摘要
Abstract
Objective To study the nursing effect of predictive nursing combined with narrative nursing in patients with advanced non-small cell lung cancer(NSCLC)undergoing immunotherapy.Methods A total of 60 patients with advanced NSCLC who underwent immunotherapy in Yichun People's Hospital from January 2019 to December 2021 were enrolled in the study.They were divided into control group(30 patients)and observation group(30 patients)according to the random number table method.The control group was given routine nursing combined with narrative nursing,while the observation group was given predictive nursing combined with narrative nursing.The M.D.Anderson Symptom Inventory(MDASI-C)score,adverse reactions,Cancer Experience and Efficacy Scale(CEES)score,the Functional Assessment of Cancer Therapy-Lung(FACT-L)score,and nursing satisfaction were compared between the two groups.Results The MDASI-C scores(severity and distress)of the two groups after nursing were lower than those before nursing,and the MDASI-C scores(severity and distress)of the observation group were lower than those of the control group(P＜0.05).The incidence of adverse reactions in the observation group was 6.67％,which was lower than 26.67％in the control group(P＜0.05).The CEES cancer experience score of the two groups after nursing was lower than that before nursing,and the CEES control efficiency and FACT-L score were higher than those before nursing,while the CEES cancer experience score of the observation group was lower than that of the control group,and the CEES control efficiency and FACT-L score were higher than those of the control group(P＜0.05).The nursing satisfaction of the observation group was higher than that of the control group(P＜0.05).Conclusion Predictive nursing combined with narrative nursing can effectively alleviate the clinical symptoms of patients with advanced NSCLC treated with immunotherapy,reduce their daily troubles,reduce the adverse reactions caused by treatment,improve their quality of life,and patients have higher satisfaction with nursing.关键词
进展期非小细胞肺癌/免疫治疗/预知护理/叙事护理/不良反应/控制效能Key words
Advanced non-small cell lung cancer/Immunotherapy/Predictive nursing/Narrative nursing/Adverse reactions/Control effectiveness分类
医药卫生
