|
Impact of comprehensive nursing intervention on postoperative respiratory function, quality of life, and self-care in lung cancer patients undergoing radiotherapy and surgery
|
L. Ye   , J. Huang , F. Qiu |
| First Area Department of Pediatrics, Second Affiliated Hospital of Hainan Medical University, Haikou 570311, Hainan Province, China , zhongshou4830010@163.com |
|
|
Abstract: (412 Views) |
Background: This study aimed to investigate the impact of a comprehensive nursing plan on post-radiooperative respiratory function, quality of life (QoL), and self-care ability in patients with lung cancer (LC) undergoing radiotherapy and surgery. Materials and Methods: A total of 100 LC patients undergoing radiotherapy and surgery were randomly assigned to either the Routine Nursing Care (RNC) group (n = 50) or the Comprehensive Nursing Care (CNC) group (n = 50). Various parameters, including respiratory function, visual analog scale (VAS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh sleep quality index (PSQI), exercise of self-care agency scale (ESCA), European Organization for Research and Treatment of Cancer (EORTC), and complication rate, were assessed. Results: Compared to the RNC group, the CNC group exhibited a significant decrease in respiratory frequency and an increase in oxygen saturation, maximal breathing capacity, minute ventilation volume, and forced expiratory volume in 1 s (FEV1) (P < 0.05). Additionally, CNC group scores for VAS, SAS, SDS, and PSQI were lower, while ESCA and EORTC scores were higher compared to the RNC group (P<0.05). Complication rates post-intervention was significantly lower in the CNC group (4.0%) compared to the RNC group (28.0%) (P < 0.05). Conclusion: In conclusion, comprehensive nursing intervention effectively improves post-radiotherapy operative respiratory function, anxiety, depression, and sleep quality. Furthermore, it enhances self-care ability and QoL in patients with LC undergoing radiotherapy and surgery while reducing the incidence of complications. These findings support the clinical application of comprehensive nursing care in this patient population. |
|
| Keywords: Comprehensive nursing, lung cancer, radiotherapy, respiratory function test, quality of life, self-care ability. |
|
|
Full-Text [PDF 625 kb]
(109 Downloads)
|
|
Type of Study: Original Research |
Subject:
Radiation Biology
|
|
|
|
|
|
|
| References |
1. Bajrai LH, Sohrab SS, Khalid M, et al. (2022) Molecular interaction of cryptophycin 52 with Caspase 8 for the management of lung cancer during coronavirus outbreak: A computational study. Cellular and Molecular Biology, 68(6): 31-35. [ DOI:10.14715/cmb/2022.68.6.5] [ PMID] 2. Verze P, Cai T, Lorenzetti S (2016) The role of the prostate in male fertility, health and disease. Nature Reviews Urology, 13(7): 379-386. [ DOI:10.1038/nrurol.2016.89] [ PMID] 3. Sier R, Onugha O (2020) Review of Procedures and Outcomes of Video-Assisted Thoracic Surgery for the Treatment of Non-Small Cell Lung Cancer in 45 Patients Undergoing Segmentectomy. Surgical Technology International, 36: 245-250. 4. Codima A, das Neves Silva W, de Souza Borges AP, et al. (2021) Exercise prescription for symptoms and quality of life improvements in lung cancer patients: a systematic review. Supportive Care in Cancer, 29: 445-457. [ DOI:10.1007/s00520-020-05499-6] [ PMID] 5. Hsu H Y, Lin T Y, Hu C H, et al. (2018) Fucoidan upregulates TLR4/CHOP-mediated caspase-3 and PARP activation to enhance cisplatin-induced cytotoxicity in human lung cancer cells. Cancer Letters, 432: 112-120. [ DOI:10.1016/j.canlet.2018.05.006] [ PMID] 6. Wang Y, Zhang R, Shen Y, et al. (2019) Prediction of chemotherapy adverse reactions and mortality in older patients with primary lung cancer through frailty index based on routine laboratory data. Clinical Interventions in Aging, 14: 1187-1197. [ DOI:10.2147/CIA.S201873] [ PMID] [ ] 7. Coolbrandt A, Wildiers H, Aertgeerts B, et al. (2018) Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home. BMC Nursing, 17(1): 1-10. [ DOI:10.1186/s12912-018-0297-8] [ PMID] [ ] 8. Al-Batran SE, Goetze TO, Mueller DW, et al. (2017) The RENAISSANCE (AIO-FLOT5) trial: effect of chemotherapy alone vs. chemotherapy followed by surgical resection on survival and quality of life in patients with limited-metastatic adenocarcinoma of the stomach or esophagogastric junction-a phase III trial of the German AIO/CAO-V/CAOGI. BMC Cancer, 17: 1-7 [ DOI:10.1186/s12885-017-3918-9] [ PMID] [ ] 9. West H, McCleod M, Hussein M, et al. (2019) Atezolizumab in combination with carboplatin plus nab-paclitaxel chemotherapy compared with chemotherapy alone as first-line treatment for metastatic non-squamous non-small-cell lung cancer (IMpower130): a multicentre, randomised, open-label, phase 3 trial. The Lancet Oncology, 20(7): 924-937. [ DOI:10.1016/S1470-2045(19)30167-6] 10. Jiang X, Hidru T H, Zhang Z, et al. (2017) Evidence of elemene injection combined radiotherapy in lung cancer treatment among patients with brain metastases: a systematic review and meta-analysis. Medicine, 96(21). [ DOI:10.1097/MD.0000000000006963] [ PMID] [ ] 11. Nilsson R, Liu NA (2020) Nuclear DNA damages generated by reactive oxygen molecules (ROS) under oxidative stress and their relevance to human cancers, including ionizing radiation-induced neoplasia part I: physical, chemical and molecular biology aspects. Radiation Medicine and Protection, 1(3): 140-152. [ DOI:10.1016/j.radmp.2020.09.002] 12. Rahi MS, Parekh J, Pednekar P, et al. (2021) Radiation-induced lung injury-current perspectives and management. Clinics and Practice, 11(3): 410-429. [ DOI:10.3390/clinpract11030056] [ PMID] [ ] 13. Zhang Y, Zhang JL, Li Y (2016) Computed tomography diagnosis of neonatal hypoxic ischemic encephalopathy combined with intracranial hemorrhage and clinical nursing treatment. Journal of Biological Regulators and Homeostatic Agents, 30(2): 511-515. 14. Rodgers ML, Fox E, Abdelhak T, et al. (2021) Care of the patient with acute ischemic stroke (Endovascular/Intensive Care Unit-Postinterventional Therapy): Update to 2009 comprehensive nursing care scientific statement: a scientific statement from the american heart association. Stroke, 52(5): e198-e210. [ DOI:10.1161/STR.0000000000000358] [ PMID] 15. Ling P, Yunxia W, Yuexin X, et al. (2019) Application effects of whole course high-quality nursing on patients with liver cancer during radiotherapy. Iranian Journal of Public Health, 48(10): 1777. 16. Zhang T, Lu J, Fan Y, et al. (2022) Evidence-based nursing intervention can improve the treatment compliance, quality of life and self-efficacy of patients with lung cancer undergoing radiotherapy and chemotherapy. American Journal of Translational Research, 14(1): 396. 17. O'Keeffe LM, Taylor G, Huxley RR, et al, (2018) Smoking as a risk factor for lung cancer in women and men: a systematic review and meta-analysis. BMJ Open, 8(10): e021611. [ DOI:10.1136/bmjopen-2018-021611] [ PMID] [ ] 18. Wankhede D, Grover S, Awendila L. (2021) Left Upper Lobectomy for Lung Cancer as a Risk Factor for Cerebral Infarction: A Systematic Review and Meta-Analysis. Lung, 199(5): 535-547. [ DOI:10.1007/s00408-021-00480-4] [ PMID] 19. Pennathur A, Brunelli A, Criner GJ, et al. (2021) Definition and assessment of high risk in patients considered for lobectomy for stage I non-small cell lung cancer: The American Association for Thoracic Surgery expert panel consensus document. The Journal of Thoracic and Cardiovascular Surgery, 162(6): 1605-1618. [ DOI:10.1016/j.jtcvs.2021.07.030] [ PMID] 20. Chen C, Wang Z, Hao J, et al. (2020) Chylothorax after lung cancer surgery: a key factor influencing prognosis and quality of life. Annals of