The Effect of Psychological Intervention on Nutrient Status of Perioperative Patients with Lung cancer
Background: To investigate the effect of psychological intervention on nutrient status of perioperative patients with lung cancer.
Methods: Overall, 176 lung cancer patients admitted to Shanghai Pulmonary Hospital, Shanghai China from 2015 to 2016 were divided into control group (n=88) and study group (n=88). Conventional nursing strategy was adopted for patients in control group, while psychological nursing strategy was implemented for those in the study group, and the specific nursing efficiency was compared between the two groups. In addition to the assessment with Symptom Checklist 90 (SCL-90) and Quality of Life Questionnaire-Core 36 (QLQ-C30), patients were required to fulfill the evaluations with nutrition risk screening 2002 (NRS2002) and Patient-Generated Subjective Global Assessment (PG-SGA).
Results: After nursing care, significant amelioration in scores of SCL-90 and QLQ-C30 of patients were seen in the study group (P<0.05). In the study group, the scores of NRS2002 and PG-SGA were all lower than those in the control group (P<0.001). Besides, PG-SGA score was also significantly correlated with the levels of serum total proteins, serum albumin, hemoglobin, reduction in diet and weight (P<0.01), while only reduction in diet and weight was obviously correlated with the score of NRS2002 (P<0.01). Moreover, a significant correlation was identified between the scores of PG-SGA and NRS2002 (P<0.01).
Conclusion: Psychological intervention could effectively alleviate the psychological stress response and ameliorate the nutrient status of lung cancer patients in perioperative period, thereby reducing the negative feelings and increasing the life quality of patients.
Hoffman RM, Sanchez R (2017). Lung Can-cer Screening. Med Clin North Am, 101(4), 769-785.
Tiep B, Sun V, Koczywas M et al (2015). Pulmonary rehabilita-tion and palliative care for the lung cancer patient. J Hosp Palliat Nurs, 17(5): 462–468.
Sibille A, Paulus A, Martin M et al (2006). Management of non-small cell lung can-cer. Revue Medicale de Liege, 70(9):432-441.
McKenna RJ, Houck W, Fuller CB (2006).Video-assisted thoracic surgery lo-bectomy: experience with 1,100 cases. Ann Thorac Surg, 81(2):421-425.
Shoji F, Haratake N, Akamine T et al (2017). The Preoperative Controlling Nutritional Status Score Predicts Survival After Cura-tive Surgery in Patients with Pathological Stage I Non-small Cell Lung Can-cer.Anticancer Res, 37(2):741-747.
Kawai H, Ota H (2012). Low perioperative serum prealbumin predicts early recur-rence after curative pulmonary resection for non-small-cell lung cancer. World J Surg, 36(12):2853-2857.
van Bokhorst-de VDSM, Guaitoli PR, Jansma EP et al (2014). Nutrition screen-ing tools: does one size fit all? A system-atic review of screening tools for the hospital setting. Clin Nutr, 33(1):39-58.
Muszer K, Bailer J (2011). Effect of person-ality disorders on course and treat-ment outcome of behaviour therapy in an out-patient sample. Psy-chother Psychosom Med Psychol, 61(7):303-310.
Cheng JX, Liu BL, Zhang X (2011). The validation of the standard Chinese ver-sion of the European Organization for Research and Treatment of Cancer Quali-ty of Life Core Questionnaire 30(EORTC QLQ-C30)in pre-operative patients with brain tumor in China. BMC Med Res Methodol, 11:56.
Kondrup J (2014). Nutritional-risk scoring systems in the intensive care unit. Curr Opin Clin Nutr Metab Care, 17(2):177-182.
Bauer J, Capra S, Ferguson M (2002). Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutri-tion assessment tool in patients with can-cer. Eur J Clin Nutr, 56(8):779-785.
Sadatsafavi M, McTaggart -Cowan H, Chen W et al (2015). Quality of life and asthma symptom control: Room for improve-ment in care and measurement. Value Health, 18(8):1043-1049.
Efficace F, Fayers P, Pusic A et al (2015). Quality of patient-reported outcome re-porting across cancer randomized con-trolled trials according to the CONSORT patient-re-ported outcome extension: A pooled analysis of 557 trials. Cancer, 121(18):3335-3342.
Tones LW, Coumeya KS, Vallance AJK et al (2006). Understanding e determinants of exercise interventions in multiple myelo-ma cancer survivors: an application of the theory of planned behavior. Cancer Nurs, 29(3):167-168.
Hamer M, Chida Y, Molloy GJ (2009). Psy-chological distress and cancer mortality. J Psychosom Res, 66(3):255-258.
Ben-Arye E, Samuels N (2015). Patient-centered care in lung cancer: Exploring the next milestones. Transl Lung Cancer Res, 4(5):630-634.
Schuller HM (2013). Effects of tobacco con-stituents and psycho- logical stress on the beta-adrenergic regulation of non- small cell lung cancer and pancreatic cancer: Implications for intervention. Cancer Bi-omarker, 13(3):133-144.
Weis J (2003). Support groups for cancer patients. Support Care Cancer, 11(12):763-8.
Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME (2004). Cancer: disease and nutrition are key determinants of patients, quality of life. Support Care Cancer, 12(4):246-52.
Ravasco P, Monteiro-Grillo I, Camilo ME (2003). Does nutrition influence quality of life in cancer patients undergoing radio-therapy. Radiother Oncol, 67(2):213-20.
McCorkle R, Dowd M, Ercolano E et al (2009). Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological can-cers. Psychooncology, 18(1):62-70.
Parker PA, Pettaway CA, Babaian RJ et al (2009). The effects of a presurgical stress management intervention for men with prostate cancer undergoing radical pros-tatectomy. J Clin Oncol, 27(19):3169-3176.
Schwabish SD (2011). Cognitive adaptation theory as a means to PTSD reduc- tion among cancer pain patients. J Psychosoc Oncol, 29(2):141-156.
Valero MA, Diez L, El KN, et al (2005). [Are the tools recommended by ASPEN and ESPEN comparable for assessing the nutritional status]? Nutr Hosp, 20(4):259-267 (In Spanish).
Nursal T Z, Noyan T, Tarim A et al (2005). A new weighted scoring system for Sub-jective Global Assessment. Nutrition, 21(6):666-671.
Akechi T, Taniguchi K, Suzuki S et al (2007). Multi-faceted psychosocial intervention program for breast cancer patients after first recurrence: feasibility study. Psychoon-cology, 16:517-524.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.