@uwm.edu, has meta-analyzed the effect of psycho-educational interventions on cancer pain.
Background
Methodology
25 intervention studies were analyzed for effects of psycho-educational measures on pain in adult cancer patients.
Results
Across all the studies analyzed, a significant beneficial effect of psycho-educational interventions was found. Some studies were methodologically flawed. When the best studies were meta-analyzed, there was still a significant effect. Reasonably strong evidence exists for the benefits of relaxation-based cognitive-behavioural interventions, education about analgesic medication, and supportive counselling.
Conclusion
Psycho-educational interventions are not a substitute for analgesia but are an adjuvant therapy. Assessment and clinical judgement are critical. The interventions must be acceptable to patients and not too burdensome for people in pain.
References
Devine EC. Meta-analysis of the effect of psychoeducational interventions on pain in adults with cancer. Oncology Nursing Forum 30 (1): 75-89, Jan-Feb 2003.
