Abstract
Cancer pain is a major suffering problem, which is commonly found among terminally ill cancer patients. The enough evidences show that management of cancer pain is still ineffectively controlled worldwide. This study was conducted to ascertain the effectiveness of the Cancer Pain Self-management Training (CPST) Program on pain intensity, pain interference, and pain control among Thai cancer patients. A quasi-experimental design was employed. The participants were 72 cancer patients attending pain clinic at Maharaj Nakorn Chiang Mai Hospital. The participants were randomly assigned to the control or the intervention group. At the end of the study, there were 37 participants in the control group and 35 participants in the intervention group. The intervention group participated in the 8 weekly training session of the CPST Program. The pain outcomes were pain intensity, pain interference, and pain control which were measured at pre-program and post-program by the use of the Brief Pain Inventory-Short Form, Pain Control Scale, and semistructured interview guide, respectively. Statistics used included descriptive statistics, ANCOVA, and content analysis. The findings at post program revealed the following: 1) the intervention group had significantly lower pain intensity than those of the control group (p<.001); 2) pain interference of the intervention group was significantly lower than those of the control group (p<.001); and 3) the intervention group had significantly higher pain control than the control group (p<.01). This evidence suggests that the CPST Program integrating the use of pain relief methods has a beneficial effect among Thai cancer patients. The top five pain relief methods that the control group applied were rest and/or lying; rubbing, touching, and applying pressure; distraction; folk treatment; and herbs, whereas, distraction, breathing relaxation, muscle relaxation, foot massage and reflexology, and listening to music were the top five pain relief methods of the intervention group.
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