To explore the effect of combined application of pain and psychological care on patients with advanced cancer pain.

A total of 80 patients with advanced cancer pain admitted to Affiliated Cancer Hospital of Zhengzhou University from March 2019 to March 2020 were selected. By the simple randomization, they were divided into a control group and an observation group with 40 cases in each group. In the control group, the ratio of male: female was 19:21, aged (59.22±7.36) years, including 9 cases of lung cancer, 13 cases of colon cancer, 12 cases of gastric cancer, and 6 cases of others. In the observation group, the ratio of male: female was 18:22, aged (58.37±7.24) years, including 8 cases of lung cancer, 11 cases of colon cancer, 14 cases of gastric cancer, and 7 cases of others. The control group received psychological care, and the observation group received standardized pain nursing and psychological care. The nursing effects of the two groups were compared, including pain degree [Visual Analogue Scale (VAS)], negative moods [Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS)], sleep quality [Pittsburgh Sleep Quality Index (PSQI)], and quality of life [Functional Assessment of Cancer Therapy-Generic Scale (FACT-G)]. Independent sample t test was used for inter-group comparison of measurement data, paired t test was used for intra-group comparison of measurement data, and χ² test was used for count data.

After nursing, the VAS score in both groups decreased compared with those before nursing (both P<0.05), and the VAS score of the observation group [(1.87±0.21) points] was lower than that of the control group [(2.15±0.27) points] (P<0.05). After nursing, the SDS and SAS scores of the two groups decreased compared with those before nursing (all P<0.05), and the SDS and SAS scores of the observation group [(46.64±4.19) and (42.38±4.05) points] were lower than those of the control group [(49.42±5.90) and (45.71±4.96) points] (both P<0.05). After nursing, the scores of sleep latency, sleep duration, sleep quality, sleep efficiency, daytime function, sleep disorder, and hypnotic drugs of PSQI in the observation group were (1.28±0.30), (1.39±0.33), (1.56±0.37), (1.41±0.27), (1.31±0.26), (1.44±0.31), and (1.38±0.34) points, which were significantly lower than those in the control group [(1.51±0.32), (1.58±0.36), (1.77±0.41), (1.66±0.35), (1.49±0.29), (1.68±0.39), and (1.65±0.41) points] (all P<0.05). After nursing, the scores of social/family status, physiological status, emotional status, and functional status of FACT-G in both groups increased compared with those before nursing (all P<0.05), and the scores of the observation group were (25.08±6.21), (24.11±6.34), (22.67±6.18), and (24.18±6.19) points, which were higher than those in the control group [(21.74±5.63), (20.27±4.98), (19.81±5.32), and (20.51±5.52) points] (all P<0.05).

For patients with advanced cancer pain, standardized pain nursing combined with psychological nursing intervention can significantly reduce patients' pain course and negative emotions, improve their quality of sleep and life, with a high application value.

Standardized pain nursing; Psychological care; Advanced tumor; Pain