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Bai L, Shi Y, Zhou S, Gong L, Zhang L, Tian J. Intervention model under the Omaha system framework can effectively improve the sleep quality and negative emotion of patients with mid to late-stage lung cancer and is a protective factor for quality of life. Am J Cancer Res 2024; 14:1278-1291. [PMID: 38590404 PMCID: PMC10998752 DOI: 10.62347/dydo4482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 01/18/2024] [Indexed: 04/10/2024] Open
Abstract
This study aims to evaluate the effects of Omaha System framework interventions on quality of life, emotional well-being, and sleep quality in 507 mid to late-stage lung cancer patients. Retrospectively, we compared data of 294 patients receiving conventional care (conventional group) with 213 patients undergoing Omaha System interventions (intervention group) from January 2019 to January 2023. Key indicators included quality of life (FACT-L), anxiety (SAS), depression (SDS), sleep quality (PSQI), hope (HHS), and dignity (PDI). Post-intervention, the intervention group showed a significant increase in FACT-L scores (P<0.001), indicating enhanced quality of life. There was a notable reduction in PSQI scores (P<0.001), suggesting improved sleep quality. Additionally, their anxiety and depression levels significantly decreased, as evidenced by lower SAS (P<0.001) and SDS scores (P<0.001). Logistic regression revealed that care nursing intervention scheme (P=0.007), age (P=0.008), marital status (P=0.002), per capita monthly household income (P=0.004), SAS after intervention (P=0.002), and PSQI after intervention (P=0.002) had a positive influence on quality of life. In conclusion, the Omaha System interventions markedly improved the quality of life, emotional state, and sleep in lung cancer patients.
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Affiliation(s)
- Ling Bai
- Department of Emergency, The Second Affiliated Hospital of Xi’an Jiaotong UniversityNo. 157 Xiwu Road, Xincheng District, Xi’an 710004, Shaanxi, China
| | - Yu Shi
- Department of Emergency, The Second Affiliated Hospital of Xi’an Jiaotong UniversityNo. 157 Xiwu Road, Xincheng District, Xi’an 710004, Shaanxi, China
| | - Shuru Zhou
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Xi’an Jiaotong UniversityNo. 157 Xiwu Road, Xincheng District, Xi’an 710004, Shaanxi, China
| | - Li Gong
- Department of Emergency, The Second Affiliated Hospital of Xi’an Jiaotong UniversityNo. 157 Xiwu Road, Xincheng District, Xi’an 710004, Shaanxi, China
| | - Lili Zhang
- Department of Emergency, The Second Affiliated Hospital of Xi’an Jiaotong UniversityNo. 157 Xiwu Road, Xincheng District, Xi’an 710004, Shaanxi, China
| | - Jiayi Tian
- Department of Nursing, Xi’an Innovation College of Yan’an UniversityNo. 2 Zaohe Road, Weiqu Street, Chang’an District, Xi’an 710004, Shaanxi, China
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Su XE, Wu SH, He HF, Lin CL, Lin S, Weng PQ. The effect of multimodal care based on Peplau's interpersonal relationship theory on postoperative recovery in lung cancer surgery: a retrospective analysis. BMC Pulm Med 2024; 24:59. [PMID: 38281038 PMCID: PMC10822161 DOI: 10.1186/s12890-024-02874-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 01/22/2024] [Indexed: 01/29/2024] Open
Abstract
BACKGROUND Lung cancer remains a major global health concern due to its high incidence and mortality rates. With advancements in medical treatments, an increasing number of early-stage lung cancer cases are being detected, making surgical treatment the primary option for such cases. However, this presents challenges to the physical and mental recovery of patients. Peplau known as the "mother of psychiatric associations" has formulated a theory of interpersonal relationships in nursing. Through effective communication between nurses and patients over four periods, she has established a good therapeutic nurse-patient relationship. Therefore, this study aimed to explore the effect of perioperative multimodal nursing based on Peplau's interpersonal relationship theory on the rehabilitation of patients with surgical lung cancer. METHODS We retrospectively analyzed 106 patients with non-small cell lung cancer who underwent thoracoscopic lobectomy at our department between June 2021 and April 2022. Patients were categorized into two groups according to the different nursing intervention techniques. The Peplau's group comprised 53 patients who received targeted nursing interventions, and the control group comprised 53 patients who received conventional nursing care. We observed the patients' illness uncertainty, quality of life, and clinical symptoms in both groups. RESULTS Patients in the Peplau's group had significantly lower illness uncertainty scores and a significantly higher quality of recovery than those in the control group. However, there were no significant