A self-management application“painhousekeeper”to control cancer pain:a randomized controlled trial study protocol

Objective:Pain is a prevalent and distressing symptom in patients with cancer which has a significant impact on patients’physical health,psychological well-being,and quality of life(QOL).Deficiency of pain care,inadequate pain communication,and reluctance toward pain medication contribute to the difficulties in improving the situation of patients with cancer pain.Fortunately,the integration of self-management and professional healthcare provides new opportunities for patients with cancer pain.Methods:A two-arm randomized controlled trial will be conducted to assess the effectiveness of self-management application compared with routine care among patients with cancer pain.Based on Orem’s self-care theory and Naylor’s transitional care theory,cancer pain self-management application“Pain-housekeeper”was developed with dual client:patient client and medical client.A total of 120 patients with cancer pain are recruited from two university-affiliated tertiary public hospitals in China.They are randomly assigned to the control group and the intervention group.The patients in the control group get routine care while the patients in the intervention group get routine care and Pain-housekeeper App.The intervention is delivered by registered doctors,nurses,and postgraduate nursing students specialized in pain care.Effect measurements for both groups are carried out with questionnaires at baseline(T0),after 4 weeks(T1)and after 12 weeks(T2).The primary outcomes include pain condition,self-efficacy,and QOL.The secondary outcomes include pain medication adherence,satisfaction,anxiety,and depression.Compliance of data submission,economic evaluation,usage,and clinical data are also considered in the test.Data for the evaluation are gathered continuously during the study period.Discussion:This article provides insight into the effectiveness of a theory-based self-management mobile application intervention delivered to patients with uncontrolled cancer pain.The results are used to help patients to improve cancer pain control,self-efficacy,and QOL.Conclusions:The findings of this article provide evidence to support the implementation of an innovative and easily accessible intervention that enhances health outcomes.

组织调整剂在下颌游离缺失可摘局部义齿修复后疼痛处理中的应用

目的:探讨使用临时软衬材料—组织调整剂治疗下颌游离缺失患者可摘局部义齿修复后黏膜损伤性疼痛的临床效果。方法:对5例双端下颌游离缺失可摘局部义齿修复后,因黏膜条件差,多次调改仍然疼痛的患者,使用组织调整剂,以局部衬垫的方式治疗损伤黏膜,同时获得功能状态下的义齿基托组织面形态,然后将基托衬垫部分置换成常规热凝基托树脂,完成义齿修复。通过问卷调查,了解患者在组织调整剂治疗过程中和终义齿戴用后对疼痛、咀嚼、固位效果改善的主观评价。结果:5例患者均获得了有效治疗,黏膜压痛明显缓解,咀嚼功能随之改善。结论:下颌游离缺失可摘局部义齿修复后反复疼痛,用组织调整剂治疗黏膜创伤,再用热凝基托树脂完成义齿的处理方法,可避免软衬材料长期使用的缺陷,最终义齿戴用舒适、功能良好、容易清洁。