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find Author "李宜敏" 3 results
  • 125I 粒子内放射治疗晚期恶性肿瘤患者的护理

    目的 探讨植入125I粒子内放射治疗晚期恶性肿瘤患者的护理方法。 方法 2010年10月-2011年7月,对87例行CT引导下植入放射性125I粒子治疗患者,加强术前健康教育、术后并发症的观察及放射防护,使其最终配合完成治疗。 结果 87例患者均能配合粒子植入治疗,无1例发生严重并发症。术后1、3、6个月随访,没有发现患者有肿瘤局部复发或粒子移位现象,肿瘤局部均有不同程度的缩小。 结论 积极有效的护理措施,可确保晚期肿瘤患者125I放射性粒子治疗手术的成功与安全,减少并发症发生,提高患者生活质量。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • Investigation of symptom clusters and related interference on daily life of lung cancer patients undergoing concurrent chemoradiation therapy

    Objective To explore the incidence and severity of symptoms of the lung cancer patients undergoing concurrent chemoradiation therapy, and reveal the influence of symptom clusters on the patients’ daily activities. Method From December 2016 to June 2017, a total of 150 patients with lung cancer who underwent concurrent chemoradiation therapy were investigated by using M. D. Anderson Symptom Inventory of Chinese Version and the revised lung cancer module. Results For the patients during the period of concurrent chemoradiation therapy, the symptoms with severity score >5 were fatigue, nausea, poor appetite, cough, distress, disturbed sleep, vomiting, expectoration, and grief; the symptoms with incidence >80% were fatigue, nausea, disturbed sleep, poor appetite, grief, and cough. Joy of life (87.33%), emotion (74.38%), and work (72.67%) were the top three in terms of high incidence of symptom distress. Exploratry factor analysis revealed 4 major symptom clusters, which were fatigue-related symptom cluster, gastrointestinal symptom cluster, emotion symptom cluster, and respiratory symptom cluster. Conclusions During the period of concurrent chemoradiation therapy, lung cancer patients suffer from multiple symptom clusters. Medical staff should assess symptoms timely, and provide effective interventions, to improve the patients’ quality of life.

    Release date:2017-10-27 11:09 Export PDF Favorites Scan
  • Effects of motivational interviewing on anxiety and depression in patients with lung cancer undergoing initial chemotherapy

    Objective To explore the effect of motivational interviewing (MI) on anxiety and depression in patients with lung cancer undergoing initial chemotherapy. Methods From May 2015 to April 2016, patients with lung cancer who underwent initial chemotherapy after operation were collected and randomly divided into the control group and the MI group. The patients in the control group received traditional health education, psychological care, and post-discharge follow up; while the patients in the MI group were given routine nursing cares and three motivational interviews and one telephone follow up. At the admission and one month after chemotherapy, all patients were evaluated by the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Distress Thermometer (DT). Results At the admission, the SAS, SDS, and DT scores of patients in the two groups had no significant differences (P>0.05). After one month of chemotherapy, the SAS, SDS, and DT scores in the MI group were much better compared to the admission (P<0.05). The differences in the SAS, SDS, and DT scores between the two groups were significant (P<0.05). Conclusion MI can significantly alleviate anxiety and depression of patients with lung cancer undergoing initial chemotherapy.

    Release date:2017-09-22 03:44 Export PDF Favorites Scan
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