<p>Nurse-led follow-up to outpatients with cancer pain treated with opioids at home—telephone calls plus WeChat versus telephone calls only: a quasi-experimental study</p>

Abstract

Background: Recently, cancer pain management has come increasingly to be provided in outpatient settings, requiring health-care providers and outpatients to take on responsibilities. Pain is among the most distressing symptoms of cancer. Objectives: To compare the effectiveness of nurse-led telephone calls plus WeChat versus telephone calls only for the pain management of outpatients with cancer. Methods: 231 outpatients with cancer pain were classified into two groups (group 1, N=125; group 2, N=106). Group 1 was followed up with weekly telephone calls for eight weeks, and group 2 with weekly telephone calls combined with the booklets through WeChat for eight weeks. Differences between groups in pain level, side effects, medication adherence, and satisfaction with pain management were analyzed, and statistical differences were tested usingan independent-sample t -test and a chi-squared test. Results: Group 2 had a significantly lower rest pain ( p <0.01), and lower move pain but there was no statistical difference between the two groups. Among patients in group 2, constipation, nausea and vomiting, and dizziness were less ( p <0.01), while medication adherence ( p <0.05) and pain management satisfaction were higher ( p <0.01) than patients in group 1. Conclusion: Nurse-led follow-up telephone calls combined with WeChat significantly reduced opioid-related health problems, such as pain intensity, side effects and medication adherence.

The effect of telenursing on care of patients with cancer: a systematic review

“…But, The Pain score mean at Movement in WeChat group (3.07 ± 2.395) and telephone only (4.47 ± 2.201) was no signi cant. Also, Pain score pre-and post-intervention in WeChat group was decrease signi cant [14].…”

“…Finally, 8 articles (57%) were included. Also, two studies during database assessment based on keyword were included because of study type and existence nurse in title [14,15].…”

“…Between included studied; three of articles assess satisfactory rate between patients with stoma, post operation prostate cancer in both group, and pain control [14,16,21]. The nding of study in satisfactory rate was different.…”

“…In this study, the jaded tool was calculated by two researchers for quality of included studies. [17], and Qiao et al [14] were low quality with jaded score 2, 1, and 2 respectively. Shohani et al [18] and Ebrahimabadi et al [19]were Moderate quality with jaded score 3.…”

“…Five articles were two groups (control and intervention group) and One of studies was in trial include three groups (control, face to face and telenursing group). one of ve articles was telephone calls plus WeChat (n = 106)versus telephone calls only(n = 125) [14]. Also, One of studies was four groups including Placebo + Non-NTI(n = 48), Placebo + NTI(n = 50), Methylphenidate + Non-NTI(n = 47), and Methylphenidate + NTI (n = 45) [15].…”