This article summarized the nursing problems and corresponding nursing strategies of 18 cases of external diaphragm pacemakers in the application of elderly patients with lung cancer after thoracic surgery. Timely psy...This article summarized the nursing problems and corresponding nursing strategies of 18 cases of external diaphragm pacemakers in the application of elderly patients with lung cancer after thoracic surgery. Timely psychological care, correct operation, close observation and infection prevention during treatment can effectively optimize the use of external diaphragm pacemakers, improve respiratory muscle function, and the quality of life after lung cancer surgery in elderly patients.展开更多
For patients with esophageal carcinoma (ESCA), health-related quality of life (HRQoL) has now become an essential feature. To examine the quality of life of preoperative and postoperative ESCA patients, we used the Eu...For patients with esophageal carcinoma (ESCA), health-related quality of life (HRQoL) has now become an essential feature. To examine the quality of life of preoperative and postoperative ESCA patients, we used the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ C-30) and the Quality of Life Questionnaire Oesophageal 18 (QLQ-OES18). Using the EORTC QLQ-C30 and the QLQ-OES18 questionnaire, the analysis of the quality of life scores of 246 patients with oesophageal cancer who were operated on at the Sun Yat-sen University Cancer Centre during the period 2013 to 2015 was carried out. Differences between pre- and post-surgical EORTC QLQ C-30 and QLQ-OES18 scores were examined using the Student’s t-test. Patients’ global health status (QoL) decreased significantly one month after the operation but gradually recovered within a year. In terms of the role function, the emotional function, the cognitive function, and the perception and function variants, EORTC QLQ-C30 and QLQ-OES18 scores increased statistically significantly, as did clinical signs variables such as exhaustion, nausea, vomiting, pain, sleeplessness, decreased appetite, stomach pain, and economic hardship. After surgery, there was an improvement in functional and symptom domains in esophageal carcinoma patients. EORTC QLQ-C30 and QLQ-OES18 can be used to assess the HRQoL before and after surgical procedures.展开更多
Objective: To investigate the caring ability of the main relatives of postoperative patients with esophageal cancer, and to analyze the influencing factors. Methods: From May 2019 to May 2021, 290 esophageal cancer pa...Objective: To investigate the caring ability of the main relatives of postoperative patients with esophageal cancer, and to analyze the influencing factors. Methods: From May 2019 to May 2021, 290 esophageal cancer patients and their main relatives were selected by convenience sampling method in a Grade III a cancer hospital in Guangzhou;the general data questionnaire and the Chinese version of the scale of care ability of relatives’ caregivers were used. Results: The total average score of caring ability of the main relatives’ caregivers after esophageal cancer operation was (32.99 ± 3.01). Multiple stepwise regression analysis showed that the age of the caregiver, the length of stay, the family income per capita and the experience of caring were the influencing factors. Conclusion: The caring ability of the main relatives of the patients with esophageal cancer after operation is moderate and low. The medical staff should improve the caring ability of the caregivers and take effective measures according to different influencing factors to improve the psychological state of the caregivers.展开更多
Objectives: To explore the perioperative nursing care for lung cancer patients undergoing total pneumonectomy, and to promote their rehabilitation. Methods: We will provide preoperative assessment and education i...Objectives: To explore the perioperative nursing care for lung cancer patients undergoing total pneumonectomy, and to promote their rehabilitation. Methods: We will provide preoperative assessment and education in the aspects of respiratory function, diet, and psychology to patients undergoing total pneumonectomy, and provide continuous postoperative management about posture, fluid, and respiratory to help patients diagnosed with lung squamous cell carcinoma and underwent total pneumonectomy to reduce their postoperative complications and improve their overall quality of life. Results: 78.9% of lung cancer patients who underwent total pneumonectomy achieved a better outcome and prognosis by receiving the above nursing program. Conclusion: With large lung cancer tumors, the surgical trauma is highly invasive and the resection is extensive. Management of the patient’s respiratory tract is the focus of perioperative nursing and the key to preventing the development of related postoperative complications.展开更多
Objective: To compare the effects of total intravenous anesthesia and static aspiration combined general anesthesia on postoperative cognitive function and psychological state of elderly esophageal cancer patients. Me...Objective: To compare the effects of total intravenous anesthesia and static aspiration combined general anesthesia on postoperative cognitive function and psychological state of elderly esophageal cancer patients. Methods: From July 2020 to April 2021, 180 elderly patients who underwent radical esophageal cancer surgery in our hospital were randomly divided into 90 cases in the control group and 90 in the observation group. The control group used static aspiration compound general anesthesia, and the patients in the observation group used intravenous anesthesia to compare the cognitive function and psychological state of the two groups of patients. Results: There was no statistical difference in the cognitive function score of patients in the observation group 30 minutes before anesthesia, 1 h and 24 hours after anesthesia compared with that in the control group, P > 0.05;there was no statistical difference between the Hamilton Anxiety Scale (HAMA) scores 30 minutes before and 24 hours after anesthesia in the observation group compared with the control group, P > 0.05;the cognitive function score of patients in the observation group of 4 h after surgery and 12 h after operation was significantly higher than that of the control group;the HAMA scores of patients in the observation group of 1 h, 4 h and 12 h after surgery were significantly lower than that of the control group, P Conclusion: The application of total intravenous anesthesia in elderly patients with esophageal cancer surgery can reduce the impact of anesthesia on their cognitive function and psychological state, which is worth popularizing and applying in clinical practice.展开更多
文摘This article summarized the nursing problems and corresponding nursing strategies of 18 cases of external diaphragm pacemakers in the application of elderly patients with lung cancer after thoracic surgery. Timely psychological care, correct operation, close observation and infection prevention during treatment can effectively optimize the use of external diaphragm pacemakers, improve respiratory muscle function, and the quality of life after lung cancer surgery in elderly patients.
