Tumor Building, Affiliated Hospital of Jiangnan University, Wuxi City, 214061 Jiangsu Province, China.
Tumor Building, Nursing Department, Affiliated Hospital of Jiangnan University, Wuxi City, 214061 Jiangsu Province, China.
Comput Math Methods Med. 2022 Jul 30;2022:5747712. doi: 10.1155/2022/5747712. eCollection 2022.
The present research project is aimed at elucidating the application value of evidence-based care (EBC) in patients with lung cancer (LC) chemotherapy.
Ninety-four advanced LC patients visited between March 2019 and February 2021 were retrospectively selected. Based on the type of care, 44 cases who used routine nursing were set as the control group (CG), and 50 patients who received EBC were included in the research group (RG). The pain degree, adverse mood, and individual fatigue of patients were assessed, using the Visual Analogue Scale (VAS), Self-Rating Anxiety/Depression Scale (SAS/SDS), and Cancer Fatigue Scale (CFS), respectively. Besides, patients were assessed for treatment compliance, self-efficacy, and life quality using the treatment compliance questionnaire, General Self-Efficacy Scale (GSES), and Quality of Life Questionnaire Core 30 (QLQ-C30), respectively.
The VAS, SAS, and SDS scores were lower in RG versus CG after nursing intervention. RG scored lower in the dimensions of physical, affective, and cognitive fatigue in terms of individual fatigue assessed by the CFS and higher in various domains of the QLQ-C30 score after nursing intervention. Besides, higher treatment compliance and self-efficacy were determined in RG as compared to CG.
In addition to improving the treatment compliance, self-efficacy, and life quality of patients with LC chemotherapy, EBC can effectively alleviate their pain, adverse psychological mood, and individual fatigue, which deserves to be promoted in clinical application.
本研究旨在阐明循证护理（EBC）在肺癌（LC）化疗患者中的应用价值。
回顾性选择 2019 年 3 月至 2021 年 2 月期间就诊的 94 例晚期 LC 患者。根据护理方式的不同，将采用常规护理的 44 例患者设为对照组（CG），将接受 EBC 的 50 例患者纳入研究组（RG）。采用视觉模拟评分法（VAS）、焦虑/抑郁自评量表（SAS/SDS）和癌症疲劳量表（CFS）评估患者的疼痛程度、不良情绪和个体疲劳程度。此外，采用治疗依从性问卷、一般自我效能感量表（GSES）和生活质量问卷核心 30 项（QLQ-C30）评估患者的治疗依从性、自我效能和生活质量。
护理干预后，RG 的 VAS、SAS 和 SDS 评分均低于 CG。在个体疲劳方面，CFS 评估的 RG 在身体、情感和认知疲劳方面的得分较低，护理干预后 QLQ-C30 评分的各个维度得分均较高。此外，RG 的治疗依从性和自我效能感均高于 CG。
EBC 除了能提高 LC 化疗患者的治疗依从性、自我效能和生活质量外，还能有效缓解其疼痛、不良心理情绪和个体疲劳，值得在临床应用中推广。