differences in length of post-anesthesia care unit stay, complication rates, and visual analog scores between both groups. CONCLUSION The multimodal perioperative nursing based on Peplau's interpersonal relationship theory not only reduces the illness uncertainty of patients with lung cancer surgery and improves their QoR but also expands the application of this theory in clinical practice, guiding perioperative nursing of patients with lung cancer. IMPLICATIONS These findings provide practical information for standardized care in a hectic anesthetic care setting. IMPACT The assessed anesthesia nursing model helps reduce uncertainty and promote early recovery in patients with cancer at various stages of their disease, which expands the scope of therapeutic practice and existing theories. It also serves as a guide for care in the anesthesia recovery room. REPORTING METHOD We adhered to the relevant Equator guidelines and the checklist of items in the case-control study report. PATIENT OR PUBLIC CONTRIBUTION Patients cooperated with medical staff to complete relevant scales.
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Affiliation(s)
- Xue-E Su
- Centre of Neurological and Metabolic Research, The Second Affiliated Hospital of Fujian Medical University, No.34 North Zhongshan Road, Quanzhou, Fujian Province, 362000, China
- Department of Anesthesia, The Second Affiliated Hospital of Fujian Medical University, No.34 North Zhongshan Road, Quanzhou, Fujian Province, 362000, China
| | - Shan-Hu Wu
- Department of Anesthesia, The Second Affiliated Hospital of Fujian Medical University, No.34 North Zhongshan Road, Quanzhou, Fujian Province, 362000, China
| | - He-Fan He
- Department of Anesthesia, The Second Affiliated Hospital of Fujian Medical University, No.34 North Zhongshan Road, Quanzhou, Fujian Province, 362000, China
| | - Cui-Liu Lin
- Centre of Neurological and Metabolic Research, The Second Affiliated Hospital of Fujian Medical University, No.34 North Zhongshan Road, Quanzhou, Fujian Province, 362000, China
| | - Shu Lin
- Centre of Neurological and Metabolic Research, The Second Affiliated Hospital of Fujian Medical University, No.34 North Zhongshan Road, Quanzhou, Fujian Province, 362000, China.
- Group of Neuroendocrinology, Garvan Institute of Medical Research, 384 Victoria St, Sydney, Australia.
| | - Pei-Qing Weng
- Department of Anesthesia, The Second Affiliated Hospital of Fujian Medical University, No.34 North Zhongshan Road, Quanzhou, Fujian Province, 362000, China.
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Ochoa-Arnedo C, Arizu-Onassis A, Medina JC, Flix-Valle A, Ciria-Suarez L, Gómez-Fernández D, Souto-Sampera A, Brao I, Palmero R, Nadal E, González-Barboteo J, Serra-Blasco M. An eHealth ecosystem for stepped and early psychosocial care in advanced lung cancer: Rationale and protocol for a randomized control trial. Internet Interv 2023. [DOI: 10.1016/j.invent.2023.100620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Liu YB, Zuo LJ, Liu YC, Li YP, Xin YC, Zhang HY, Hou LY. Effect of Psychological Intervention on Differentiated Thyroid Cancer Patients in the Treatment with Radioactive Iodine. Patient Prefer Adherence 2023; 17:731-738. [PMID: 36970302 PMCID: PMC10032163 DOI: 10.2147/ppa.s400832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 02/10/2023] [Indexed: 03/19/2023] Open
Abstract
OBJECTIVE This study aimed to design a standard method of psychological intervention and evaluate the effect of such psychological intervention against the psychological distress of differentiated thyroid cancer (DTC) patients in the treatment with radioactive iodine. METHODS The enrolled patients were randomly divided into the intervention group and the control group. Both the patients in the 2 groups received the routine nursing care, while the patients in the intervention group also received the additional standard psychological interventions. The questionnaires including patient health questionnaire-9 (PHQ-9), generalized anxiety disorder 7-item (GAD-7), cancer fatigue scale (CFS) and positive and negative affect schedule (PANAS) were used to assess psychological status. These questionnaires were performed at week 0 (T0), week 8 (T1, immediately after the last time of intervention) and week 24 (T2, 16 weeks after the intervention). RESULTS PHQ-9, GAD-7, CFS and Negative Affect (NA) scores measured at T1 and T2 in the intervention group were significantly lower than those in the control group (P < 0.001). And intervention group also had higher positive affect (PA) scores at T1 and T2 (P < 0.001). Furthermore, the changes of PHQ-9, GAD-7, CFS, PA and NA scores from T0 to T1 and T0 to T2 were more evident in the intervention group than in the control group. CONCLUSION Psychological intervention could significantly improve psychological distress of DTC patients in the treatment with radioactive iodine.
