Effect of instructional guidelines on brain tumors patients’ pain and fatigue levels
Keywords:
fatigue level, instructional guidelines, pain level, patients with brain tumorsAbstract
One of the most prevalent and severe side effects for patients with brain tumors is pain and fatigue. The aim was to determine the effect of instructional guidelines on brain tumor patients' pain and fatigue levels. Subjects and method: Design: A quasi-experimental research design was used to achieve the aim of this study. Setting: the research was conducted in the neurosurgery department at Beni-Suef University Hospital. Subjects: A purposive sample of 50 adult patients was included. Three tools were used: Tool (I) a structured interview questionnaire (II) a numerical pain rating scale, and (III) a Fatigue assessment scale. Results: The current study revealed that there was a highly statistically significant difference between pain mean scores pre and post-instructional guidelines implementation at (P= <0.05). Also, the study showed that there was a highly statistically significant difference between anxiety scores pre and post-instructional guidelines implementation with (P=<0.001). Conclusion: The instructional guidelines implementation had a positive effect on reducing pain and fatigue levels among patients with brain tumors. Recommendations: The instructional guidelines implementation regarding brain tumors should be provided and discussed in the rehabilitation programs.
Downloads
References
Armstrong, T.S., & Gilbert, M.R. (2018): Practical strategies for management of fatigue and sleep disorders in people with brain tumors. Neuro-Oncol; 14(suppl 4):i65-72. doi:10.1093/neurons/nos210
Berger, A.M., Mooney, K., & Alvarez-Perez, A. (2018): Cancer-related fatigue, version 2.2015. J. Natl Compr. Canc. Netw. ; 13(8):1012–1039.
Bin-Madhi, M.K. (2017): Brain tumors excision guided by neuronavigation: Practical application and results, Doctor thesis, Neurosurgery, Faculty of Medicine, Assiut University, pp. 89, 92, 95, 99.
Bower, J.E. (2014): Cancer-related fatigue mechanisms, risk factors, and treatments. Nat Rev Clin Oncol; 11(10):597-609. doi:10.1038/nrclinonc.127
Bower, J.E., Garet, D., & Sternlieb, B. (2017): Yoga for persistent fatigue in breast cancer survivors: a randomized controlled trial. Cancer; 118(15):3766–3775.
Edlinger, M., Strohmaier, S., & Jonsson, H., (2016): Blood pressure and other metabolic syndrome factors and risk of a brain tumor in the large population-based Me-Can cohort study, Journal of Hypertension, 30(2), pp.290- 296
Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. (2017): Incidence, patient satisfaction, and perceptions of post-surgical pain: Results from a US national survey. Current Medical Research and Opinion, Jan 1; 30(1):149-60. DOI: 10.1185/03007995.2013.860019
Horneber, M., Fischer, I., Dimeo, F., Rüffer, J.U., & Weis, J. (2017): Cancer-related fatigue: epidemiology, pathogenesis, diagnosis, and treatment. Dtsch Arztebl Int.; 109(9):161-72. doi:10.3238/arztebl.0161
Kaur S, Lobo DJ, Latha T. (2019): Role of foot and hand massage on the anxiety for post-operative open-heart surgery patients: A Randomized Control Trial. International Journal of Nursing Education, Jul 1; 5(2):205.
Kleijn, W., De, V. J., Wijnen, P., & Drent, M. (2011): Minimal (clinically) important differences for the Fatigue Assessment Scale in sarcoidosis. Respir Med; 105: 1388- 95.
Krucik, G. (2018): A brain tumor, health line. Networks, Inc., pp.1-7, http://www. Healthline. com/ health/brain tumor
Lakhan, S.E., & Harle, L. (2019): Difficult diagnosis of brainstem glioblastoma multiforme in a woman: a case report and review of the literature. J Med Case Reports; 3(1):87. Doi: 10.1186/1752-1947-3-87
McCaffery M. Pain management: problems and progress. In: McCaffery M, Pasero CL. Pain: clinical manual. 2nd ed. St. Louis: Mosby; 1999:1–14. 1.
McCarty S, Eickmeyer SM, Kocherginsky M, Keeshin S, Shahpar S, Semik P, Wong AW. (2017): Health-related quality of life and cancer-related symptoms during interdisciplinary outpatient rehabilitation for a malignant brain tumor. Am J Phys Med.
NCCN Clinical Practice Guidelines in Oncology- Cancer-Related Fatigue. (2019): Excellent review of national guidelines on the assessment and management of cancer-related fatigue, although with limited evidence specifically for patients with brain tumors.
Pachman, D.R., Price, K.A., & Carey, E.C. (2018): Nonpharmacological approach to fatigue in patients with cancer, Cancer J; 20(5): 313-8. doi: 10. 1097/ PPO. 0000000000000064.
Parth, T., Brian, G., & Palak, P. (2020): Rehabilitation of Adult Patients with Primary Brain Tumors: A Narrative Review, Brain Sci, 10(8): 492.
Piper, S., & Stewart, P. (2009): Health Promotion for Nurses: Theory and Practice, United Kingdom: Taylor and Francis
Raaf, P.J., Klerk, C., Timman, R., Busschbach, J.J., Oldenmenger, W.H., & Rijt, C. D. (2018): Systematic monitoring and treatment of physical symptoms to alleviate fatigue in patients with advanced cancer: a randomized controlled trial. J Clin Oncol; 31(6):716-23. doi: 10. 1200/ JCO. 2012. 44.4216
Tong, J.J., Tao, H., Hui, O.T., & Jian, C. (2018): Diabetes mellitus and risk of brain tumors: A meta-analysis, Exp Ther Med. 4(5), pp. 877-882.
Urden, L.D., Stacy, K.M., & Lough, M.E., (2016): Critical Care Nursing, 6th ed., Mosby, Elsevier Inc., pp. 945- 949.
Valko, P.O., Siddique, A., Linsenmeier, C., Zaugg, K., Held, U., & Hofer, S. (2018): Prevalence and predictors of fatigue in glioblastoma: a prospective study. Neuro- Oncol; 17(2): 274-81. doi: 10. 1093/neurons/ nou127
White, L., Duncan, G., & Baumle, W., (2017): Medical-Surgical Nursing: An intended approach, caring for clients with brain disorders, 3rd ed., Delmar, Cengage Learning, p. 809
Yennurajalingam, S., & Bruera, E. (2019): Review of clinical trials of pharmacologic interventions for cancer-related fatigue: focus on psychostimulants and steroids. Cancer J; 20(5):319–324.
Published
How to Cite
Issue
Section
Copyright (c) 2021 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