Thoracic and Cardiovascular Surgery, 26(6): 303-310. [ DOI:10.5761/atcs.ra.20-00039] [ PMID] [ ] 21. Lei R, Cao H, Rao A, et al. (2021) Application effect of high-quality nursing model based on hope theory in endometrial cancer patients. Clinical and Experimental Obstetrics & Gynecology, 48(3): 691-696. [ DOI:10.31083/j.ceog.2021.03.2475] 22. Green TL, McNair ND, Hinkle JL, et al. (2021) Care of the patient with acute ischemic stroke (posthyperacute and prehospital discharge): update to 2009 comprehensive nursing care scientific statement: a scientific statement from the American Heart Association. Stroke. [ DOI:10.1161/STR.0000000000000357] [ PMID] 23. Ashcraft S, Wilson SE, Nyström KV, et al. (2021) Care of the patient with acute ischemic stroke (prehospital and acute phase of care): update to the 2009 comprehensive nursing care scientific statement: a scientific statement from the American Heart Association. Stroke, 52(5): e164-e178. [ DOI:10.1161/STR.0000000000000356] [ PMID] 24. Miao J, Ji S, Wang S, et al. (2021) Effects of high quality nursing in patients with lung cancer undergoing chemotherapy and related influence on self-care ability and pulmonary function. American Journal of Translational Research, 13(5): 5476. 25. Laurent H, Aubreton S, Galvaing G, et al. (2019) Preoperative respiratory muscle endurance training improves ventilatory capacity and prevents pulmonary postoperative complications after lung surgery. European Journal of Physical and Rehabilitation Medicine, 56(1): 73-81. [ DOI:10.23736/S1973-9087.19.05781-2] 26. Messaggi-Sartor M, Marco E, Martínez-Téllez E, et al. (2018) Combined aerobic exercise and high-intensity respiratory muscle training in patients surgically treated for non-small cell lung cancer: a pilot randomized clinical trial. European Journal of Physical and Rehabilitation Medicine, 55(1): 113-122. [ DOI:10.23736/S1973-9087.18.05156-0] [ PMID] 27. Naser AY, Hameed AN, Mustafa N, et al. (2021) Depression and anxiety in patients with cancer: a cross-sectional study. Frontiers in Psychology, 12: 1067. [ DOI:10.3389/fpsyg.2021.585534] [ PMID] [ ] 28. Sun Y, Wang X, Li N, et al. (2021) Influence of psychological nursing and health education on depression, anxiety and life quality of elderly patients with lung cancer. Psychogeriatrics, 21(4): 521-527. [ DOI:10.1111/psyg.12700] [ PMID] 29. Shammas RL, Marks CE, Broadwater G, et al. (2021) The effect of lavender oil on perioperative pain, anxiety, depression, and sleep after microvascular breast reconstruction: a prospective, single-blinded, randomized, controlled trial. Journal of Reconstructive Microsurgery, 37(6): 530-540. [ DOI:10.1055/s-0041-1724465] [ PMID] 30. Alinia-Najjar R, Bagheri-Nesami M, Shorofi SA, et al. (2020) The effect of foot reflexology massage on burn-specific pain anxiety and sleep quality and quantity of patients hospitalized in the burn intensive care unit (ICU). Burns, 46(8): 1942-1951. [ DOI:10.1016/j.burns.2020.04.035] [ PMID] 31. Alsolais A, Alquwez N, Alotaibi KA, et al. (2021) Risk perceptions, fear, depression, anxiety, stress and coping among Saudi nursing students during the COVID-19 pandemic. Journal of Mental Health, 30(2): 194-201. [ DOI:10.1080/09638237.2021.1922636] [ PMID] 32. Bajrai LH, Sohrab SS, Khalid M, et al. (2022) Molecular interaction of cryptophycin 52 with Caspase 8 for the management of lung cancer during coronavirus outbreak: A computational study. Cellular and Molecular Biology, 68(6): 31-35. [ DOI:10.14715/cmb/2022.68.6.5] [ PMID] |
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
|
Ye L, Huang J, Qiu F. Impact of comprehensive nursing intervention on postoperative respiratory function, quality of life, and self-care in lung cancer patients undergoing radiotherapy and surgery. Int J Radiat Res 2024; 22 (4) :919-926 URL: http://ijrr.com/article-1-5769-en.html
|
