Research on symptoms and transitional care needs of patients with lung cancer at the intermission of chemotherapy
10.3760/cma.j.issn.1672-7088.2016.16.015
- VernacularTitle:肺癌患者化疗间歇期症状及延续护理认知需求的研究
- Author:
Caiju LU
;
Qi SONG
;
Yong WANG
;
Xianhua LIU
;
Chunli LI
;
Si HUANG
- Publication Type:Journal Article
- Keywords:
Lung neoplasms;
Signs and symptoms;
Nursing care;
Intermittent chemotherapy
- From:
Chinese Journal of Practical Nursing
2016;32(16):1256-1260
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the symptoms and the needs of transitional care for the patients with lung cancer at the intermission of chemotherapy and provide references for the symptom management and carrying out transitional care. Methods Totally 156 patients with lung cancer were investigated by questionnaire survey. Results With the increase of chemotherapy, symptoms such as cough, sputum, dyspnea were relieved after chemotherapy(F=18.266, 20.463, 17.371, P < 0.05), but symptoms like fatigue, nausea, vomiting, loss of appetite, sleep uncomfortable were worse than before(F=15.821, 20.116, 16.439, 13.541, 9.528, P<0.05,<0.01). Negative emotions like bitterness and sadness had no obvious change. Symptoms affected the patients′mood, the incidence and severity were higher after chemotherapy(χ2=43.162, F=11.683, P < 0.05), as for general activity and walking, the incidence and severity were higher after the first cycle chemotherapy and the second cycle(χ2=42.589, 37.689, 39.125, F=9.148, 15.325, 14.758, P < 0.05), but after 4 cycles of chemotherapy, it did not change significantly (P>0.05). 79.49%(124/156)patients did not know the content and function of transitional care, 98.72%(154/156)patients hope to get transitional care through the hospital. Conclusions Symptoms by side effects were getting worse for patients with lung cancer and influenced their daily life. Patients got to know less about transitional care, however they had a strong need for transitional care. We should
reinforce the management of symptoms and transitional care to improve their quality of life.