Correlations between out-of-hospital pain control, medical compliance behavior and constipation in patients with cancer pain
10.3760/cma.j.cn115682-20230112-00162
- VernacularTitle:癌痛患者院外疼痛控制与遵医行为、便秘的关系
- Author:
Shiyi ZHANG
1
;
Xiaoxiao MA
;
Xin LI
;
Hong YANG
;
Lihua HAO
;
Wenhua YU
;
Hong ZHANG
;
Yuhan LU
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所护理部，北京 100142
- Keywords:
Pain;
Neoplasm;
Out-of-hospital management;
Medical compliance behavior;
Constipation
- From:
Chinese Journal of Modern Nursing
2023;29(21):2912-2915
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the out-of-hospital pain control situation, the medical compliance behavior of taking analgesics and status quo of constipation of patients with cancer pain and their correlations, so as to provide basis for the formulation of targeted continuous nursing measures.Methods:The trained full-time nurses in the pain clinic of the hospital conducted the telephone follow-up of cancer pain patients discharged from Peking University Cancer Hospital from July 2020 to October 2021 to understand the pain related information of patients at home, including the basic pain intensity in the past 24 hours, the compliance behavior of taking analgesics and the occurrence of constipation. The χ 2 test was used to analyze the relationship between pain intensity, medical compliance behavior and constipation. Results:A total of 1 013 patients with out-of-hospital cancer pain aged (61.30±12.56) years from 26 provinces, municipalities or autonomous regions in 6 geographical regions were investigated. 749 (73.94%) patients with cancer pain had moderate or severe pain, 357 patients (35.24%) complained that they did not fully follow the doctor's advice to take analgesic drugs and 533 patients (52.62%) had constipation. The pain intensity of patients with different medical compliance behaviors was different, and the proportion of moderate and severe pain in patients who did not fully follow medical instructions was higher, and the difference was statistically significant ( P<0.01). The pain intensity of patients with constipation was different from that of patients without constipation. The proportion of patients with moderate to severe pain was higher in patients with constipation, and the difference was statistically significant ( P<0.01) . Conclusions:Out-of-hospital cancer patients have poor pain control, some cancer pain patients do not follow the doctor's advice, and the incidence of constipation is high. The pain intensity of the patients is related to the compliance behavior of taking analgesics and constipation.
