Teng YL. Efficacy of comprehensive mental nursing in patients with esophageal cancer during concurrent chemo-radiotherapy.
Shijie Huaren Xiaohua Zazhi 2016;
24:1565-1569. [DOI:
10.11569/wcjd.v24.i10.1565]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To evaluate the clinical efficacy of comprehensive mental nursing in patients with esophageal cancer during concurrent chemo-radiotherapy.
METHODS: One hundred and twenty patients with esophageal cancer who underwent concurrent chemo-radiotherapy at the Second People's Hospital of Lianyungang from October 2011 to October 2014 were randomly divided into a comprehensive nursing group and a routine nursing group, with 60 patients in each group. All patients were given the same chemo-radiotherapy. The patients in the comprehensive nursing group were given comprehensive mental nursing intervention by evaluating their mental status, individual needs and adverse reactions during concurrent chemo-radiotherapy, and the routine nursing group were only given conventional nursing. The quality of life after nursing intervention and the adverse reactions during concurrent chemo-radiotherapy were observed, and the clinical efficacy was evaluated.
RESULTS: The Spitzer quality of life index was significantly higher in the comprehensive nursing group than in the routine nursing group after nursing intervention (P < 0.001). The incidence rate of adverse reactions including gastrointestinal reactions, liver dysfunction, bone marrow suppression, renal dysfunction and radiotherapy-induced esophagitis was significantly lower in the comprehensive nursing group than in the routine nursing group (P = 0.006, 0.013, 0.003, 0.027, 0.010). Ten cases in the routine nursing group discontinued treatment due to serious adverse reactions, but all patients in the comprehensive nursing group completed the concurrent chemo-radiotherapy under supportive and symptomatic treatment.
CONCLUSION: Giving comprehensive mental nursing intervention to patients with esophageal cancer undergoing concurrent chemo-radiotherapy can significantly reduce and prevent adverse reactions and effectively improve the patients' quality of life.
Collapse