Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2023
ReviewPsychiatric Comorbidities and Outcomes in Palliative and End-of-Life Care: A Systematic Review.
Although psychiatric comorbidities are common among individuals at end of life, their impact on outcomes is poorly understood. ⋯ Psychiatric comorbidity is associated with significant differences in care utilization and clinical outcome among patients at end of life. In particular, patients with psychiatric comorbidity and serious illness are at high risk of poor quality of life and high symptom burden. Our finding that psychiatric comorbidity is associated with increased utilization of palliative care likely reflects the complexity and clinical needs of patients with serious illness and mental health needs. These data suggest that greater integration of mental health and palliative care services may enhance quality-of-life among patients at end of life.
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J Pain Symptom Manage · Jul 2023
ReviewSelf-acupressure for symptom management in cancer patients: A systematic review.
Acupressure is a popular nonpharmacological intervention that is increasingly proven to effectively alleviate symptoms in patients with cancer. However, the effects of self-acupressure on cancer symptom management are less clear. ⋯ The limited evidence from this review precludes the definitive conclusions on intervention effectiveness for cancer symptoms. Future research should consider developing the standard protocol for intervention delivery, improving the methodology of self-acupressure trials, and conducting large-scale research to advance the science of self-acupressure for cancer symptom management.
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J Pain Symptom Manage · Jul 2023
Randomized Controlled TrialEffect of Pain Coping Skills Training on Pain and Pain Medication Use for Women with Breast Cancer.
Pain is distressing for women with breast cancer. Pain medication may not provide full relief and can have negative side-effects. Cognitive-behavioral pain intervention protocols reduce pain severity and improve self-efficacy for pain management. These interventions' impact on pain medication use is less clear. Intervention length and coping skills use might play a role in pain outcomes. ⋯ Both conditions led to improvements in pain, pain medication use, pain self-efficacy, and coping skills use, and 5-session PCST showed the greatest benefits. Brief cognitive-behavioral pain intervention improve pain outcomes, and pain self-efficacy may play a role in these effects.
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J Pain Symptom Manage · Jul 2023
Randomized Controlled TrialTechnology-Assisted mHealth Caregiver Support to Manage Cancer Patient Symptoms: A randomized controlled trial.
Caregivers managing symptoms of family members with cancer during home hospice care, often feel ill-prepared and need patient care coaching. ⋯ Automated mHealth symptom reporting by caregivers, paired with tailored caregiver coaching on symptom management and nurse notifications, reduces cancer patients' physical and psychosocial symptoms during home hospice, providing a novel and efficient approach to improving end-of-life care.