• Pain Manag Nurs · Apr 2022

    Review

    A Review and Conceptual Analysis of Cancer Pain Self-Management.

    • Dorothie S Durosier Mertilus, Cecile A Lengacher, and Carmen S Rodriguez.
    • College of Nursing, University of South Florida, Tampa, Florida. Electronic address: dorothie@usf.edu.
    • Pain Manag Nurs. 2022 Apr 1; 23 (2): 168-173.

    ObjectivesIn this concept analysis article, we will clarify the concept "self-management of cancer pain" by identifying related antecedents, attributes, and consequences to further refine the conceptual and operational definitions of the concept.DesignA review was conducted.Review/Analysis MethodsThe Walker and Avant method was used for this concept analysis.Data SourcesCINAHL, PubMed, and PsycInfo were searched systemically.A total of eight studies on "self-management of cancer pain or self-care of cancer pain" published between 2004 and 2019 were identified.ResultsAttributes for self-management of cancer pain include self-efficacy, integration of methods for pain relief into daily life, decision-making related to pain management, process for solving pain-related issues, and initiation of interactions with healthcare professionals. Antecedents include knowledge regarding pain assessment and management, cognitive abilities, motivation, undergoing pain treatment, patient education and counseling, social support, and accountability from all parties involved. Consequences include pain control, improved quality of life, and increased opioid intake.ConclusionsSelf-management of cancer pain was reported to be a self-regulation process with the aim to encourage patients to use skills attained through development of self-efficacy, so they can actively participate in their pain management. This outcome may enhance their quality of life by decreasing their pain, depression, and anxiety and increasing the availability of social support.Copyright © 2021 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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