Effects of integrated nursing and psychological intervention on pain relief and patient satisfaction in urinary calculi patients

Hua Chen; Li Chen; Yong Yi; Kerong Lu; Fang Wang; Jianhui Du; Qiao Ying; Xiaoli Tang; Yumei He

doi:10.62347/KLML2929

Effects of integrated nursing and psychological intervention on pain relief and patient satisfaction in urinary calculi patients

Am J Transl Res. 2024 Apr 15;16(4):1219-1227. doi: 10.62347/KLML2929. eCollection 2024.

Authors

Hua Chen¹, Li Chen², Yong Yi³, Kerong Lu⁴, Fang Wang⁵, Jianhui Du¹, Qiao Ying¹, Xiaoli Tang⁶, Yumei He⁷

Affiliations

¹ Department of Urology, Guang'an People's Hospital Guang'an 638000, Sichuan, China.
² Department of Urology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China Chengdu 610041, Sichuan, China.
³ Department of Outpatient, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China Chengdu 610041, Sichuan, China.
⁴ Department of Neurology, Guang'an People's Hospital Guang'an 638000, Sichuan, China.
⁵ Department of Orthopedics, Guang'an People's Hospital Guang'an 638000, Sichuan, China.
⁶ Surgical Center, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China Chengdu 610041, Sichuan, China.
⁷ Department of Nursing, People's Hospital of Guang'an District Guang'an 638000, Sichuan, China.

Abstract

Objective: We aimed to assess the impact of integrated nursing and psychological intervention on pain intensity and patient satisfaction in individuals with urinary calculi.

Methods: This retrospective study included 94 urological patients from the Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, between January 2020 and June 2022. Participants were divided into a control group (n=48), receiving routine nursing and psychological intervention, and a study group (n=46), receiving integrated nursing and psychological intervention. We compared pain intensity, pain relief rate, patient satisfaction, Numeric Rating Scale (NRS) score, Pittsburgh Sleep Quality Index (PSQI) score, Self-rating Depression Scale (SDS) score, Self-rating Anxiety Scale (SAS) score, and quality of life scores between the groups.

Results: The study group had shorter hospital stays and lower hospitalization costs than the control group (both P < 0.05). Pain relief and satisfaction rates were higher in the study group (both P < 0.05). Post-intervention, both groups showed significant reductions in NRS, PSQI, SDS, and SAS scores, with greater reductions in the study group (all P < 0.05). Quality of life scores increased in both groups, more so in the SG (P < 0.05). The study group also had fewer adverse events (P < 0.05). Both groups showed decreased serum creatinine and blood urea nitrogen levels post-intervention, with a more significant decline in the study group (P < 0.05). Education, marital status, and occupation were major factors influencing outcomes in urinary calculi patients.

Conclusion: Integrated nursing and psychological intervention significantly alleviates pain, improves emotional well-being, enhances sleep quality, increases overall life quality, and contributes to high patient satisfaction among urinary calculi patients.

Keywords: Integrated nursing; pain management; patient satisfaction; psychological intervention; urinary calculi.