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持续护理对肺癌合并冠心病患者心脏功能的影响。

Impact of continuous care on cardiac function in patients with lung cancer complicated by coronary heart disease.

作者信息

Gao Ting, Luo Jin-Lan, Guo Pan, Hu Xi-Wen, Wei Xiao-Yan, Hu Yan

机构信息

Division of Cardiovascular First Ward, Department of Internal Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, Hubei Province, China.

Department of Cardiovascular Medicine, Wuhan Wuchang Hospital, Wuhan 430063, Hubei Province, China.

出版信息

World J Clin Cases. 2024 Jan 16;12(2):314-321. doi: 10.12998/wjcc.v12.i2.314.

Abstract

BACKGROUND

Despite sharing similar pathogenic factors, cancer and coronary heart disease (CHD) occur in comparable populations at similar ages and possess similar susceptibility factors. Consequently, it is increasingly commonplace for patients to experience the simultaneous occurrence of cancer and CHD, a trend that is steadily rising.

AIM

To determine the impacts of continuing care on lung cancer patients with CHD following percutaneous coronary intervention (PCI).

METHODS

There were 94 lung cancer patients with CHD following PCI who were randomly assigned to the intervention group ( = 38) and the control group ( = 41). In the intervention group, continuing care was provided, while in the control group, routine care was provided. An evaluation of cardiac and pulmonary function, medication compliance, a 6-min walk test, and patient quality of life was performed.

RESULTS

Differences between the two groups were significant in left ventricular ejection fraction, 6-min walk test, oxygen uptake, quality of life and medication compliance ( < 0.05). In comparison with the control group, the enhancement in the intervention group was more significant. The intervention group had more patients with high medication compliance than the control group, with a statistically significant difference ( < 0.05).

CONCLUSION

After undergoing PCI, lung patients with CHD could benefit from continued care in terms of cardiac and pulmonary function, medications compliance, and quality of life.

摘要

背景

尽管癌症和冠心病(CHD)具有相似的致病因素,且在相似年龄的相当人群中发生,拥有相似的易感因素。因此,癌症和冠心病同时发生在患者中越来越常见,且这一趋势正在稳步上升。

目的

确定经皮冠状动脉介入治疗(PCI)后持续护理对合并冠心病的肺癌患者的影响。

方法

94例PCI术后合并冠心病的肺癌患者被随机分为干预组(n = 38)和对照组(n = 41)。干预组给予持续护理,对照组给予常规护理。对心脏和肺功能、用药依从性、6分钟步行试验和患者生活质量进行评估。

结果

两组在左心室射血分数、6分钟步行试验、摄氧量、生活质量和用药依从性方面差异有统计学意义(P < 0.05)。与对照组相比,干预组的改善更显著。干预组用药依从性高的患者比对照组多,差异有统计学意义(P < 0.05)。

结论

PCI术后,合并冠心病的肺癌患者在心脏和肺功能、用药依从性及生活质量方面可从持续护理中获益。

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