Feng Liyun, Yang Dongmei
The First Affiliated Hospital of Soochow University, Pulmonary and Critical Care Medicine, Suzhou, China.
Suzhou Dushu Lake Hospital, Dushu Lake Hospital Affiliated to Soochow University, Department of General Practice, Suzhou, China.
Evid Based Complement Alternat Med. 2022 Aug 18;2022:2459013. doi: 10.1155/2022/2459013. eCollection 2022.
The objective is to analyze the effect of high-quality nursing intervention combined with health education in the chemotherapy for non-small cell lung cancer and its impact on the physical and mental health of patients.
The study included 136 patients with non-small cell lung cancer treated at our hospital from March 2020 to December 2021, who were divided into the observation group and the routine/control group by randomization, with 68 patients in each. All patients received the GP (gemcitabine + cisplatin) chemotherapy. The control group received routine nursing care, whereas the observation group received high-quality nursing care mixed with health education. The effect of nursing intervention, patient self-management, and the influence on the physical and mental health of the patients was compared between the two groups.
The total efficacy rate (89.71%) of the observation group was significantly higher than that of the routine group (57.35%) ( < 0.05). The self-management level of the patients in the observation group, indicated by the Exercise of Self-Care Agency (ESCA) score, was considerably higher than that of the regular group after nursing intervention. Similarly, the observation group's quality of life, which was evaluated in terms of physical function, role function, emotional function, cognitive function, social function, and overall health status, was much better than the routine group's. Furthermore, the SAS, SDS, and overall incidence of adverse events were lower in the observation group than in the regular group. ( < 0.05).
The application of high-quality nursing intervention combined with health education in chemotherapy for non-small cell lung cancer has favorable clinical benefits, enhances patient compliance and self-management capacity, and exerts a positive influence on the patient's physical and mental health. Adverse reactions can provide a more trustworthy scientific basis for therapeutic therapy. The method should be widely used.
分析优质护理干预联合健康教育在非小细胞肺癌化疗中的效果及其对患者身心健康的影响。
本研究纳入了2020年3月至2021年12月在我院接受治疗的136例非小细胞肺癌患者，通过随机化将其分为观察组和常规/对照组，每组68例。所有患者均接受GP（吉西他滨+顺铂）化疗。对照组接受常规护理，而观察组接受优质护理并结合健康教育。比较两组护理干预效果、患者自我管理情况以及对患者身心健康的影响。
观察组的总有效率（89.71%）显著高于常规组（57.35%）（P<0.05）。护理干预后，以自我护理能力测定量表（ESCA）评分表示，观察组患者的自我管理水平明显高于常规组。同样，从身体功能、角色功能、情感功能、认知功能、社会功能和总体健康状况等方面评估，观察组的生活质量远优于常规组。此外，观察组的焦虑自评量表（SAS）、抑郁自评量表（SDS）评分及不良事件总发生率均低于常规组（P<0.05）。
优质护理干预联合健康教育应用于非小细胞肺癌化疗具有良好的临床效益，可提高患者依从性和自我管理能力，对患者身心健康产生积极影响。不良反应可为治疗提供更可靠的科学依据。该方法应广泛应用。
