Application Of Hospice Therapy Based On Symptom Management Theory In Patients With Advanced Lung Cancer

ObjectiveBy applying symptom management theory(SMT)to hospice Care is used in patients with advanced lung cancer,so as to improve the patients’ discomfort symptoms,relieve the patients’ anxiety and depression,improve the quality of life of patients with advanced lung cancer,promote the patients’ death,improve the attention of medical staff on the symptom management of patients with advanced lung cancer,and provide theoretical and practical basis for the symptom management of patients with advanced malignant tumor.MethodsThis study is a quasi experimental study.According to the inclusion and exclusion criteria,124 patients with advanced lung cancer from January 2020 to December 2020 in the Department of oncology of a 3A tumor hospital in Inner Mongolia were selected as the research objects.The patients in area a of oncology department were the control group,and the patients in area C of oncology department were the intervention group.The control group received routine cancer care,and the intervention group received hospice care based on symptom management theory for four weeks.The frequency and constituent ratio of counting data were described.The mean ± standard deviation was used to describe the data,and the median and quartile spacing were used to describe the data that did not conform to the normal distribution and(or)homogeneity of variance.Chi square test was used for count data,two independent samples t test or paired samples t test was used for measurement data with normal distribution,and rank sum test was used for measurement data without normal distribution.The difference was statistically significant(P < 0.05).Results1.A total of 124 questionnaires were distributed,118 were returned,and 116 were effective.The recovery rate was 95.2%,and the effective recovery rate was 93.5%.2.Before the intervention,there were no significant differences in gender,age,education level,payment method,economic status,occupation,marriage,and degree of knowledge between the two groups(P > 0.05).3.Before the intervention,there was no significant difference in pain,insomnia,dyspnea,nausea and vomiting between the two groups(P > 0.05).The symptoms of pain,insomnia,dyspnea,nausea and vomiting in the intervention group were significantly relieved after intervention(P < 0.05).The symptoms of pain,insomnia,dyspnea,nausea and vomiting in the control group were not significantly relieved after intervention(P > 0.05).After the intervention,the symptoms of pain,insomnia,dyspnea,nausea and vomiting in the intervention group were significantly better than those in the control group(P < 0.05).After four weeks of intervention,there were significant differences in pain,insomnia,dyspnea,nausea and vomiting between the two groups(P < 0.05),but there were no significant differences in pain,insomnia,dyspnea,nausea and vomiting between the two groups before and after intervention(P > 0.05).4.Before the intervention,there was no significant difference in anxiety and depression between the intervention group and the control group(P > 0.05).The anxiety and depression of the intervention group were significantly relieved after the intervention(P <0.05).The anxiety and depression of the control group were not significantly relieved after the intervention(P > 0.05).After the intervention,the anxiety and depression of the intervention group were significantly better than those of the control group(P < 0.05).After four weeks of intervention,there was significant difference in anxiety and depression between the two groups(P < 0.05),but there was no significant difference in anxiety and depression between the two groups before and after intervention(P > 0.05).5.Before the intervention,there was no significant difference in the physical function,psychological function,social function,common symptoms,side effects and specific modules of the quality of life scale between the intervention group and the control group(P > 0.05).After the intervention,the physical function,psychological function,social function,common symptoms,side effects and specific modules of the quality of life scale in the intervention group were significantly relieved compared with those before the intervention(P < 0.05).The physical function,psychological function,social function,common symptoms,side effects and specific modules of the quality of life scale in the control group were not significantly improved after the intervention(P > 0.05).After the intervention,the physical dimension,emotional dimension and functional dimension of the quality of life scale in the intervention group were significantly better than those in the control group(P < 0.05).After four weeks of intervention,there was significant difference in the quality of life between the two groups(P < 0.05),but there was no significant difference in the quality of life between the two groups before and after intervention(P >0.05)Conclusion1.Hospice care based on symptom management theory can improve the patients’ discomfort symptoms,relieve the patients’ anxiety and depression,improve the physiological,emotional and functional status of patients with advanced lung cancer,and improve the quality of life of patients.2.Hospice care based on symptom management theory can improve the attention of medical staff to the symptom management of patients with advanced lung cancer,so as to provide theoretical and practical basis for the development of symptom management of patients with advanced malignant tumor.