Impact of a nurse‐led intervention on quality of life in patients with chronic non‐malignant pain: An open randomized controlled trial

Aims To determine the effect of a comprehensive nurse‐led programme for patients with chronic non‐malignant pain, on quality of life, level of pain, anxiety, and depression, as primary outcomes and patients' satisfaction as a secondary end point. Design An open‐label randomized controlled trial was carried out. Methods The experimental group received both a nurse‐led intervention on healthy lifestyles, education on self‐esteem, pain awareness, communication, and relaxation techniques. The control group received usual care. Quality of life, level of pain, anxiety, and depression were the main outcomes. Data were obtained at baseline, immediately after the intervention, and 6 and 9 months. The study was carried out from 2015–2017. Results The sample was composed of 279 patients. At 9 months, the effect size (non‐parametric effect size statistic A) favoured the intervention group for SF‐36 mental health score (A = 0.79; 95% CI: 0.73–0.85), anxiety (A = 0.58; 95% CI: 0.51–0.65), pain intensity (A = 0.57; 95% CI: 0.51–0.64), and depression (A = 0.58; 95% CI: 0.51–0.65). Smaller differences were found on physical scores between the intervention and the usual care group. Patients showed a high level of satisfaction with the introduced intervention. Conclusion A comprehensive nurse‐led programme for patients with chronic non‐malignant pain has a positive impact on their quality of life, level of pain, and mental health. Impact Studies have reported that the problem of chronic pain is not optimally controlled. A structured nurse‐led programme has been tested to facilitate healthy behaviours to help patients manage their chronic pain and to provide them with the necessary tools for their self‐care. This nurse‐led intervention improved their mental health and decreased their level of pain. 摘要 目标 确定以护士主导的慢性非恶性疼痛患者综合方案对生活质量、疼痛程度、焦虑和抑郁作为主要结果以及将患者满意度作为次要目标的影响。 设计 进行开放标记随机对照试验。 方法 实验组接受以护士主导的健康生活方式干预,并进行自尊、疼痛意识、沟通和放松技巧方面的教育。对照组接受常规护理。生活质量、疼痛程度、焦虑和抑郁是主要结果。获得基线、干预后的当下、6个月和9个月时的数据。从2015年至2017年进行该研究。 结果 样本包含279名患者。在9个月时,SF‐36心理健康评分(A = 0.79;95%可信区间:0.73–0.85)、焦虑(A = 0.58;95%可信区间:0.51–0.65)、疼痛强度(A = 0.57;95%可信区间:0.51–0.64)和抑郁(A = 0.58;95%可信区间:0.51–0.65)的效应量(非参数效应量统计A)更倾向于干预组。干预组和普通护理组的身体评分差异较小。患者对引入的干预措施表现出很高的满意度。 结论 一项针对慢性非恶性疼痛患者的综合护理方案对他们的生活质量、疼痛程度和心理健康都具有积极的影响作用。 影响 研究表明,慢性疼痛问题并没有得到最佳控制。一项以护士主导的结构化项目经过测试,旨在倡导健康行为,帮助患者管理慢性疼痛,并为其提供必要的自我护理工具。这种以护士主导的干预措施改善了患者的心理健康,降低了他们的疼痛程度。