Development for Clinical Nursing Practice Guideline for pain management in end-stage of cancer with SKT-8

Abstract

               This developmental research aimed to develop and implement clinical nursing practice guidelines (CNPG) for pain management in end-stage cancer patients using meditation SKT-8. Borg and Gall model was applied as a conceptual framework of the CNPG development and the Appraisal of Guideline for Research & Evaluation II (AGREE II) was employed to evaluate the CNPG. The CNPG consisted of pain assessment, patient preparation, SKT-8 meditation therapy technique, measurement and assessment at the end of SKT-8 meditation therapy and self- management before - after practicing SKT-8 meditation therapy. A purposive sample consisted of 40 Palliative Care Ward Nurse (PCWN) and 30 end-stage cancer patients with pain who were admitted at Lerdsin hospital. The quality of the study tools was tested for content validity and reliability. Data were analyzed using descriptive statistics, paired t-test and Wilcoxon Signed Rank test.

          The findings showed that the average scores on knowledge of the nurses after training were significantly higher than before training (p<.001). The nurses’ satisfaction was also at a high level (men = 4.42, SD = 0.33). In addition, the patients’ pain scores after receiving the CNPG was significantly lower than before receiving the CNPG (p<.001). Furthermore, the patients’ satisfaction and comfort after getting pain management nursing care were at a high and the highest leves,l respectively (mean = 4.33, SD = 0.62 and mean = 4.60, SD = 0.54 respectively). Subsequently, the developed CNPG can be used as a guideline for pain management in the end-stage cancer patients evidenced by good results of both the health care providers and the patients. Therefore,  this CNPG should be applied in the terminal cancer patients and other groups of the patients in the future.