Chronis disease management Research Paper Example | Topics and Well Written Essays - 1500 words

Chronis disease management - Research Paper ExampleIn the paper by Miaskowski, et.al. (2004), the authors sought to test the effectiveness of the PRO-SELF Pain Control political program when compargond with standard care in reducing disoblige intensity scores, increasing appropriate analgesic prescriptions, and increasing analgesic intake in cancer outpatients with hurt from b matchless metastasis. This study c overed seven outpatient settings in Northern California, including a university-based cancer center, two community-based oncology practices, one health maintenance organization, one outpatient radiation therapy center, one veterans affairs facility, and one military hospital. In this study, the patients were assigned randomly in either the PRO-SELF intervention or standard care intervention. Those below standard care were visited by a research nurse three times, and then called three times by phone between home visits. Those under(a) the PRO-SELF setting patients were vi sited by specially trained intervention nurses and then received a psychoeducational intervention. They were instructed on how to use a pillbox, and were given instructions on how to go through with their doctor about pain symptoms and changes needed in analgesic prescriptions. Patients were also instructed during follow-up home visits and three phone calls on how to improve cancer pain management. To ensure the good treatment of this study, the authors gained the respondents written consent, after explaining to them the purpose of the research and the fact that their identity would remain confidential throughout the research. The ethical committee was consulted first and their review and consent secured before the rest of the research process was carried out. A sample of atleast 150 patients was needed in order to transact this study. Descriptive statistics and frequency distributions were established for the patients demographic and disease-related qualities. Independent studen ts t-tests and x2 analysis were carried out to determine differences in demographics, disease, and pain qualities between patients in the two treatment groups. Analyses of variance were carried out to establish if there were changes in pain intensity scores over time. The McNemar test was then used to establish differences over time based on kinds of analgesic prescriptions. The P-value of less than .05 was considered statistically significant. This study revealed that pain intensity scores were reduced significantly from baseline figures in the PRO-SELF group, as compared to the standard treatment group. The percentage of patients in the PRO-SELF group with the most appropriate kind of analgesia increased significantly from 28.3% to 37.0% as compared to the standard group which changed from 29.6% to 32.5%. The study because established that using a psychoeducational intervention, which includes nurse coaching within the standard of self-care, can improve pain management for cancer patients. Critical Analysis The authors are credible authors for this research. They possess the