文摘For patients with esophageal carcinoma (ESCA), health-related quality of life (HRQoL) has now become an essential feature. To examine the quality of life of preoperative and postoperative ESCA patients, we used the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ C-30) and the Quality of Life Questionnaire Oesophageal 18 (QLQ-OES18). Using the EORTC QLQ-C30 and the QLQ-OES18 questionnaire, the analysis of the quality of life scores of 246 patients with oesophageal cancer who were operated on at the Sun Yat-sen University Cancer Centre during the period 2013 to 2015 was carried out. Differences between pre- and post-surgical EORTC QLQ C-30 and QLQ-OES18 scores were examined using the Student’s t-test. Patients’ global health status (QoL) decreased significantly one month after the operation but gradually recovered within a year. In terms of the role function, the emotional function, the cognitive function, and the perception and function variants, EORTC QLQ-C30 and QLQ-OES18 scores increased statistically significantly, as did clinical signs variables such as exhaustion, nausea, vomiting, pain, sleeplessness, decreased appetite, stomach pain, and economic hardship. After surgery, there was an improvement in functional and symptom domains in esophageal carcinoma patients. EORTC QLQ-C30 and QLQ-OES18 can be used to assess the HRQoL before and after surgical procedures.
文摘Objective: To investigate the caring ability of the main relatives of postoperative patients with esophageal cancer, and to analyze the influencing factors. Methods: From May 2019 to May 2021, 290 esophageal cancer patients and their main relatives were selected by convenience sampling method in a Grade III a cancer hospital in Guangzhou;the general data questionnaire and the Chinese version of the scale of care ability of relatives’ caregivers were used. Results: The total average score of caring ability of the main relatives’ caregivers after esophageal cancer operation was (32.99 ± 3.01). Multiple stepwise regression analysis showed that the age of the caregiver, the length of stay, the family income per capita and the experience of caring were the influencing factors. Conclusion: The caring ability of the main relatives of the patients with esophageal cancer after operation is moderate and low. The medical staff should improve the caring ability of the caregivers and take effective measures according to different influencing factors to improve the psychological state of the caregivers.
文摘Objectives: To explore the perioperative nursing care for lung cancer patients undergoing total pneumonectomy, and to promote their rehabilitation. Methods: We will provide preoperative assessment and education in the aspects of respiratory function, diet, and psychology to patients undergoing total pneumonectomy, and provide continuous postoperative management about posture, fluid, and respiratory to help patients diagnosed with lung squamous cell carcinoma and underwent total pneumonectomy to reduce their postoperative complications and improve their overall quality of life. Results: 78.9% of lung cancer patients who underwent total pneumonectomy achieved a better outcome and prognosis by receiving the above nursing program. Conclusion: With large lung cancer tumors, the surgical trauma is highly invasive and the resection is extensive. Management of the patient’s respiratory tract is the focus of perioperative nursing and the key to preventing the development of related postoperative complications.
文摘Objective: To compare the effects of total intravenous anesthesia and static aspiration combined general anesthesia on postoperative cognitive function and psychological state of elderly esophageal cancer patients. Methods: From July 2020 to April 2021, 180 elderly patients who underwent radical esophageal cancer surgery in our hospital were randomly divided into 90 cases in the control group and 90 in the observation group. The control group used static aspiration compound general anesthesia, and the patients in the observation group used intravenous anesthesia to compare the cognitive function and psychological state of the two groups of patients. Results: There was no statistical difference in the cognitive function score of patients in the observation group 30 minutes before anesthesia, 1 h and 24 hours after anesthesia compared with that in the control group, P > 0.05;there was no statistical difference between the Hamilton Anxiety Scale (HAMA) scores 30 minutes before and 24 hours after anesthesia in the observation group compared with the control group, P > 0.05;the cognitive function score of patients in the observation group of 4 h after surgery and 12 h after operation was significantly higher than that of the control group;the HAMA scores of patients in the observation group of 1 h, 4 h and 12 h after surgery were significantly lower than that of the control group, P Conclusion: The application of total intravenous anesthesia in elderly patients with esophageal cancer surgery can reduce the impact of anesthesia on their cognitive function and psychological state, which is worth popularizing and applying in clinical practice.
