1.Mediating Effect of Hope on Self-perceived Burden and Quality of Life in Patients with Recurrent Malignant Tumor
Yaoyao PEI ; Zhangying XU ; Wei XIAO ; Xiuxian LI ; Tingting HU
Journal of Kunming Medical University 2025;46(1):105-110
Objective To explore the mediating effect of hope between self-perceived burden and quality of life in patients with recurrent malignant tumors.Methods A cross-sectional survey was conducted using convenience sampling,selecting 204 patients with recurrent malignant tumors from the Oncology Department of Xiangyang Central Hospital in Hubei Province from September to December 2023.A general information questionnaire,Self-Perceived Burden Scale(SPBS),hope level(HHI),and EORTC QLQ-C30 quality of life questionnaire were utilized for the investigation.Results The SPBS score for patients with recurrent malignant tumors was(28.28±8.92),the HHI score was(35.83±4.30)and the quality of life score was(59.68±23.96).Self-perceived burden was negatively correlated with hope and quality of life(P<0.05;P<0.01),while hope was positively correlated with quality of life(P<0.01).The mediating effect of hope between the burden of self-perception and quality of life is reflected,with the indirect effect accounting for 21.18%of the total effect.Conclusion Patients with recurrent malignant tumors generally have a low quality of life and moderate levels of hope,both of which require improvement.The self-perceived burden of patients is at a mild to moderate level.Healthcare professionals should take effective measures to enhance patients'levels of hope and reduce their self-perceived burden,thereby improving the quality of life for patients with recurrent malignant tumors.
2.Application effect of multidisciplinary team nursing model in patients with lung cancer
Zhangying WEI ; Daqiong WEI ; Hongmei CHEN ; Jing LIU ; Wenhua RAN
Chinese Journal of Modern Nursing 2017;(6):766-769
Objective To explore the effect of multidisciplinary team nursing model in patients with lung cancer.Methods Totally 104 patients with lung cancer admitted in Chongqing Three Gorges Central Hospital from October 2013 to September 2016 were selected and divided into the observation group (multidisciplinary team) and the control group (routine care) according to random number table method. The quality of life,the incidence of complications and nursing satisfaction between two groups were compared.Results In the observation group,the scores of neuritis,catarrh,cough,dyspnea,chest pain,shoulder pain,hemoptysis and pain in other parts were significantly lower than those of the control group (P<0.05). Fifty-two cases in the observation group,there was one case of respiratory failure,one case of arrhythmia and one case of thrombosis, so the total incidence rate of complications was 5.77%;fifty-two cases in the control group,there was two cases of respiratory failure,one case of arrhythmia,one case of pulmonary infection and four cases of thrombosis,so the total incidence rate of complications was 15.38%. The satisfaction rate in the observation group was 98.08%, while in the control group,it was 80.77%.Conclusions Multidisciplinary team has obvious advantages in the nursing care of patients with lung cancer,and it can improve the quality of life of patients and reduce the incidence of adverse complications.

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