Open Access
Subscription Access
Open Access
Subscription Access
Effectiveness of Guided Imagery on Intensity of Pain and Quality of Life among Patients with Cancer in a Selected Hospital at Mangalore
Subscribe/Renew Journal
Pain continues to be a prevalent symptom experienced by cancer patients. Guided Imagery (GI), a cognitive behavioural pain management strategy, involves the use of one's imagination which may modulate pain by distraction and improve the sense of wellbeing. This study aimed at finding out the effectiveness of GI on intensity of pain and Quality of Life (QoL) of patients with cancer. An evaluatory approach with one group pre-test post-test pre-experimental design used for the study. Thirty cancer patients aged between 20-70 years with pain ?2 on Visual Analogue Scale (VAS) were selected using purposive sampling technique. GI was administered after the assessment of preintervention intensity of pain and QoL by using VAS, and Functional Assessment of Cancer Therapy - General (Modified) Scale (FACT-G) respectively. Intensity of pain was measured before and after intervention twice a day for 5 days and post-intervention QoL was assessed on fifth day evening after the intervention using the same tool. The mean post-intervention intensity of pain score was lower than mean pre-intervention intensity of pain score over a period of 5 days (p<0.05), both in the morning and evening. The mean post-intervention QoL score was higher than the mean preintervention QoL score (p<0.05). GI is an effective strategy in reducing the intensity of pain and improving the QoL of cancer patients. GI may be easily integrated into bedside nursing as well as in various clinical settings. GI is a low-cost method in relieving psychological and physiological distress.
Keywords
Cancer Pain, Guided Imagery, Quality of Life
Subscription
Login to verify subscription
User
Font Size
Information
- Twycross RG. Symptom control in for advanced cancer. Pain Relief 1997.
- Setz KM, Hebermann HR, Holocambe J, Jones LS. Oncology Research Society priorities survey. Oncology Nursing Forum 1995;22:785-790.
- Cancer Pain Relief and Palliative Care. Report of WHO Expert Committee on Cancer Pain Relief and Active Supportive Care. July 1989, Geneva.
- Wells N. Pain intensity and pain interference in hospitalised patients with cancer. Oncology Nursing Forum 2000;27:985-991.
- Agency for Healthcare Policy and Research. Management of cancer pain, clinical practice guidelines. Rodeville: US Department of Health and Human Services; 1994.
- Eller LS. Guided Imagery intervention for symptom management. Annual Review of Nursing Research 1999;17:57-84.
- Villememe C, Bushnell MC. Cognitive modulation of pain: how do attention and emotion influence pain processing? Pain 2002;92:195-199.
- Cancer facts and figures, 2007. American Cancer Society.
- Gunarsdottir S, Sandra W, Ronald CS. Attitudinal barriers to cancer pain management in Kelandic population. Cancer Nursing 2008;31:95-98
- Kozachik LS, Bandeen K. Predictors of pattern of pain, fatigue and insomnia, during first year after a cancer diagnosis in the elderly. Cancer Nursing 2008;31:334-338.
- Kurita PG, Pimenta MDAC. Cognitive impairment in cancer pain patients receiving opioids. Cancer Nursing 2008;31(1):49-54.
- Tsai P, Chen P, Lai Y, Lee M, Lin C. Effects of electromyography biofeedback-assisted relaxation on pain in patients with advanced cancer in palletise care unit. Cancer Nursing 2007;30(5):347-353.
- Ming-Chuan C, Yue-Cune C, Jeng-Feng C, Tsung- Shann T, Chia-Chin L. A study to overcome patient-related barriers to cancer pain management for home care patients. Cancer Nursing 2002;25:470-476.
- Delmling GT, Bowman KF, Wayner LJ. The effects of cancer related pain and fatigue on functioning of older adult, long-term cancer survivors. Cancer Nursing 2007;30:421-433.
- Koller M, Lorenz W, Wagner K, Keil A, Diana T, Rita E. Expectations and quality of life of cancer patients undergoing radiotherapy. Journal of the Royal Society of Medicine 2000;93:621-628.
- Sloman R. Relaxation and imagery for anxiety and depression control in community patients with advanced cancer. Cancer Nursing 2002;25:432-435.
- Fox WS, Debra L. Symptom clusters and quality of life in survivors of ovarian cancer. Cancer Nursing 2007;30:354-361.
- Peters L, Sellick K. Quality of life of cancer patients receiving inpatient and home-based palliative care. Journal of Advanced Nursing 2006;53:524-533.
- Van den Beuker-Van Everdingen MHJ, de Rijke JM, Kessels AG, Schouten HC, Van-Kleef M, Patijn J. Prevalence of pain in patients with cancer, a systemic review of the past 40 years. Annals of Oncology 2007;18:1437-1449.
- Rabin EG, Heldt E, Vania N, Fleck MP. Quality of life predictors in breast cancer women. European Journal of Oncology Nursing 2008;12:53-57.
- Mkanka NW, Chumblor RN, Richardson CL, Kobb FR. Age-related differences in quality of life in cancer patients. Cancer Nursing 2007;30(6): 434-440.
Abstract Views: 651
PDF Views: 0