Effect of continuous nursing based on the Omaha System on cancer-related fatigue in patients with lung cancer undergoing chemotherapy: a randomized controlled trial

Abstract

Background: As one of the important treatments for lung cancer, chemotherapy not only brings hope for the survival of patients, but also influences their body and mind. Most patients have different degrees of fatigue during chemotherapy and after chemotherapy, and the occurrence and aggravation of fatigue do not necessarily occur during hospitalization, there is a lag, mostly occurs in the interval after chemotherapy, therefore, continuous nursing care is very important for patients with lung cancer undergoing chemotherapy.The purpose of this study was to explore the effect of continuous nursing, based on Omaha System theory, on cancer-related fatigue in patients with lung cancer receiving chemotherapy.Methods: From April 2018 to May 2019, a total of 102 inpatients with lung cancer at a cancer hospital in Hangzhou, China were selected for chemotherapy. A total of 7patients were lost to follow-up during the intervention, leaving 46 and 49 patients randomly assigned to the experimental and control groups, respectively. Participants in the control group received routine nursing after discharge, while those in the experimental group were nursed according to the Omaha System model.Results: After 4 cycles of chemotherapy, scores for total, physical, cognitive, and emotional fatigue were significantly lower in the intervention group than those in the control group (P<0.05). Repeated analysis of variance (ANOVA) showed that there were significant differences in the time-dependent (P<0.001) and intervention-dependent (P<0.001) effects on fatigue score, as well as a significant interaction between time and intervention (P<0.001).Conclusions: Continuous nursing based on Omaha System theory can ameliorate cancer fatigue in patients with lung cancer undergoing chemotherapy.

Application Effect and Prognosis of High-Quality Nursing in the Whole Process of Nursing in Lung Cancer Surgery

“…Current treatments for lung cancer include surgery, chemotherapy, and radiotherapy, and TCM treatment is also effective as adjuvant therapy to enhance the treatment efficiency and reduce adverse events. Surgery is the treatment of choice for early lung cancer with recognized effectiveness [ 19 ]. However, Li[ 20 ] stated that the invasive nature of surgery is associated with a cascade of postoperative adverse reactions, which compromises the treatment outcomes and prognosis of patients [ 21 ].…”

The Significance of Implementing Bilevel Positive Airway Pressure under Cluster Nursing in Improving the Survival Possibility of Patients with Severe Pulmonary Infection Complicated by Respiratory Failure

“…The application of personalized nursing strategies in disease treatment has gradually become a clinical consensus. For example, continuous nursing based on the Omaha system can improve the fatigue and mental state of patients with lung cancer during chemotherapy [ 13 ], and nursing care given at home can improve the quality of life of patients with gastric cancer [ 14 ] and so on. This fully shows that the development of personalized nursing strategies has an important effect on improving the treatment effect of various diseases.…”

Influence of Continuous Nursing Intervention on Treatment Compliance of Patients with Depression

“…This nursing service is not limited by the discharge of patients but can be extended to the community and family as patients return to society [ 4 ]. Continuous nursing has been reported in many departments and achieved good results [ 5 ]. However, there are few reports on the application of this nursing model to patients with depression.…”