A Concept Analysis of Self-Management of Cancer Pain

Yamanaka, Masaki

doi:10.4103/apjon.apjon_17_18

Cited by 33 publications

(39 citation statements)

References 29 publications

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“…This shift from acute to chronic care brings emphasis to self-management of cancer, where patients need to have an active and informed role in managing psychological, physical and social aspects of their health. As chronic disease management will continue to be an important component of health care, the identification of self-management processes for cancer [4] can greatly help to guide clinical practice and future research in supporting self-management efforts and integrated care.…”

Section: Introductionmentioning

confidence: 99%

Patient empowerment for cancer patients through a novel ICT infrastructure

Kondylakis

Bucur

Crico

et al. 2020

Journal of Biomedical Informatics

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As a result of recent advances in cancer research and "precision medicine" approaches, i.e. the idea of treating each patient with the right drug at the right time, more and more cancer patients are being cured, or might have to cope with a life with cancer. For many people, cancer survival today means living with a complex and chronic condition. Surviving and living with or beyond cancer requires the long-term management of the disease, leading to a significant need for active rehabilitation of the patients. In this paper, we present a novel methodology employed in the iManageCancer project for cancer patient empowerment in which personal health systems, serious games, psychoemotional monitoring and other novel decision-support tools are combined into an integrated patient empowerment platform. We present in detail the ICT infrastructure developed and our evaluation with the involvement of cancer patients on two sites, a large-scale pilot for adults and a small-scale test for children. The evaluation showed mixed evidences on the improvement of patient empowerment, while ability to cope with cancer, including improvement in mood and resilience to cancer, increased for the participants of the adults′ pilot.

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Section: Introductionmentioning

confidence: 99%

Patient empowerment for cancer patients through a novel ICT infrastructure

Kondylakis

Bucur

Crico

et al. 2020

Journal of Biomedical Informatics

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“…Referring to the definition by Yamanaka [12], self-management of cancer pain was defined as "the process in which patients with cancer pain make the decision to manage their pain, enhance their self-efficacy by solving problems caused by pain, and incorporate pain-relieving strategies into daily life, through interactions with healthcare professionals. "…”

Section: Self-management Of Cancer Painmentioning

confidence: 99%

“…Patients participating in this study were self-regulating the analgesic medications, and it has been reported that the antecedents of self -management of cancer pain were physical functions, cognitive abilities, motivation, undergoing medical treatment for pain, receiving individualized training, subject to support by family and healthcare professionals, and in possession of health literacy [12].…”

Section: Suggestions For Nursing Practicementioning

confidence: 99%

Investigation of Specifics of Self-Management towards Dealing with Cancer Pain among Adult Outpatients

Yamanaka¹

2018

Health

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Purpose: This study aimed to identify specifics of self-management towards dealing with cancer pains among adult outpatients. Methods: Semi-structured interviews were conducted with 16 adult outpatients (9 males and 7 females) who suffered from cancer pain and the data obtained were analyzed using the qualitative synthesis method of KJ Ho. Results: An analysis of the results revealed these key findings for the following symbolic wording of the semi-structured interviews: Cooperative relationship with medical professionals; Problems originating from cancer pain; Self-regulation of analgesic medications based on the interactions with medical professionals; Self-regulation of the analgesic medications based on the physical perceptions of the effects; Self-regulation to maintain a balanced and calm mind, Fulfilling life by the pain alleviation and liberation from the restrictions imposed by the cancer; and Efforts to maintain their lives by themselves. Conclusion: Based on the cooperative relationship established with medical professionals, the patient carried out the self-regulation of cancer pain using analgesics, and self-regulation to maintain a balanced and calm mind. Nurses must therefore sufficiently educate patients regarding how to communicate successfully with medical professionals in order to improve cancer patients' pain management regarding both physical and mental aspects.

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“…Self-management of cancer pain can be defined as “the process in which patients with cancer pain make the decision to manage their pain, enhance their self-efficacy by solving problems caused by the pain, and incorporate pain-relieving strategies into daily life, through interactions with health care professionals.” 37 Lorig and Holman 25 suggested 3 tasks of self-management interventions:(1) Managing medical treatment, including self-monitoring of pain, obtaining the prescribed pain medication, and using nonpharmacologic pain management techniques. 22 (2) Modifying and adjusting their lifestyle, employment, and behaviours to keep some amount of normalcy in life.(3) Managing emotional and psychological consequences of illness including the use of stress-coping strategies.…”

Section: Introductionmentioning

confidence: 99%