Comprehensive nursing care on the psychological states, quality of life, and serum indexes of NSCLC patients with TCM combined with chemotherapy

摘要

Objective: To study the effect of comprehensive nursing care on the psychological status, quality of life, and serum indicators of non-small cell lung cancer (NSCLC) patients undergoing traditional Chinese medicine (TCM) and chemotherapy. Methods: Ninety-two patients with NSCLC admitted to this hospital between January 2018 and June 2020 were recruited for this study. All the patients underwent combined Chinese medicine chemotherapy. The control group underwent conventional nursing care, and the observation group underwent comprehensive nursing. The clinical efficacy, lung function, serum indexes, quality of life, and psychological states of the two groups, their adverse reactions during the treatment period, and the patients’ satisfaction with the nursing work were compared. Results: The overall efficacy of the observation group was better in comparison with the control group. After the treatment, the PEF, FVC, and FEV1 levels in the observation group were higher than they were in the control group. After the treatment, the physical functioning, role functioning, emotional functioning, social functioning, and overall health scores in the observation group were higher than they were in the control group. The serum IL-6, TNF-α, and MMP-9 levels in the observation group were lower than they were in the control group. Regarding the incidence of nausea, vomiting, and diarrhea, the observation group had a lower incidence. In terms of of the total satisfaction rate, the observation group was better than the control group (97.83% vs 82.61%), and the differences were all statistically significant (P0.05). Conclusion: Comprehensive nursing can help improve the clinical efficacy of TCM combined with chemotherapy, reduce the serum indicator expression levels, improve the patients’ mental states and quality of life, improve patient satisfaction, and reduce the incidence of adverse reactions.