Effects of high quality nursing in patients with lung cancer undergoing chemotherapy and related influence on self-care ability and pulmonary function.

OBJECTIVE

To explore the effects of high quality nursing in patients with lung cancer undergoing chemotherapy and related influence on self-care ability and pulmonary function.

METHODS

108 patients with lung cancer were grouped as the control group (54 cases, received routine nursing) and the observation group (54 cases, received high quality nursing including health education, psychological nursing, diet intervention, pain nursing and complication nursing). The psychology, self-care ability, pulmonary function, quality of life and complications before and after the intervention were compared.

RESULTS

After 2 months of intervention, peak expiratory flow (PEF), percentage of forced vital capacity (FVC%) and the ratio of forced expiratory volume in 1 second to forced vital capacity (FEV/FVC) of the two groups were all largely increased, and the observation group had even higher indexes than the control group (all P<0.05). Compared with before intervention, Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores of the two groups both decreased after 2 months of intervention, and the observation group had lower score than the control group. The score of Exercise of Self-care Agency (ESCA) Scale and the quality of life questionnaire-C30 formulated by the European Organization for research and treatment of cancer (EORTC QLQ-C30) in the two groups were both elevated after the intervention and the observation group had higher scores than the control group (all P<0.05). The observation group had much lower total incidence of adverse reactions than the control group during chemotherapy (P<0.05).

CONCLUSION

High quality nursing for patients with lung cancer undergoing chemotherapy effectively alleviates the bad mood and improves the quality of life and lung function, which is worthy of clinical application.