Applied Research of Narrative Nursing in Improving Sleep Quality of Patients with Lung Cancer Chemotherapy

2020 ◽  
2018 ◽  
Vol 10 (5) ◽  
pp. 2583-2589 ◽  
Author(s):  
Fen Gu ◽  
Xue-Fei Li ◽  
Jin-Fu Xu ◽  
Guang-Hui Gao ◽  
Yi-Fan Wu ◽  
...  

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21657-e21657
Author(s):  
Chia-Chin Lin ◽  
Wen-Pei Chang

e21657 Background: Studies on the diurnal sleep–wake rhythm of patients with lung cancer have mostly examined patients cross-sectionally, whereas the effects of lung cancer treatment over time have rarely been considered. Through long-term longitudinal tracking of patients with lung cancer, this study examined changes in their sleep–wake rhythm, sleep quality, anxiety, depressive symptoms, fatigue, and quality of life (QoL) at various treatment stages. In addition, factors affecting their QoL were explored. Methods: Hierarchical linear modelling was adopted to analyze a convenience sample of 82 patients with lung cancer. The changes in their sleep–wake rhythm, sleep, mood (anxiety, depressive symptoms, and fatigue), and QoL were observed at five time points: prior to treatment and at weeks 6, 12, 24, and 48 after the start of the treatment. The effects of sex, age, cancer stage, treatment type, comorbidities, and time were controlled to determine the predictors of patients’ QoL. Results: The results showed that patients’ sleep–wake rhythms were poor before treatments. Compared with baseline, the sleep–wake rhythms of the patients significantly improved at week 48, and anxiety significantly improved at weeks 6, 12, 24, and 48. By contrast, their fatigue became exacerbated at weeks 8 and 48. Moreover, QoL improved significantly from week 6 until the end of the treatment period. QoL was negatively affected by poor sleep quality ( β = −0.69, p = 0.00) and depressive symptoms ( β = −2.59, p < 0.001) and positively affected by regular sleep–wake rhythms ( β = 0.23, p = 0.001). Conclusions: Therefore, clinical healthcare professionals should focus more attention to the fatigue levels of patients with lung cancer before, during, and after treatment. Healthcare professionals may also need to provide such patients with health education regarding sleep hygiene and with emotional support to assist them in maintaining regular sleep–wake rhythms in order to improve their QoL.


1996 ◽  
Vol 35 (8) ◽  
pp. 611-616 ◽  
Author(s):  
Satoru NAKADA ◽  
Keiichi NAGAO ◽  
Yasuo TAKIGUCHI ◽  
Koichiro TATSUMI ◽  
Takayuki KURIYAMA

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ruxia Guo ◽  
Hui Wang

In order to explore the influence of intelligent imaging diagnosis systems on comprehensive nursing intervention for patients with late-stage lung cancer, the system uses ITK and VTK toolkit to realize image reading, display, image marking, and interactive functions. The optimal threshold method and regional connectivity algorithm were used to segment the lung region, and then, the cavity filling algorithm and repair algorithm were used to repair the lung region. A variable ring filter was used to detect suspected shadows in the lungs. Finally, the classifier proposed in this paper is used to classify benign and malignant. The system has good sensitivity by detecting the images of real patients. 100 patients with advanced lung cancer were randomly divided into control group and nursing intervention group 50 cases each. Patients in the control group received routine radiotherapy and chemotherapy and routine nursing intervention. Patients in the nursing intervention group were given comprehensive nursing intervention on the basis of routine intervention in the control group for 2 consecutive months. Pittsburgh sleep quality index, pain degree, quality of life, and complications after intervention were compared between the 2 groups before and after intervention. The experimental results showed that the sleep quality, pain degree, quality of life, and complications in 2 groups were significantly improved after intervention ( P < 0.05 ), and the improvement degree in the nursing intervention group was higher than that in the control group ( P < 0.05 ). It is proved that comprehensive nursing intervention has a good effect on improving sleep quality, relieving physical pain, improving the quality of life, and reducing complications of lung cancer patients and can effectively improve the quality of life of lung cancer patients.


Author(s):  
Deniz Kızılırmak ◽  
Tuğba Göktalay ◽  
Ökkeş Gültekin ◽  
Yavuz Havlucu ◽  
Pınar ÇElik

Objective: Lung cancer affects the quality of sleep and life depending on both local and systemic impacts. Chemotherapy that is frequently used in the treatment of lung cancer can affect quality of sleep and life due to disease response, side effects of chemotherapy, systemic effects due to chemotherapeutic agents and complications of immunosuppression. The sleep and life quality levels of patients with locally advanced and metastatic stage lung cancer and the effect of chemotherapy on sleep and quality of life in this patient group were investigated in this study. Method: The Pittsburg Sleep Quality Index and the EORTC QLQ-C30 Cancer Patients’ Quality of Life Scale were applied to the patients who received chemotherapy alone with diagnosis of locally advanced and metastatic stage lung cancer at the time of diagnosis and after the third course of chemotherapy to evaluate sleep quality and quality of life. The mean age of the patients was 61.85 (± 6.80) and 89.8% of them were male. 69.5% of all patients had poor sleep quality at the time of diagnosis. Physical function was found to be affected the most in terms of functional parameters. The symptoms that most affected the quality of life were fatigue and dyspnea. Results: A significant correlation was observed between sleep quality and quality of life at the time of diagnosis in patients with lung cancer, but no significant change was found in sleep quality in the early period after chemotherapy. There was a statistically weak worsening in social functions and nausea symptom after chemotherapy and a statistically significant worsening in the malaise symptom when the quality of life scores were evaluated. Other quality of life parameters were generally similar to those before treatment. Conclusion: In conclusion, while chemotherapy does not make a significant change in the sleep quality of patients in the early period in patients with lung cancer, it may negatively affect the quality of life.


2016 ◽  
Vol 115 (11) ◽  
pp. 1304-1312 ◽  
Author(s):  
Hui-Mei Chen ◽  
Chun-Ming Tsai ◽  
Yu-Chung Wu ◽  
Kuan-Chia Lin ◽  
Chia-Chin Lin

2016 ◽  
Vol 1 (13) ◽  
pp. 162-168
Author(s):  
Pippa Hales ◽  
Corinne Mossey-Gaston

Lung cancer is one of the most commonly diagnosed cancers across Northern America and Europe. Treatment options offered are dependent on the type of cancer, the location of the tumor, the staging, and the overall health of the person. When surgery for lung cancer is offered, difficulty swallowing is a potential complication that can have several influencing factors. Surgical interaction with the recurrent laryngeal nerve (RLN) can lead to unilateral vocal cord palsy, altering swallow function and safety. Understanding whether the RLN has been preserved, damaged, or sacrificed is integral to understanding the effect on the swallow and the subsequent treatment options available. There is also the risk of post-surgical reduction of physiological reserve, which can reduce the strength and function of the swallow in addition to any surgery specific complications. As lung cancer has a limited prognosis, the clinician must also factor in the palliative phase, as this can further increase the burden of an already compromised swallow. By understanding the surgery and the implications this may have for the swallow, there is the potential to reduce the impact of post-surgical complications and so improve quality of life (QOL) for people with lung cancer.


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