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高质量护理对晚期非小细胞肺癌患者生活质量、生存和复发的影响。

Effects of high-quality nursing care on quality of life, survival, and recurrence in patients with advanced nonsmall cell lung cancer.

机构信息

Xingping Community Health Service Center.

Publicity section.

出版信息

Medicine (Baltimore). 2022 Sep 16;101(37):e30569. doi: 10.1097/MD.0000000000030569.

Abstract

BACKGROUND

Postoperative nursing can improve the quality of life (QoL) and functional prognosis for lung cancer patients. The purpose of this study was to evaluate the effects of high-quality nursing on inflammation and prognosis in postoperative patients with advanced nonsmall cell lung cancer (NSCLC).

METHODS

A total of 372 patients with NSCLC were enrolled between the May 2014 and June 2016. Patients were randomly received high-quality nursing (n = 192) or normal nursing (n = 180). Symptom management, QoL, hospital stay, inflammatory score, survival time, recurrence rate, symptoms, anxiety, depression scale and psychological distress were assessed at baseline and 5-year follow up.

RESULTS

High-quality nursing significantly shortened hospital stay, improved postoperative inflammation, symptom management, QoL compared to patients received normal nursing. Compare with normal nursing, high-quality nursing decreased anxiety, depression scale and psychological distress for postoperative patients with advanced NSCLC. Outcomes showed that high-quality nursing increased the survival time and decreased recurrence rate for postoperative patients with advanced NSCLC.

CONCLUSION

In conclusion, data in the current study indicate that high-quality nursing can decrease inflammation and improve prognosis for the postoperative patients with NSCLC.

摘要

背景

术后护理可以提高肺癌患者的生活质量(QoL)和功能预后。本研究的目的是评估高质量护理对晚期非小细胞肺癌(NSCLC)术后患者炎症和预后的影响。

方法

共纳入 2014 年 5 月至 2016 年 6 月的 372 例 NSCLC 患者。患者随机接受高质量护理(n = 192)或常规护理(n = 180)。在基线和 5 年随访时评估症状管理、生活质量、住院时间、炎症评分、生存时间、复发率、症状、焦虑、抑郁量表和心理困扰。

结果

与接受常规护理的患者相比,高质量护理显著缩短了住院时间,改善了术后炎症、症状管理和生活质量。与常规护理相比,高质量护理降低了晚期 NSCLC 术后患者的焦虑、抑郁量表和心理困扰。结果表明,高质量护理增加了晚期 NSCLC 术后患者的生存时间,降低了复发率。

结论

综上所述,本研究数据表明,高质量护理可以减轻炎症并改善 NSCLC 术后患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849d/9478279/b420eb51c8b6/medi-101-e30569-g001.jpg

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