Huang Baoli, Lv Lijie, Zhang Qiwan
Department of Respiratory Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Psychiatry Clin Psychopharmacol. 2025 Jun 5;35(3):275-284. doi: 10.5152/pcp.2025.241011.
Background: To evaluate the clinical efficacy of integrating empowerment education and humanistic care in enhancing cognitive function, self-care ability, mood regulation, and quality of life among lung cancer (LC) patients undergoing chemotherapy. Methods: A total of 149 LC patients receiving chemotherapy from May 2022 to January 2024 were included in the study. They were divided into 2 groups: a control group (n=63) receiving routine care and a joint group (n= 86) receiving empowerment education and humanistic care. Outcomes measured included cognitive function, self-care ability (using the Exercise of Self-Care Agency scale), mood (using the Hospital Anxiety and Depression Scale), cancer-related fatigue (using the Revised Piper Fatigue Scale), adverse reactions, and QoL (using the Functional Assessment of Cancer Therapy-Lung scale). Results: The joint group exhibited significant improvements in cognitive function, self-care ability, and QoL compared to the control group (P < .05). They also had lower scores in anxiety, depression, and cancer-related fatigue (P < .05). The incidence of adverse reactions was markedly lower in the joint group (10.47%) compared to the control group (39.68%). Conclusion: Combining empowerment education with humanistic care effectively improves cognitive function, reduces negative emotions and adverse reactions, enhances self-care ability, and improves the overall QoL of LC patients undergoing chemotherapy.
评估赋权教育与人文关怀相结合在提高接受化疗的肺癌(LC)患者认知功能、自我护理能力、情绪调节及生活质量方面的临床疗效。方法:本研究纳入了2022年5月至2024年1月期间共149例接受化疗的肺癌患者。他们被分为两组:对照组(n = 63)接受常规护理,联合组(n = 86)接受赋权教育和人文关怀。测量的结果包括认知功能、自我护理能力(使用自我护理能力量表)、情绪(使用医院焦虑抑郁量表)、癌症相关疲劳(使用修订的派珀疲劳量表)、不良反应以及生活质量(使用癌症治疗功能评估-肺癌量表)。结果:与对照组相比,联合组在认知功能、自我护理能力和生活质量方面有显著改善(P < 0.05)。他们在焦虑、抑郁和癌症相关疲劳方面的得分也较低(P < 0.05)。联合组的不良反应发生率(10.47%)明显低于对照组(39.68%)。结论:赋权教育与人文关怀相结合可有效改善认知功能,减少负面情绪和不良反应,提高自我护理能力,并改善接受化疗的肺癌患者的总体生活质量。