Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
School of Nursing, Peking Union Medical College, Beijing, China.
Thorac Cancer. 2024 Jan;15(1):66-76. doi: 10.1111/1759-7714.15164. Epub 2023 Nov 20.
To explore the correlation between the current status of discharge preparation, quality of discharge teaching, and fear of disease progression among patients with lung cancer undergoing chemotherapy to provide a basis for improving patients' level of preparation.
In this cross-sectional study, convenience sampling was used to select 452 patients with lung cancer who received chemotherapy and were admitted to the Department of Medical Oncology of the Cancer Hospital, between February 2023 and April 2023. A general information questionnaire, discharge preparation scale, quality of discharge teaching scale, and fear of disease progression scale were used to conduct surveys 2 h before the patients were discharged.
The score for discharge preparation among lung cancer patients with chemotherapy was 99.11 ± 14.79 and the item score was 8.26 ± 1.23. The score for quality of discharge teaching was 193.23 ± 37.69, and that for fear of disease progression was 25.47 ± 8.92. Multiple linear regression analysis showed that sex, marital status, treatment period, quality of discharge teaching, and fear of disease progression influenced discharge readiness among patients with lung cancer receiving chemotherapy. Pearson's correlation analysis showed that the total quality of the discharge guidance score was positively correlated with the discharge readiness score (r = 0.288, p < 0.001). In contrast, the total fear of disease progression score was negatively correlated with the discharge preparation score (r = -0.252, p < 0.001).
Discharge readiness among patients with lung cancer receiving chemotherapy was relatively at the good level, and there was a significant correlation between readiness for discharge, discharge teaching and fear of disease progression in these patients. Therefore, it is necessary to provide effective discharge guidance and implement targeted intervention measures to further improve patient preparation, reduce the fear of disease progression, and promote patient ability of coping with the disease and overall satisfaction.
探讨正在接受化疗的肺癌患者出院准备现状、出院教学质量与疾病进展恐惧之间的相关性，为提高患者准备水平提供依据。
本横断面研究采用便利抽样法，选取 2023 年 2 月至 4 月期间在肿瘤医院肿瘤内科接受化疗的 452 例肺癌患者。于患者出院前 2 h 采用一般资料问卷、出院准备度量表、出院教学质量量表和疾病进展恐惧量表进行调查。
肺癌化疗患者出院准备总分为（99.11±14.79）分，条目得分为（8.26±1.23）分；出院教学质量总分为（193.23±37.69）分，疾病进展恐惧总分为（25.47±8.92）分；多元线性回归分析显示，性别、婚姻状况、治疗周期、出院教学质量、疾病进展恐惧影响肺癌化疗患者出院准备；Pearson 相关分析显示，出院指导质量总分与出院准备总分呈正相关（r=0.288，p<0.001），疾病进展恐惧总分与出院准备总分呈负相关（r=-0.252，p<0.001）。
肺癌化疗患者出院准备处于较好水平，且其出院准备与出院教学、疾病进展恐惧之间存在显著相关性。因此，有必要为患者提供有效的出院指导，并实施有针对性的干预措施，进一步提高患者的准备度，减轻疾病进展恐惧，促进患者应对疾病的能力和整体满意度。
