Nonwearable actigraphy to assess changes in motor activity before and after rescue analgesia in terminally ill patients with cancer: A pilot study.
motor activity
nonwearable actigraph
nursing
pain
palliative care
Journal
International journal of nursing practice
ISSN: 1440-172X
Titre abrégé: Int J Nurs Pract
Pays: Australia
ID NLM: 9613615
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
revised:
16
05
2021
received:
23
09
2020
accepted:
17
09
2021
pubmed:
16
10
2021
medline:
12
8
2022
entrez:
15
10
2021
Statut:
ppublish
Résumé
This study aimed to investigate the usefulness of nonwearable actigraphy to assess changes in motor activity before and after rescue analgesic administration in terminally ill cancer patients. Evaluating pain in terminally ill cancer patients is difficult; pain assessment tools are needed. This was an exploratory descriptive study conducted within a palliative care unit. A nonwearable actigraph was used to measure the activity score and movement index of terminally ill patients with weeks-long prognosis and pain. The actigraph and medical data were integrated, and data were compared 6 h before and after rescue analgesic administration. Among 10 patients (age: 75.8 ± 12.3 years; six men), we evaluated 28 pain episodes (mean activity score: 130.9 ± 180.5 counts per minute; movement index: 68.8%). When pain was relieved at night following rescue analgesic administration, activity score and movement index decreased significantly (6 h before vs. 6 h after analgesics, respectively: 113.1 to 69.7 counts per minute; 64.3% to 41.8%; both p < 0.0001). With no relief after rescue analgesic administration, activity score did not differ significantly 6 h before and after analgesics: 147.3 to 137.7 counts per minute. Pain in terminally ill cancer patients could be assessed using a nonwearable actigraph to capture motor activity and improve pain assessment.
Sections du résumé
AIMS
OBJECTIVE
This study aimed to investigate the usefulness of nonwearable actigraphy to assess changes in motor activity before and after rescue analgesic administration in terminally ill cancer patients.
BACKGROUND
BACKGROUND
Evaluating pain in terminally ill cancer patients is difficult; pain assessment tools are needed.
METHODS
METHODS
This was an exploratory descriptive study conducted within a palliative care unit. A nonwearable actigraph was used to measure the activity score and movement index of terminally ill patients with weeks-long prognosis and pain. The actigraph and medical data were integrated, and data were compared 6 h before and after rescue analgesic administration.
RESULTS
RESULTS
Among 10 patients (age: 75.8 ± 12.3 years; six men), we evaluated 28 pain episodes (mean activity score: 130.9 ± 180.5 counts per minute; movement index: 68.8%). When pain was relieved at night following rescue analgesic administration, activity score and movement index decreased significantly (6 h before vs. 6 h after analgesics, respectively: 113.1 to 69.7 counts per minute; 64.3% to 41.8%; both p < 0.0001). With no relief after rescue analgesic administration, activity score did not differ significantly 6 h before and after analgesics: 147.3 to 137.7 counts per minute.
CONCLUSION
CONCLUSIONS
Pain in terminally ill cancer patients could be assessed using a nonwearable actigraph to capture motor activity and improve pain assessment.
Substances chimiques
Analgesics
0
Types de publication
Journal Article
Langues
eng
Pagination
e13019Informations de copyright
© 2021 John Wiley & Sons Australia, Ltd.
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