Effect of Intensive Nursing Management on Quality of Life and Mental Health in Elderly Gastric Cancer Patients Undergoing Chemotherapy: A Retrospective Study.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
British journal of hospital medicine Pub Date : 2024-11-30 Epub Date: 2024-11-18 DOI:10.12968/hmed.2024.0412
Linlin Zhang, Huan Yu, Jingjing Zhang
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Abstract

Aims/Background Implementing effective nursing management is particularly critical in the case of elderly gastric cancer (GC) patients receiving chemotherapy, who are more vulnerable to risk events. Therefore, this study explored the effect of intensive nursing management on quality of life (QoL) and mental health in elderly GC patients receiving chemotherapy. Methods A total of 155 elderly patients with GC undergoing chemotherapy in Central Hospital Affiliated to Shandong First Medical University from July 2021 to July 2023 were selected as the study subjects. The sample was divided into two groups according to different nursing methods: 74 patients who received intensive nursing management were classified in the observation group, while 81 patients treated with routine nursing management were classified under the reference group. The QoL, mental health and adverse reactions to chemotherapy were compared between the two groups. Results Before nursing management was implemented, there was no significant difference in the scores of the quality of life questionnaire-core 30 (QLQ-C30), patient health questionnaire-9 items (PHQ-9), and the Chinese version of the M.D. Anderson Symptom Inventory (MDASI-C) (p > 0.05). After management, in comparison with the reference group, the observation group showed significantly higher scores in each dimension of QLQ-C30, as well as significantly lower scores in PHQ-9 and MDASI-C (p < 0.001). The incidences of gastrointestinal reaction, myelosuppression, neurotoxicity, and hepatorenal damage were lower in the observation group than in the reference group (45.95% vs 70.37%, 40.54% vs 65.43%, 35.14% vs 53.09%, and 33.78% vs 51.25%, respectively; p < 0.05). Conclusion The application of intensive nursing management in treating elderly GC patients during chemotherapy effectively improves their physical and mental states, ameliorates clinical symptoms and enhances the QoL, showing certain clinical application value.

强化护理管理对老年胃癌化疗患者生活质量及心理健康影响的回顾性研究
目的/背景实施有效的护理管理对于接受化疗的高龄胃癌患者尤为重要,因为高龄胃癌患者更容易发生危险事件。因此,本研究旨在探讨强化护理管理对老年GC化疗患者生活质量(QoL)和心理健康的影响。方法选取2021年7月至2023年7月在山东第一医科大学附属中心医院接受化疗的老年胃癌患者155例作为研究对象。根据护理方法的不同将样本分为两组,74例患者接受强化护理管理为观察组,81例患者接受常规护理管理为参照组。比较两组患者的生活质量、心理健康状况及化疗不良反应。结果实施护理管理前,两组患者生活质量问卷核心30项(QLQ-C30)、患者健康问卷9项(PHQ-9)、中文版M.D. Anderson症状量表(MDASI-C)得分差异均无统计学意义(p < 0.05)。治疗后,观察组患者QLQ-C30各维度得分均显著高于对照组,PHQ-9、MDASI-C得分均显著低于对照组(p < 0.001)。观察组胃肠道反应、骨髓抑制、神经毒性、肝肾损害发生率均低于对照组(45.95%比70.37%、40.54%比65.43%、35.14%比53.09%、33.78%比51.25%);P < 0.05)。结论在老年胃癌患者化疗期间应用强化护理管理,可有效改善患者身心状态,改善临床症状,提高生活质量,具有一定的临床应用价值。
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来源期刊
British journal of hospital medicine
British journal of hospital medicine 医学-医学:内科
CiteScore
1.50
自引率
0.00%
发文量
176
审稿时长
4-8 weeks
期刊介绍: British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.
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