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Affiliation(s)
- Yan-Bin Liu
- Department of ENT & HN Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei, 075000, People’s Republic of China
- Correspondence: Yan-Bin Liu, Department of ENT & HN Surgery, The First Affiliated Hospital of Hebei North University, No. 12, Changqing Street, Qiaoxi District, Zhangjiakou, Hebei, 075000, People’s Republic of China, Email
| | - Li-Juan Zuo
- Department of Endocrine, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei, 075000, People’s Republic of China
| | - Ya-Chao Liu
- Department of ENT & HN Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei, 075000, People’s Republic of China
| | - Yan-Ping Li
- Department of ENT & HN Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei, 075000, People’s Republic of China
| | - Yun-Chao Xin
- Department of ENT & HN Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei, 075000, People’s Republic of China
| | - Hong-Yan Zhang
- Departmentof Psychiatry, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei, 075000, People’s Republic of China
| | - Li-Yuan Hou
- Department of Nuclear Medicine, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei, 075000, People’s Republic of China
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Application Value of Evidence-Based Care in Patients with Lung Cancer Chemotherapy. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:5747712. [PMID: 35941897 PMCID: PMC9356818 DOI: 10.1155/2022/5747712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 07/06/2022] [Accepted: 07/11/2022] [Indexed: 11/17/2022]
Abstract
Objective The present research project is aimed at elucidating the application value of evidence-based care (EBC) in patients with lung cancer (LC) chemotherapy. Methods Ninety-four advanced LC patients visited between March 2019 and February 2021 were retrospectively selected. Based on the type of care, 44 cases who used routine nursing were set as the control group (CG), and 50 patients who received EBC were included in the research group (RG). The pain degree, adverse mood, and individual fatigue of patients were assessed, using the Visual Analogue Scale (VAS), Self-Rating Anxiety/Depression Scale (SAS/SDS), and Cancer Fatigue Scale (CFS), respectively. Besides, patients were assessed for treatment compliance, self-efficacy, and life quality using the treatment compliance questionnaire, General Self-Efficacy Scale (GSES), and Quality of Life Questionnaire Core 30 (QLQ-C30), respectively. Results The VAS, SAS, and SDS scores were lower in RG versus CG after nursing intervention. RG scored lower in the dimensions of physical, affective, and cognitive fatigue in terms of individual fatigue assessed by the CFS and higher in various domains of the QLQ-C30 score after nursing intervention. Besides, higher treatment compliance and self-efficacy were determined in RG as compared to CG. Conclusions In addition to improving the treatment compliance, self-efficacy, and life quality of patients with LC chemotherapy, EBC can effectively alleviate their pain, adverse psychological mood, and individual fatigue, which deserves to be promoted in clinical application.
