Effectiveness of Cognitive Restructuring on Intensity of Pain in Cancer Patients: A Pilot Study in Oncology Department of Tertiary Care Hospital.

Background: Pain is a most feared symptom among cancer patients. It not only affects physical health but it is a psychological burden and affects overall quality of life in cancer patients. it interferes the activity of daily living and treatment outcome. cognitive restructuring is very useful psychological treatment to reduce pain.

Objectives: The purpose of the study was to assess level of pain, evaluate effectiveness of cognitive restructuring on intensity of pain and to find association of pain with demographic variables.

Methods: Quasi experimental  study was conducted in oncology department of SKIMS tertiary care hospital. Purposive sampling technique was used to select 22 patients for study group and 22 patients for control group. CBPS and Numerical rating pain scale was used to measure intensity of pain. Data collected by interview method.

Results: The results showed significant difference p<0.05 at only  in anxiety,face and activity on CBPS scores. Mean score of NPRS was 27.27% of moderate pain  and severe pain reduced from 63.64 to  to 0.%  in study group after CR. Results revealed Significant association of pain with age, gender and period of illness.

Conclusion: Based on findings of the study it is concluded that CR has significant impact in cancer patients  on reducing pain and can ease problems related to pain. CR is an appropriate intervention to reduce the symptoms of cancer patients which has indirect impact on cancer treatment.