الفهرس 
Significance of the studyOnly 14 pages are availabe for public view
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Abstract
Cancer treatment has undergone evolutionary changes as understanding of basic biological processes has increased. Chemotherapy, immunotherapy, and new targeted therapies are products of the 20th century. As new information on cancer biology becomes available, therapies and nursing care are developed and modified to increase efficacy, accuracy, survival, and quality of (Falzone et al., 2018 & Miller et al., 2019 The most common pain syndrome resulting from chemotherapy is chemotherapy- induced peripheral neuropathy (CIPN) (Szklener et al., 2023). The resulting peripheral neuropathy often presents with symptoms like tingling, numbness, and pain in the hands and feet. Managing CIPN involves understanding its pathophysiology and employing strategies to mitigate nerve damage and alleviate symptoms (Loprinzi et al., 2020). The purpose of this study was to examine the effect of protocol of nursing care on cancer pain self-efficacy among patients receiving chemotherapy Setting of the study: The current study was conducted in the Department of Clinical Oncology and Nuclear Medicine at Menoufia University Hospital and El Helal Hospital - Menoufia Health Insurance, Egypt Subjects: A consecutive sample of 170 adult patients diagnosed with any type of cancer from both sexes and able to communicate in the study, had planned for or received chemotherapy treatment, and were willing to participate in the study was included in this study The subjects were assigned randomly and equally divided into two groups, eighty- five patients for each group Study group (I) were exposed to the nursing care protocol along with routine hospital Care Control group (II) were exposed only to routine hospital care. The study subjects were selected according to the following criteria: • Free from psychiatric problems that make them unable or unwilling to receive the required information. • Free from Critical illness in order to not interfere with the assessment of pain severity. Instruments of the study: Three instruments were used to collect data. These instruments were: Instrument I: Structured interview questionnaire: It was developed by the researcher to assess baseline bio sociodemographic and characteristics as well as subjects’ knowledge level. It consists of three parts: (Sociodemographic data, medical data and Patient’s knowledge Instrument II: 10-point horizontal visual analog pain scale: It was developed by Bain et al., (2005) to rate the subject’s level of pain intensity. Instrument III: Pain Self-Efficacy Questionnaire (PSEQ): It was developed by Nicholas et al., (2007) to assess the confidence of subjects in performing activities while in pain. The main results of the present study were There was a highly significant reduction in pain intensity among patients post protocol of care and during follow-up for study group than control group. 2. There was a highly significant improvement in pain self-efficacy level among patients post protocol of care and during follow-up for study group than control group Recommendations 1- Oncology patients should be encouraged to attend training teaching program about chemotherapy, its side effects and how to manage pain to foster a sense of control and positively impact their overall well-being 2- Develop nursing care protocols that are tailored to the individual needs of cancer patients. Recognize that each patient’s pain experience is unique and personalized care plans can optimize pain self-efficacy outcomes. 3- A similar study can be replicated at different settings and on large probability sample to allow for greater generalization of the findings.