心理护理干预对老年恶性肿瘤患者疼痛反应、情绪改善及治疗依从性的临床观察
Clinical research of psychological nursing intervention on the compliance of pain medication in ederly patients with malignant tumor
目的 探讨心理护理干预对老年恶性肿瘤患者服用止疼药物治疗依从性的临床观察.方法 回顾性分析符合入选标准的老年恶性肿瘤患者92例,所有患者按照三阶梯止痛原则给予规范化的药物治疗,将患者随机分为两组,对照组给予常规护理干预,观察组在对照组基础上实施心理护理干预.比较两组治疗前后疼痛反应的改善情况、抑郁以及焦虑情绪变化情况,以及治疗依从性及护理满意度.结果 观察组疼痛缓解率为89.36%,显著优于对照组的64.44%(Z=-3.534,P<0.05),观察组总缓解率显著高于对照组(x2=4.058,P<0.05);抑郁评分(17.52 ±4.06)分,显著低于对照组的(23.35±3.24)(t=7.592,P<0.05);焦虑评分(17.52 ±4.06)分,显著低于对照组的(18.05 ±4.02)分(t=7.622,P<0.05);观察组服用止痛药物的依从性显著优于对照(Z=-6.994,P<0.05);观察组护理满意度为87.23%,对照组为75.56%,组间比较观察组满意度总体优于对照组(Z=-2.764,P<0.05).结论 心理护理干预能有效的改善老年恶性肿瘤患者的疼痛反应,焦虑以及抑郁情绪,从而提高治疗的依从性,提高护理工作的满意度.
更多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.
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