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Abstract Cancer-related pain and fatigue are the most feared consequences of cancer and remains an important problem for cancer patients. Also, cancer patients having recurrent interaction with a variety of health providers, their pain and fatigue are commonly uncontrolled. Cancer-related pain and fatigue recognized as critical symptoms that impact the quality of life of cancer patients. Aim: Evaluate the effectiveness of applying pain and fatigue nursing guidelines on health outcome of patients with cancer. Research design: quasi experimental design (pre and post) was used in this study. Sample: A purposive sample of 94 cancer patients with a pain and fatigue rating of 4 or more, were included. Setting: the study was conducted in oncology unit at Mansoura University and Port Saied General Hospitals. Tools: Patients received four educational sessions on pain assessment and management. Seven tools were used in data collecting as the following pain intensity, fatigue intensity, brief pain inventory, FACT-F, Pain management barriers and fatigue management barriers which were measured at baseline, one month, and three months post- accrual. Results: Patients experienced highly significant improvement (<0.001) in pain and fatigue measures immediately post-intervention, and these improvement were sustained over time. Conclusion: The nursing intervention guideline was effective in reducing patient severity of pain and fatigue and barriers to pain and fatigue management. This intervention demonstrates innovation by translating the evidence-based guidelines for pain and fatigue as developed by the National Comprehensive Cancer Network into practice. |