Huang Chi-Chin, Kuo Han-Pin, Lin Yueh-E, Chen Shu-Ching
Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Department of Chest Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
J Cancer Educ. 2019 Feb;34(1):41-49. doi: 10.1007/s13187-017-1263-y.
Advanced non-small cell lung cancer (NSCLC) patients treated with chemotherapy experience functional decline and decreased quality of life. The purpose of this study was to evaluate the effects of a web-based health education program on global quality of life, quality of life-related functional dimensions, and symptom distress of initially diagnosed advanced non-small cell lung cancer patients. This study used a randomized, pre- and post-repeated measures design. A total of 55 participants were randomly assigned to an experimental group (n = 27) and a control group (n = 28). The experimental group participated in a web-based health education program, and the control group received usual care. Patients were assessed at 4 time points: baseline assessment (T0), and then 1, 2, and 3 months (T1, T2, and T3) after participating in the web-based health education program or receiving usual care. Patients in the experimental group had significantly greater global quality of life and emotional function, and significantly less top ten significant symptom distresses compared to those in the control group. There were no differences between the groups and within groups with respect to physical function, role function, cognitive function, and social function. The web-based health education can improve global quality of life, emotional function, and top ten significant symptom distresses in patients receiving chemotherapy during the first 3 months after initial diagnosis of advanced NSCLC. Web-based health education can improve quality of life and lessen distress of initially diagnosed NSCLC patients treated with chemotherapy.
接受化疗的晚期非小细胞肺癌（NSCLC）患者会出现功能衰退和生活质量下降。本研究的目的是评估基于网络的健康教育项目对初诊晚期非小细胞肺癌患者的总体生活质量、与生活质量相关的功能维度以及症状困扰的影响。本研究采用随机、前后重复测量设计。共有55名参与者被随机分为实验组（n = 27）和对照组（n = 28）。实验组参与基于网络的健康教育项目，对照组接受常规护理。在4个时间点对患者进行评估：基线评估（T0），然后在参与基于网络的健康教育项目或接受常规护理后的1、2和3个月（T1、T2和T3）。与对照组相比，实验组患者的总体生活质量和情绪功能显著更高，十大显著症状困扰显著更少。在身体功能、角色功能、认知功能和社会功能方面，两组之间以及组内均无差异。基于网络的健康教育可以改善初诊晚期NSCLC患者在接受化疗后的前3个月内的总体生活质量、情绪功能和十大显著症状困扰。基于网络的健康教育可以改善初诊接受化疗的NSCLC患者的生活质量并减轻其困扰。
