Zhang Jingxuan, Sun Qiuyu, Gao Lan, Sun Lijuan, Wang Chunxue, Li Baohua, Wang Junjie, Wang Panfeng
Radiation Oncology Department, Peking University Third Hospital, Beijing, China.
Interventional and Vascular Surgery Department, Southeast University Zhongda Hospital, Nanjing, China.
Asia Pac J Oncol Nurs. 2022 Apr 13;9(8):100065. doi: 10.1016/j.apjon.2022.04.004. eCollection 2022 Aug.
To prospectively explore the efficacy of I seed implantation on quality of life and pain relief in cancer patient.
Consecutive cancer patients who underwent I seed implantation in three centers in China between October 1, 2020 and March 31, 2021, were assessed. The Functional Assessment of Cancer Therapy and Brief Pain Inventory were used to evaluate patients' quality of life and pain relief on the day before, 1 week, 1 month, and 3 months after seed implantation.
A total of 104 cancer patients were enroled. Total score of quality of life was not statistically different 3 months after seed implantation compared with before implantation, while patients' quality of life was worse one week after seed implantation but then recovered. A total of 43 (41.3%) patients had pain before seed implantation, of which 16 (37.2%) patients had severe pain and 27 (62.8%) had mild-to-moderate pain. In patients with severe pain, the worst pain scores decreased significantly 3 months after implantation. In patients with mild-to-moderate pain, pain severity and pain interference score increased significantly after implantation compared with pre-implantation. Compared with pain before implantation, patients' quality of life of patients without pain was higher.
I seed implantation maintains the quality of life of patients within 3 months. For patients with severe pain, seed implantation has obvious pain relief, which improves the quality of life of the patients. Nurses should provide personalized guidance for patients with different degrees of pain.
前瞻性探讨碘粒子植入对癌症患者生活质量及疼痛缓解的疗效。
对2020年10月1日至2021年3月31日在中国三个中心接受碘粒子植入的连续癌症患者进行评估。采用癌症治疗功能评估量表和简明疼痛量表,在粒子植入前1天、植入后1周、1个月和3个月评估患者的生活质量和疼痛缓解情况。
共纳入104例癌症患者。粒子植入后3个月的生活质量总分与植入前相比无统计学差异,而患者在植入后1周生活质量较差,但随后恢复。共有43例(41.3%)患者在粒子植入前有疼痛,其中16例(37.2%)为重度疼痛,27例(62.8%)为轻至中度疼痛。在重度疼痛患者中,植入后3个月最严重疼痛评分显著降低。在轻至中度疼痛患者中,与植入前相比,植入后疼痛严重程度和疼痛干扰评分显著增加。与植入前的疼痛相比,无疼痛患者的生活质量更高。
碘粒子植入在3个月内维持患者的生活质量。对于重度疼痛患者,粒子植入有明显的疼痛缓解作用,提高了患者的生活质量。护士应为不同疼痛程度的患者提供个性化指导。