Motivational Enhancement Therapy for Accepting Amputation in Osteosarcoma Patients

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Poungpaka Monmai
Suparb Aree-Ue
Adisak Nartthanarung


Abstract:  Osteosarcoma tends to invade surrounding tissues rapidly and then spread through the bloodstream to vital organs such as the lungs and bones. This causes deterioration of the patient’s prognosis. Limb amputation is the most effective method to approach local controlling in local invasions occurring in nearby tissues, major blood vessels, nerves, and pathological fractures. This operation reduces tumor reoccurrence and increases survival rates in patients with advanced-stage. Unfortunately, most patients are reluctant and indecisive about whether to undergo an amputation. This article presents the concept and application of motivational Enhancement Therapy (MET) for accept amputation in osteosarcoma patients from literature synthesis, authors’ experiences in bone tumor clinic, and research results of applying this concept in person with cancer and receiving amputation. This information is emphasis on MET implementation in osteosarcoma case study. Applying this concept is expected to help the patients and their relatives to raise awareness of treatment, decrease anxiety, promote self-efficacy, and accept amputation; eventually, it may lead to good patient outcome and highlight quality of care based on nursing roles.


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Monmai, P., Aree-Ue, S., & Nartthanarung, A. (2022). Motivational Enhancement Therapy for Accepting Amputation in Osteosarcoma Patients. Thai Journal of Nursing and Midwifery Practice, 9(1), 108–121. Retrieved from
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