Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection

Abstract

To investigate the dynamic changes and influencing factors for the quality of life in nursing care in patients with lung cancer after resection. Totally, 136 patients undergoing lung cancer resection in our hospital from January 2019 to January 2022 were prospectively enrolled as subjects. The quality of life was measured before and 1 and 2 weeks and 1, 3, 6, and 12 months after the operation to analyze the dynamic changes in the quality of life in nursing care. Clinical data of patients were collected at the time of discharge. The patients were divided into high-quality and low-quality groups according to the median level of quality of life in nursing care at the final follow-up. The logistic regression equation was applied to analyze the influencing factors for the quality of life in nursing care after lung cancer resection. Of 136 patients receiving lung cancer resection, 32 were lost to follow-up until the final follow-up, so 104 patients were finally included. According to the median level of quality of life in nursing care at the final follow-up, the patients were divided into high-quality and low-quality groups (n = 52 per group). The quality of life in nursing care first decreased, then increased, and then stabilized after lung cancer resection. The comparison of clinical data between the two groups exhibited that albumin level was higher in the high-quality group than that in the control group. The age, proportion of living alone, S-AI score, and FoP-Q-SF score were lower in the high-quality group than those in the low-quality group ( P < 0.05 ). Univariate logistic regression analysis demonstrated that high albumin (OR = 0.884) was a protective factor for the quality of life in nursing care after lung cancer resection ( P < 0.05 ). Living alone (OR = 1.333), high S-AI score (OR = 1.211), high FoP-Q-SF score (OR = 1.221), and advanced age (OR = 1.209) were the risk factors for the quality of life in nursing care after lung cancer resection ( P < 0.05 ). Multivariate logistic regression analysis demonstrated that high albumin (OR = 0.861) was a protective factor for the quality of life in nursing care after lung cancer resection ( P < 0.05 ). Living alone (OR = 1.144), high S-AI score (OR = 1.170), high FoP-Q-SF score (OR = 1.161), and advanced age (OR = 1.181) were the risk factors for the quality of life after lung cancer resection ( P < 0.05 ). The quality of life in nursing care first decreased, then increased, and then stabilized after lung cancer resection. Albumin, age, living alone, and S-AI and FoP-Q-SF scores were the influencing factors for the quality of life in nursing care after lung cancer resection. In the nursing care process after lung cancer resection, we should focus on elderly patients living alone who are affected by anxiety and fear of recurrence to improve the quality of life of these patients.

Intervention model under the Omaha system framework can effectively improve the sleep quality and negative emotion of patients with mid to late-stage lung cancer and is a protective factor for quality of life

“…The decreased anxiety and sleep scores reflect that intervention may help improve patients' mental health and sleep quality, thus improving the QoL. Hu et al [9] conducted multivariate logistic regression analysis and found living alone, anxiety, and old age were risk factors, which are consistent with our Am J Cancer Res 2024;14(3):1278-1291 results. The identification and analysis of these risk factors not only contribute to an in-depth understanding of factors affecting the QoL of LC patients, but also provide useful implications for the design of targeted nursing interventions, which may help further improve the QoL and therapeutic effect of patients with LC.…”

“…In recent years, due to advancements in both economic and medical fields, as well as the widespread adoption of comprehensive treatment approaches, the survival rates of LC patients have shown significant improvement. Recent advances in treatment have led to an increasing number of patients surviving with advanced lung cancer, presenting new and formidable challenges to tumor care [8,9]. In addition to suffering from symptoms associated with LC, such as pain, chemotherapy reactions, and sleep difficulties, LC patients also endure a Am J Cancer Res 2024;14(3):1278-1291 range of psychological and emotional distress, including anxiety, depression, despair, a sense of burden, and concerns about their families.…”

Retracted: Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”