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[新诊断肺癌患者手术期间经络能量变化、生活质量与预后的相关性:一项纵向研究]

[Associations Among Changes in Meridian Energy, Quality of Life During Surgery, and Prognoses in Newly Diagnosed Lung Cancer Patients: A Longitudinal Study].

作者信息

Peng Yun-Hsin, Lin Li-Mei, Peng Tai-Chu, Chang Bee-Song, Huang Chun-Hou

机构信息

MSN, RN, Department of Nursing, National Taiwan University Hospital, Taiwan, ROC.

PhD, RN, Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2024 Aug;71(4):57-68. doi: 10.6224/JN.202408_71(4).08.

Abstract

BACKGROUND

Approximately 30% of patients experience postoperative complications after surgery for early-stage lung cancer. However, the relationships among meridian energy during lung cancer surgery, changes in quality of life, and prognosis have not been investigated.

PURPOSE

This study was designed to explore the associations among meridian energy, changes in quality of life, and prognosis in patients with newly diagnosed lung cancer undergoing surgery.

METHODS

A longitudinal, repeated-measures design was used. Basic data forms, meridian energy measurements, and a concise 12-item health status questionnaire were administered to the participants at the time of diagnosis, 2 weeks post-surgery, and 12 weeks post-surgery. During this period, changes were analyzed, and their association with postoperative risks was explored.

RESULTS

Forty-eight cases were investigated. Both meridian energy and quality of life were found to be significantly decreased 2 weeks after surgery. The high/low ratio of meridian energy, the physical component score of the Short Form 12-Item Health Survey Questionnaire, gender, cancer stage, and body mass index were identified as significantly associated with prognosis.

CONCLUSIONS / IMPLICATIONS FOR PRACTICE: Conclusion/Implications for Practice: The declining trends in meridian energy and quality of life during the 2 weeks after surgery in patients with lung cancer are associated with poor postoperative prognoses. Nurses may use the findings of this study to identify patients at high risk of postoperative complications and develop appropriate strategies to provide comprehensive care.

摘要

背景

早期肺癌手术后约30%的患者会出现术后并发症。然而,肺癌手术期间经络能量、生活质量变化和预后之间的关系尚未得到研究。

目的

本研究旨在探讨新诊断的肺癌手术患者的经络能量、生活质量变化和预后之间的关联。

方法

采用纵向重复测量设计。在诊断时、术后2周和术后12周对参与者进行基本数据表格、经络能量测量和一份简明的12项健康状况问卷。在此期间,分析变化情况,并探讨其与术后风险的关联。

结果

共调查了48例病例。发现术后2周经络能量和生活质量均显著下降。经络能量高低比、简短健康调查12项问卷的身体成分得分、性别、癌症分期和体重指数被确定为与预后显著相关。

结论/对实践的启示:肺癌患者术后2周内经络能量和生活质量的下降趋势与术后不良预后相关。护士可利用本研究结果识别术后并发症高危患者,并制定适当策略提供全面护理。

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