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Yang S, Zheng L, Sun Y, Li Z. Effect of Network-Based Positive Psychological Nursing Model Combined With Elemene Injection on Negative Emotions, Immune Function and Quality of Life in Lung Cancer Patients Undergoing Chemotherapy in the Era of Big Data. Front Public Health 2022; 10:897535. [PMID: 35602129 PMCID: PMC9120652 DOI: 10.3389/fpubh.2022.897535] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 04/04/2022] [Indexed: 12/11/2022] Open
Abstract
Background With the development of big data, big data interpenetrate in every person's life. Health care is no exception to this trend, especially in regard to nursing analytics. The data that is analyzed and leveraged in this field is gathered from a variety of sources, including electronic health records (EHRs), medical histories, provider notes and mobile applications, creating an accumulation of personalized health information around each individual. Objective To explore the effect of the network-based positive psychological nursing model combined with elemene injection on negative emotions, immune function and quality of life (QOL) in patients with lung cancer (LC) undergoing chemotherapy. Methods The clinical data of 90 LC patients who underwent chemotherapy in our hospital from December 2020 to December 2021 were retrospectively analyzed, and the patients were equally split into experimental group (EG) and control group (CG) according to the order of enrollment. The patients in CG received routine nursing intervention during chemotherapy, while those in EG received the network-based positive psychological nursing model combined with elemene injection to compare negative emotions, immune function and quality of life (QOL) between the two groups. Results Compared with CG, EG had notably higher immune function indexes (P < 0.001), lower serum VEGF and MMP-2 levels (P < 0.001), lower HAMA and HAMD scores (P < 0.05), and higher scores of PTGI, physiological function, psychological function, social function and physical function (P < 0.001). Conclusion The network-based positive psychological nursing model combined with elemene injection is a reliable method to enhance the immune function and QOL of LC patients undergoing chemotherapy and alleviate their negative emotions, which has a high clinical application value.
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Affiliation(s)
- Shilu Yang
- Intensive Care Unit, Wuhan Jinyintan Hospital, Wuhan, China
| | - Lijuan Zheng
- Department of Drug Resistant Tuberculosis, Wuhan Jinyintan Hospital, Wuhan, China
| | - Yan Sun
- Jimo Nanquan Health Center, Qingdao, China
| | - Zhuoyun Li
- Department of Pharmacy, Qingdao Municipal Hospital, Qingdao, China
- *Correspondence: Zhuoyun Li
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Yu Y, Xia Y, Fan X, Chen Y, Li C, Zhang J. Influence of Psychological Nursing Procedure on Negative Emotion, Stress State, Quality of Life and Nursing Satisfaction in Patients with Lung Cancer Radical Operation. Front Surg 2022; 9:899033. [PMID: 35599803 PMCID: PMC9115546 DOI: 10.3389/fsurg.2022.899033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 04/07/2022] [Indexed: 11/13/2022] Open
Abstract
ObjectiveTo discuss the influence of psychological nursing procedure on negative emotion, stress state, quality of life and nursing satisfaction in patients with lung cancer radical operation.Methods106 patients with lung cancer who underwent radical resection in our hospital from September 2019 to September 2021 were selected. According to the intervention time, patients were divided into Group A and Group B, with 53 cases in each group. Group A received routine nursing, Group B used psychological nursing procedure on the basis of Group A. The negative emotions, stress state, quality of life and nursing satisfaction of patient were observed.ResultsSelf-rating anxiety scale and self-rating depression scale scores of Group B were lower than Group A (P < 0.05). The levels of norepinephrine, epinephrine and cortisol in Group B were lower than Group A (P < 0.05). Generic quality of life inventory-74 scores of Group B were higher than Group A (P < 0.05). The nursing satisfaction of Group B (88.68%) was higher than Group A (73.58%) (P < 0.05).ConclusionPsychological nursing procedure is conducive to reducing the negative emotion, relieving stress reaction, improving the quality of life, increasing nursing satisfaction of patients with lung cancer radical operation.
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Affiliation(s)
- Yizhi Yu
- Nursing Department, The First Hospital of Changsha, Changsha City, China
| | - You Xia
- Nursing Department, The First Hospital of Changsha, Changsha City, China
| | - Xiaoyan Fan
- Internet Hospital Office, The First Hospital of Changsha, Changsha City, China
| | - Yong Chen
- Early Clinical Research Center, Hunan Cancer Hospital, Changsha City, China
| | - Chengjuan Li
- School of Nursing, University of South China, Hengyang City, China
| | - Jing Zhang
- Second Department of Thoracic Medicine, Hunan Cancer Hospital, Changsha City, China
- Correspondence: Jing Zhang
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