Influencing factors of treatment compliance in elderly advanced gastric cancer with cancer pain
10.3969/j.issn.1006-2483.2025.04.037
- VernacularTitle:老年晚期胃癌癌性疼痛治疗依从性影响因素
- Author:
Tengyue AI
1
;
Zhuqing ZHANG
1
;
Panpan LI
1
;
Zhen NI
1
;
Hongyong LI
1
Author Information
1. Department of Infection , General Hospital of Western Theater Command , Chengdu , Sichuan 610083 , China
- Publication Type:Journal Article
- Keywords:
Elderly;
Gastric cancer;
Cancer pain;
Compliance
- From:
Journal of Public Health and Preventive Medicine
2025;36(4):161-164
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the status quo and related factors of treatment compliance in elderly patients with advanced gastric cancer complicated with cancer pain. Methods Three hundred and ten elderly patients with advanced gastric cancer from January 2021 to June 2024 were selected, and their general data were collected. Hospital Anxiety and Depression Scale (HADS), Beliefs about Medicines Questionnaire (BMQ), Numerical Rating Scale (NRS) and 8-item Morisky Medication Adherence Scale (MMAS-8) were adopted to investigate the psychological status, necessity of medication belief, degree of cancer pain and treatment compliance. Univariate analysis, correlation analysis and multivariate logistic regression analysis were used to describe and analyze the treatment compliance status and related factors in elderly advanced gastric cancer with cancer pain. Results A total of 310 patients were divided into group A (good compliance, 93 cases), group B (moderate compliance ,102 cases) and group C (poor compliance , 115 cases) by means of compliance degree. There were significant differences in education level , pain duration and intensity and analgesic category (P<0.05). Treatment compliance was associated with education level, analgesic category, psychological status, medication belief and pain degree (P<0.05). The necessity of medication belief and pain duration and degree were influencing factors of treatment compliance. Conclusion The treatment compliance in advanced gastric cancer with cancer pain is poor, and can be affected by the necessity of medication belief and duration and degree of pain.