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| Comparative study on the dignity, quality of life and psychological status of patients with advanced lung cancer |
| JI Juan FAN Guohua▲ XU Wenjing LU Lanping |
| Department of Respiratory Medicine, Subei People′s Hospital, Jiangsu Province, Yangzhou 225001, China |
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Abstract Objective To investigate and compare the distinctions of dignity, quality of life and psychological status of patients with advanced lung cancer in different age groups, and to provide basis for personalized nursing. Methods A total of 156 patients with advanced lung cancer admitted to Subei People′s Hospital from September 2019 to July 2020 were selected as the research subjects. According to the international age grouping standard, they were divided into young and middle-aged group (40-59 years old, 70 cases) and old group (≥60 years old, 86 cases). General information, patient dignity inventory (PDI), quality of life questionnaire (QLQ-C30), lung cancer patient quality of life questionnaire (QLQ-L13) and hospital anxiety and depression scale (HADS) scores were compared between the two groups.Results The dignity of 62.79% of the elderly group was significantly impaired, and the scores of PDI, symptom distress,mental tranquility and social support in the elderly group were higher than those in the young and middle-aged group,and the differences were statistically significant (P＜0.05). The scores of overall quality of life, emotional function and hair loss in the elderly group were lower than those in the young and middle-aged group, while the scores of shortness of breath and hemoptysis were higher than those in the young and middle-aged group, and the differences were statistically significant (P＜0.05). The depression score of the elderly group was higher than that of the young and middle-aged group, and the difference was statistically significant (P＜0.05). There was no statistically significant difference in anxiety scores between the two groups (P＞0.05). Conclusion The dignity level, quality of life and psychological state of middle-aged, young and elderly patients with advanced lung cancer are impaired to varying degrees, especially the elderly patients. It is necessary to pay attention to targeted personalized nursing measures to improve the dignity level of patients with advanced lung cancer, improve the quality of life, and avoid the occurrence of bad emotions.
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| [1] |
昌盛，代敏，任建松，等.中国2008年肺癌发病、死亡和患病情况的估计及预测[J].中华流行病学杂志，2012（4）：391-394.
|
| [2] |
金辉.中晚期肺癌患者生活质量影响因素的研究[D].石家庄：河北医科大学，2013.
|
| [3] |
宋立业，宋琪，刘霞.青岛市某医院肺癌患者尊严感现状及影响因素[J].医学与社会，2018，31（9）：69-71.
|
| [4] |
王燕丽，张小芳.尊严疗法对晚期肺癌病人尊严和负性情绪的影响[J].护理研究，2018，32（24）：3946-3948.
|
| [5] |
潘贤慧.青年非小细胞肺癌患者的临床特征和预后分析[D].南京：南京大学，2018.
|
| [6] |
曹艳梅，薛云珍，葛国靖，等.晚期癌症患者尊严现状及影响因素研究[J].护理学报，2017，24（7）：30-34.
|
| [7] |
张侠，王衍富.老年肺癌的临床现状及流行病学研究[J].中国全科医学，2008（7）：610-612.
|
| [8] |
Patti AG，Vanessa B，John JC，et al.The IASLC Lung Cancer Staging Project：Validation of the Proposals for Revision of the T，N，and M Descriptors and Consequent Stage Groupings in the Forthcoming （Seventh）Edition of the TNM Classification of Malignant Tumours[J].J Thorac Oncol，2007，2（8）：694-705.
|
| [9] |
葛国靖，曹艳梅，刘捷，等.中文版患者尊严量表初步修订及信、效度评价[J].中国公共卫生，2016，32（8）：1088-1091.
|
| [10] |
Chochinov HM，Hassard T，Mcclement S，et al.The landscape of distress in the terminally ill[J].J Pain Symptom Manage，2009，38（5）：641-649.
|
| [11] |
王建平，陈仲庚，林文娟，等.中国癌症病人生活质量的测定——EORTCQLQ-C30 在中国的试用[J].心理学报，2000（4）：438-442.
|
| [12] |
Langendijk JA，Ten Velde GPM，Aaronson NK，et al.Quality of life after palliative radiotherapy in non-small cell lung cancer：a prospective study[J].Int J Radiat Oncol Biol Phys，2000，47（1）：149-155.
|
| [13] |
Zigmond AS，Snaith RP.The hospital anxiety and depression scale[J].Acta Psychiatr Scand，1983，67（6）：361-370.
|
| [14] |
卢美玲，罗志芹.中青年与老年晚期癌症患者尊严受损水平的比较分析[J].护士进修杂志.2019，34（16）：1499-1502.
|
| [15] |
魏亚红.中晚期癌症患者的尊严受损水平及其影响因素的研究[D].石家庄：河北医科大学，2017.
|
| [16] |
宋仲洁，吴疆，汤伟.不同年龄晚期非小细胞肺癌患者的临床特点分析[J].中国肿瘤临床与康复，2016，23（2）：149-152.
|
| [17] |
蔡倩，沈翠珍.养老机构老年人尊严理解及影响因素的质性研究[J].护理与康复，2020，19（3）：6-11.
|
| [18] |
Lehto RH.Lung Cancer Screening Guidelines[J].Clin J Oncol Nurs，2014，18（3）：338-342.
|
| [19] |
Weru J，Gatehi M，Musibi A.Randomized control trial of advanced cancer patients at a private hospital in Kenya and the impact of dignity therapy on quality of life[J].BMC Palliat Care，2020，19（1）：1-12.
|
| [20] |
Chen Y，Xiao H，Zheng J，et al.Effects of a mind map-based life review programme on psychospiritual well-being in cancer patients undergoing chemotherapy：A randomised controlled trial[J].Eur J Cancer Care （Engl），2020，29（3）：e13221.
|
| [21] |
Hagen BI，Lau B，Joormann J，et al.Goal management training as a cognitive remediation intervention in depression：A randomized controlled trial[J].J Affect Disord，2020，275：268-277.
|
|
|
|
