The effects of case management in palliative care program on pain and palliative care outcomes among patients with advanced cancer
Keywords:
palliative care, case management, pain, palliative care outcome, patients with advanced cancerAbstract
This randomized controlled trial aimed to study the effects of case management in palliative care program on pain and palliative care outcomes among patients with advanced cancer. Sample were 46 patients with advanced cancer experiencing pain. The participants were divided into experimental group and control group, 23 people for each group. The instrument for conducting experiment was the palliative care program with case management model among patients with advanced cancer. Content validity index of the program was 0.98. Demographic data were analyzed using descriptive statistics. The differences of pain scores between the experimental group and the control group were analyzed using Mann-Whitney U test. Comparison of the palliative care outcome scores between the experimental group and control group were analyzed using independent t - test.
The results showed that 1) After the experiment, overall pain scores in experimental group were non-statistically significantly lower than the control group (p > 0.05). However, the mean differences of pain scores between before and after the experiment of the experimental group were statistically significantly higher than the control group (p < 0.05). 2) After the experiment, overall palliative care outcome scores in experimental group were non-statistically significantly lower than the control group (p > 0.05), however, the mean difference of palliative care outcomes between before and after the experiment of the experimental group were statistically significantly higher than the control group (p < 0.05). Therefore, the case management in palliative care program should be applied in providing care for patients with advanced cancer experiencing pain.
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