Intervención educativa de la enfermera de práctica avanzada para el control de síntomas, toxicidades y calidad de vida en los pacientes con cáncer pulmonar

IF 1.1 Q4 NURSING

Enfermeria Clinica Pub Date : 2026-03-01 Epub Date: 2025-11-10 DOI:10.1016/j.enfcli.2025.502402

Isabel Brao-Pérez , Mónica Arellano-Vengoechea , Francesc Torrent-Llagostera , Susana Padrones-Sánchez , Ernest Nadal-Alforja , Raquel Azor-Portoles

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引用次数: 0

Abstract

Objective

To evaluate the effectiveness of a proactive educational telephone intervention, led by an advanced practice nurse (APN), to manage symptoms and toxicities and improve quality of life in patients with lung cancer, compared with reactive care.

Methodology

Quasi-experimental study with 1:1 allocation to intervention group (IG) or control group (CG) in a multidisciplinary lung cancer unit between February 2023-2024. IG received proactive telephone educational intervention by the APN, while CG received reactive telephone care. Quality of life, anxiety, depression, symptoms, toxicities, health care and satisfaction were evaluated using validated and ad hoc questionnaires. The descriptive and inferential, univariate and bivariate analysis was performed using R s

oftware.

Results

Sixty patients per group were included. The median age in both groups ranges between 60-75 years, the majority were men (76.7% IG; 65% CG) with a diagnosis of adenocarcinoma and squamous cell carcinoma (76.6% IG; 80% CG). There were no sociodemographic or treatment differences. The IG had a significant reduction in symptoms: asthenia (35.1% IG; 17.9% CG; P=.011), anorexia (78.9% IG; 46.4% CG; P=.00029), and less intensity in dyspnea, cough, pain, and other symptoms. Significant reduction in toxicities (P<.05) and Improvement in quality of life, anxiety and greater overall satisfaction was observed (9.54/10 IG; P=.000587).

Conclusion

The Proactive nursing educational intervention is effective in improving quality of life, reducing symptoms, toxicities, anxiety, and increasing satisfaction in patients with advanced lung cancer by detecting needs early and activating relevant resources.

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高级执业护士在肺癌患者症状、毒性和生活质量控制方面的教育干预

目的评价由高级执业护士（APN）领导的主动教育电话干预在控制肺癌患者症状和毒性以及改善生活质量方面的效果，并与被动护理进行比较。方法：2023-2024年2月在多学科肺癌科室进行准实验研究，按1:1分配至干预组（IG）或对照组（CG）。IG组接受APN的主动电话教育干预，而CG组接受被动电话护理。生活质量、焦虑、抑郁、症状、毒性、保健和满意度通过有效的和特别的问卷进行评估。使用R软件进行描述性和推理性、单变量和双变量分析。结果每组纳入60例患者。两组患者的中位年龄在60-75岁之间，大多数为男性（76.7% IG, 65% CG），诊断为腺癌和鳞状细胞癌（76.6% IG, 80% CG）。没有社会人口统计学或治疗差异。IG组的症状明显减轻：虚弱（IG组35.1%；CG组17.9%；P= 0.011）、厌食（IG组78.9%；CG组46.4%；P= 0.00029），呼吸困难、咳嗽、疼痛和其他症状的强度减轻。观察到毒性显著降低（P< 0.05），生活质量改善，焦虑和更高的总体满意度（9.54/10 IG； P=.000587）。结论通过早期发现需求，激活相关资源，积极主动的护理教育干预能有效改善晚期肺癌患者的生活质量，减少患者的症状、毒性、焦虑，提高患者的满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.