Effect of intensive psychological nursing intervention on treatment compliance of children with leukemia

Abstract

Objective To explore the effect of intensive psychological nursing intervention on treatment compliance of children with leukemia .Methods Two hundred and fourteen children with leukemia from August 2009 to August 2012 were divided into the control group and observation group according to the random number table, each with 107 cases.The control group received the routine nursing , and the observation group received the intensive psychological nursing intervention on the basis of routine nursing .The level of anxiety and the degree of social support were respectively evaluated by the modified Yale preoperative anxiety scale （ mYPAS） and social support rating scale （ SSRS ） , and the treatment compliance was compared between the two groups .＆amp;nbsp;Results The rate of compliance was 87.85%in the observation group, and was 68.22%in the control group, and the difference was statistically significant （χ2 =12.024, P〈0.05）.The scores of total social support, subjective support, objective support, the utilization of support were respectively （41.14 ±6.34）, （24.95 ± 3.61）, （10.52 ±3.33）, （6.95 ±2.86） in the observation group, and were higher than （39.01 ±4.68）, （21.74 ±5.29）, （8.78 ±3.46）, （5.89 ±2.53） in the control group, and the differences were statistically significant （t=2.796, 5.185, 3.748, 2.872, respectively;P〈0.05）.The score of mYPAS was （32.21 ± 3.41） in the observation group, and was lower than （35.89 ±3.36） in the control group, and the difference was statistically significant （t=-7.952, P〈0.05）.Conclusions Application of the intensive psychological nursing intervention on basis of routine nursing can reduce the degree of anxiety in children with leukemia , and improve the treatment compliance and the level of social support , and will help to successfully accomplish the cycle of chemotherapy treatment for children . Key words: Psychological nursing; Leukemic; Children; Compliance