Effect of Coping Strategies on Pain and Stress among Acute Leukemia Patients

Document Type : Original Article

Authors

1 Nursing Specialist at South Egypt Cancer Institute, Assiut University, Egypt.

2 Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

3 Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

Abstract

Background Patients with acute Leukemia showed symptoms of post-traumatic stress, Pain is common in cancer patients is estimated to be more than 70%Aim:To evaluateeffect of Coping strategies on pain and stress among acute leukemia patients. Design: Purposive Quasi experimental study and control  research design was used in the present study. Setting : This study was carried out at medical oncology intensive care unit at south Egypt cancer institute. Sample: Convenient sample of 60 adult patient Tools: include:  demographic data ,numerical pain scale, post-traumatic Stress Disorder(PTSD) coping strategies with the Brief coping. Results: There were statistical significant differences between two groups before and after Coping strategies. on pain and stress. The change of mean pain  score inpre application of coping strategy 7.73±1.04 topost application of coping strategy 5.93±1.08, coping scores in the study group increased from pre 63.9±8.23 to post 74.9±6.61 (p=0.000), with significant enhancements observed in problem-focused coping (19.07±4.53 to 22.47±2.6, p=0.001) and emotion-focused coping (29.57±2.71 to 32.83±3.22, p=0.000) relationship between  coping strategies with the Brief COPE and Post-Traumatic Stress Disorder For Study group on admission (r=-0.170) But There is Was a Negative correlation After I week (r= -.435*), Conclusions: statistical significant difference between control and study  after using coping strategy to reduce pain and stress Recommendations: using coping strategy as routine care for leukemic  patients  by special team, Reapply this research on a larger sample size from other geographical areas in Egypt to ensure generalization.

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