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Meta-analysis of Psychosocial Interventions to Reduce Pain in Patients with Cancer

Journal of Korean Academy of Nursing 2013³â 43±Ç 5È£ p.658 ~ 668
KMID : 0806120130430050658
¿Àº¹ÀÚ ( Oh Pok-Ja ) - »ïÀ°´ëÇб³ °£È£Çаú

ÇѼ÷Á¤ ( Han Suk-Jung ) - »ïÀ°´ëÇб³ °£È£Çаú

Abstract

Purpose: The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients.

Methods: Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochrane¡¯s Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library.

Results: Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected.

Conclusion: This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.
KeyWords

Neoplasm, Pain, Intervention studies, Meta-analysis
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