Effects of comprehensive and routine nursing interventions on patients undergoing surgery for lung cancer

Abstract

Objective: We aimed to compare the effects of comprehensive and routine nursing interventions on patients undergoing surgery for lung cancer. Methods: One hundred eligible patients were divided into routine nursing and comprehensive nursing groups (n=50), and the corresponding nursing intervention was given. Postoperative recovery and complications were recorded. The changes in the psychological state [Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS)], disease coping style (Simplified Coping Style Questionnaire), self-care ability [Exercise of Self-care Agency Scale (ESCA)], and quality of life [Generic Quality of Life Inventory-74 (GQOL-74)] were compared. The nursing satisfaction was assessed before discharge. Results: Compared with the routine nursing group, the comprehensive nursing group had better postoperative recovery (P<0.001) and lower incidence rate of complications (P=0.025). The decreases in SAS and SDS scores were more significant in the comprehensive nursing group (P<0.001). The comprehensive nursing group had a more significant decrease in the negative coping score and a more significant increase in the positive coping score (P<0.001). Both ESCA and GQOL-74 scores increased more significantly in the comprehensive nursing group (P<0.001). The comprehensive nursing group had a higher Newcastle Satisfaction with Nursing Scale score than that of the routine nursing group (P<0.001). Conclusion: Comprehensive nursing intervention in the perioperative period of patients with lung cancer can help improve the psychological state, change the disease coping style, raise both self-care ability and quality of life, and facilitate postoperative recovery in a short time.