Evidence-based nursing intervention can improve the treatment compliance, quality of life and self-efficacy of patients with lung cancer undergoing radiotherapy and chemotherapy

Tianjie Zhang; Jierong Lu; Yanmei Fan; Li Wang

Evidence-based nursing intervention can improve the treatment compliance, quality of life and self-efficacy of patients with lung cancer undergoing radiotherapy and chemotherapy

Am J Transl Res. 2022 Jan 15;14(1):396-405. eCollection 2022.

Authors

Tianjie Zhang¹, Jierong Lu², Yanmei Fan³, Li Wang¹

Affiliations

¹ Department of Oncology, Tangshan Central Hospital Tangshan 063000, Hebei Province, China.
² Outpatient Department of Cancer Hospital Affiliated to Guangxi Medical University Nanning 530021, Guangxi Province, China.
³ The Second Affiliated Hospital of Xian Jiaotong University Xi'an 71000, Shaanxi Province, China.

PMID: 35173858
PMCID: PMC8829589

Abstract

Objective: To investigate the improvement effect of evidence-based nursing intervention on treatment compliance, quality of life and self-efficacy of patients with lung carcinoma (LC) undergoing radiotherapy and chemotherapy.

Methods: From May 2018 to August 2019, 183 patients with LC who received radiotherapy and chemotherapy in our hospital were selected and divided into two groups in accordance with different nursing methods. Among them, 85 patients who received routine nursing intervention were included in the control group (CG), and 98 patients who received evidence-based nursing intervention were included in the research group (RG). The improvement of pulmonary function indexes [(FVC), forced expiratory volume in one second (FEV₁), ratio of forced expiratory volume in one second to forced vital capacity (FEV₁/FVC)] was observed before and after nursing. The pain degree was evaluated by the visual analogue scale (VAS). The treatment compliance between groups was compared. The psychological emotions of the patients were evaluated by a self-rating anxiety scale (SAS) and a self-rating depression scale (SDS). The General Self-efficacy Scale (GSES) was applied to assess the self-efficacy and the Quality of Life (SF-36) scale was applied to evaluate the quality of life. The incidence of secondary infection was observed in the two groups. The nursing satisfaction was evaluated by a nursing satisfaction questionnaire made by our hospital.

Results: After nursing, the improvement of FEV₁, FVC and FEV₁/FVC levels in the RG were obviously better than that in the CG; The scores of VAS, SAS and SDS and total incidence of secondary infection in the RG were obviously lower than those in the CG; The treatment compliance, GSES and SF-36 scores, and nursing satisfaction scores of patients in the RG were obviously higher than that in the CG.

Conclusion: Evidence-based nursing intervention can improve treatment compliance, lung function, self-efficacy and quality of life for patients with LC undergoing radiotherapy and chemotherapy.

Keywords: Evidence-based nursing; quality of life; radiotherapy and chemotherapy for lung carcinoma; self-efficacy; treatment compliance.