A first empirical evidence on the difficulties of observance of morphine in cancer patients invited a multidisciplinary team to initiate an innovative quality approach. It shows the lack of transcript of a comprehensive care causing a problem for monitoring actions undertaken for the relief of pain. In addition, two exploratory studies targeting the expectations and needs of the Patient Therapeutic Education (E.T.P) receiving strong opioids. The E.T.P, public health priority, provides a framework for action and improving care. In oncology, the involvement of the patient in pain relief and management of opioids represents an axis of intervention more appropriate. Yet, it is not found in literature. In our department, we conduct an experimental therapeutic education program type "caratif" and a nurse consultation FTE receiving opioids on the model of nursing "care" of J. Watson (humanist emphasis promoting interpersonal teaching-learning mobilizing the patient experience). The ETP folder and its tools have been continuously validated with patients. The heart of the educational process is in the patient's complex path neat oncology and relies on interaction and creativity between patient and caregivers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
200
study the effects of a therapeutic education program type "caratif", based on a communication pedagogy, with the patient receiving opioid therapy in medical oncology
patients receiving standard care of cancer pain.
Assistance Publique Hôpitaux de Marseille Hôpital de la Timone
Marseille, France
RECRUITINGPain assessment
Using a digital scale
Time frame: 21 days
Treatment adherence morphine
Digital Scale / self-administered questionnaire of adherence of Girerd et al \[78\]
Time frame: 21 days
Strategies Adjustment disease
Scale MAC (Mental Adjustment to Cancer Scale) French Version: Cayrou et al, 2001 \[82\]
Time frame: 21 days
Anxiety
Scale HADS (Hospital anxiety and depression seale, French version: Sigmund and Snaith) \[83\]
Time frame: 21 days
Depression
Scale HADS (Hospital anxiety and depression seale, French version: Sigmund and Snaith) \[83\]
Time frame: 21 days
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