Continuity of Care plus Whole Process Psychological Intervention for Lung Cancer Patients undergoing Chemotherapy

Abstract

Objective. To explore the efficiency of continuity of care plus whole process psychological intervention for lung cancer patients undergoing chemotherapy. Methods. A total of 130 patients who have lung cancer undergoing chemotherapy admitted to our hospital from 2019 to 2021 were recruited and assigned via different intervention methods (1 : 1) to receive either continuity of care plus whole process psychological intervention (observation group) or routine nursing (control group). Outcome measures included psychological state, treatment compliance, quality of life, and nursing satisfaction. Results. Continuity of care plus whole process psychological intervention was associated with significantly lower Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) scores versus routine care. The patients given combined nursing showed higher self-esteem scores versus those given routine care. Continuity of care plus whole process psychological intervention also resulted in significantly lower cancer-related fatigue scores and higher treatment compliance versus routine care. Patients given continuity of care plus whole process psychological intervention had a better quality of life and higher nursing satisfaction versus those given routine care ( P < 0.05 ). Conclusions. Continuity of care plus whole process psychological intervention can effectively mitigate the negative emotions of lung cancer patients, alleviate cancer-related fatigue, improve treatment compliance, and boost the life quality of patients.

Effects of transitional care interventions on quality of life in people with lung cancer: A systematic review and meta‐analysis

“…We further excluded 2055 records after carefully examining the title and abstract, leaving 78 records for full‐text review. Finally, 14 studies (Arbane et al., 2011, 2014; Dai et al., 2022; Dhillon et al., 2017; Edbrooke et al., 2019; Hoffman et al., 2017; Huang et al., 2018, 2019; Krug et al., 2021; Reinke et al., 2022; Sui et al., 2020; Tenconi et al., 2021; Yount et al., 2014; Zhou et al., 2022) enrolling 1700 participants were deemed to meet our inclusion criteria and were included in the narrative synthesis, and 12 studies (Arbane et al., 2011; Dai et al., 2022; Dhillon et al., 2017; Edbrooke et al., 2019; Huang et al., 2018, 2019; Krug et al., 2021; Reinke et al., 2022; Sui et al., 2020; Tenconi et al., 2021; Yount et al., 2014; Zhou et al., 2022) were included in the meta‐analysis.…”

“…The proportion of male patients ranged from 34.82% to 98.7%. One study (Tenconi et al, 2021) included people with early cancer (stage I/II), five studies (Dhillon et al, 2017;Huang et al, 2019;Krug et al, 2021;Yount et al, 2014;Zhou et al, 2022) included people with advanced cancer (stage III/IV), and the remaining studies (Arbane et al, 2011(Arbane et al, , 2014Dai et al, 2022;Edbrooke et al, 2019;Hoffman et al, 2017;Huang et al, 2018;Reinke et al, 2022;Sui et al, 2020) included people with both. A total of seven studies TA B L E 1 (Continued) (Arbane et al, 2011(Arbane et al, , 2014Dai et al, 2022;Hoffman et al, 2017;Huang et al, 2018;Sui et al, 2020;Tenconi et al, 2021) included participants undergoing surgery, six studies (Dhillon et al, 2017;Edbrooke et al, 2019;Huang et al, 2019;Krug et al, 2021;Yount et al, 2014;Zhou et al, 2022) included participants who received non-surgical treatment, and one study (Reinke et al, 2022) included people with both.…”

“…A total of seven studies TA B L E 1 (Continued) (Arbane et al, 2011(Arbane et al, , 2014Dai et al, 2022;Hoffman et al, 2017;Huang et al, 2018;Sui et al, 2020;Tenconi et al, 2021) included participants undergoing surgery, six studies (Dhillon et al, 2017;Edbrooke et al, 2019;Huang et al, 2019;Krug et al, 2021;Yount et al, 2014;Zhou et al, 2022) included participants who received non-surgical treatment, and one study (Reinke et al, 2022) included people with both. The types of the transitional care interventions in the included studies were as follows: exercise-based intervention (Arbane et al, 2011(Arbane et al, , 2014Dhillon et al, 2017;Tenconi et al, 2021) (e.g., exercise plan, physical activity plan and pulmonary rehabilitation), primarily educational intervention (Huang et al, 2018(Huang et al, , 2019Krug et al, 2021;Reinke et al, 2022;Zhou et al, 2022) (e.g., online education plan, motivational interviewing, interprofessional communication and palliative care), electronic symptom monitoring (Dai et al, 2022;Yount et al, 2014), and multi-component intervention including education and exercise (Edbrooke et al, 2019;Hoffman et al, 2017;Sui et al, 2020). They were offered in the form of telephone follow-up, home visits, face-to-face, web platforms, WeChat, telephone-based interactive voice response (IVR) technology or a combination thereof.…”

“…Four studies (Huang et al, 2018;Reinke et al, 2022;Tenconi et al, 2021;Zhou et al, 2022) did not report the generation of random sequences and were rated as unclear risk. Six studies (Huang et al, 2018(Huang et al, , 2019Reinke et al, 2022;Tenconi et al, 2021;Yount et al, 2014;Zhou et al, 2022) did not report the allocation concealment prior to assigning patients and were rated as unclear risk, while one study (Dhillon et al, 2017) was rated as high risk. Four studies (Huang et al, 2018(Huang et al, , 2019Sui et al, 2020;Zhou et al, 2022) lacked information on the blinding of participants and personnel and were rated as unclear risk, the remaining studies were considered at high risk.…”

Application Value of Evidence-Based Care in Patients with Lung Cancer Chemotherapy

“…This is because under EBC intervention, medical staff will not only give pain assessment and analgesics but also conduct pain threshold and in vitro management of patients, all of which contributes to minimized pain degree in patients [ 28 ]. On the other hand, LC patients are prone to adverse mood after receiving chemotherapy, which is not only detrimental to the patient's recovery but also adversely affects treatment compliance, leading to an increased risk of relapse [ 29 ]. We observed lower SAS and SDS scores in RG after nursing compared with CG, indicating that EBC can significantly improve the adverse psychology of patients with LC chemotherapy, similar to the findings of Shen et al [ 28 ].…”