Clinical research of psychological nursing intervention on the compliance of pain medication in ederly patients with malignant tumor / 中国基层医药

ABSTRACT

Objective To explore the effect of psychological nursing intervention on the compliance of pain medication in ederly patients with malignant tumor.Methods Retrospective analysis of 92 elderly patients with malignant tumors was conducted.All patients were treated with standardized drugs according to the three-step analgesic principle.The patients were randomly divided into two groups,the control group was given routine nursing intervention,and the observation group was given psychological nursing intervention on the basis of the control group.The improvement of pain response,depression and anxiety,the treatment compliance and nursing satisfaction of two groups before and after treatment were compared.Results The pain relief rate of the observation group was 89.36％,which was significantly higher than 64.44％ of the control group (Z =-3.534,P ＜ 0.05).The total remission rate of the observation group was significantly higher than that of the control group (x2 =4.058,P ＜ 0.05).The depression score of the observation group [(17.52 ± 4.06) points] was significantly lower than (23.35 ± 3.24) points of the control group (t =7.592,P ＜ 0.05).The anxiety score of the observation group [(17.52 ± 4.06) points] was significantly lower than (18.05 ± 4.02) points of the control group (t =7.622,P ＜ 0.05).The compliance of the observation group witb analgesic drugs was better than that of the control group (Z =-6.994,P ＜ 0.05).The nursing satisfaction of the observation group was 87.23％,which was significantly higher than 75.56％ of the control group (Z =-2.764,P ＜ 0.05).Conclusion Psychological nursing intervention can effectively improve the pain response,anxiety and depression of elderly patients with malignant tumor,thus to improve the compliance and safety of the treatment and the care of nursing staff.