Chiu Hui-Ying, Lin Yu-Hua, Wang Chin-Chou, Chen Wan-Yi, Chang Huang-Chih, Lin Meng-Chih
MSN, RN, Case Manager, Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.
PhD, RN, Professor, Department of Nursing, I-Shou University, Taiwan, ROC.
Hu Li Za Zhi. 2016 Jun;63(3):62-72. doi: 10.6224/JN.63.3.62.
Chemotherapy (CT) is the first priority treatment for advanced stage lung cancer. However, symptom distress, impaired ability to conduct daily activities, and post-CT care needs are potential side effects of CT.
To explore the factors related to the care needs of post-chemotherapy lung cancer patients.
A cross-sectional study was used. One hundred and twenty-one adult patients who had been diagnosed with advanced-stage lung cancer and who had undergone CT using the Platinum and Docetaxel doublet regimen were recruited from a medical center in southern Taiwan. The instruments used included a nursing care needs survey, symptoms distress scale, daily activity interference scale, and patient characteristics datasheet.
Participants self-prioritized their emergency management, health consultation, and emotional support activities based on their perceived care needs. The top three post-CT symptoms in terms of severity were: fatigue, appetite change, and sleep disorder. Primary disruptions in daily activities during the post-CT period related to: holding social activities, work, and stair climbing. Significant and positive correlations were found among daily activity interference (r = .30, p < .01), symptoms distress (r = .23, p < .01), and care needs. The regression model indicated daily activity interference as a predictor of care needs, accounting for 10.7% of the total variance.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: These results highlight the relationships among care needs, symptom distress, and daily activity interference in post-chemotherapy lung-cancer patients. The present study provides a reference for nursing care to reduce the symptom distress, to enhance the performance of daily activities, and to meet the care needs of lung-cancer patients.
化疗是晚期肺癌的首要治疗方法。然而，症状困扰、日常活动能力受损以及化疗后护理需求是化疗的潜在副作用。
探讨化疗后肺癌患者护理需求的相关因素。
采用横断面研究。从台湾南部的一家医疗中心招募了121名成年患者，这些患者被诊断为晚期肺癌并接受了铂类和多西他赛双联方案的化疗。使用的工具包括护理需求调查问卷、症状困扰量表、日常活动干扰量表和患者特征数据表。
参与者根据他们感知到的护理需求对紧急处理、健康咨询和情感支持活动进行了自我排序。化疗后严重程度排名前三的症状是：疲劳、食欲改变和睡眠障碍。化疗后日常活动的主要干扰因素包括：举办社交活动、工作和爬楼梯。日常活动干扰（r = 0.30，p < 0.01）、症状困扰（r = 0.23，p < 0.01）和护理需求之间存在显著的正相关。回归模型表明日常活动干扰是护理需求的预测因素，占总方差的10.7%。
结论/实践意义：这些结果突出了化疗后肺癌患者护理需求、症状困扰和日常活动干扰之间的关系。本研究为护理提供了参考，以减轻症状困扰，提高日常活动表现，并满足肺癌患者的护理需求。
