Effect of fine nursing with dietary intervention on pain level of patients with advanced lung cancer.

ABSTRACT

OBJECTIVE: To investigate the effect of fine nursing with dietary intervention on the pain level and health of patients with advanced lung cancer (LC). METHODS: The clinical data of 92 patients with advanced LC admitted to the Nanfang Hospital, Southern Medical University/the First School of Clinical Medicine, Southern Medical University from February 2018 to June 2020 were studied in this retrospective analysis. Among them, 48 patients who received fine nursing with dietary intervention were grouped into the research group (RG), and the other 44 who received conventional nursing were grouped into the control group (CG). The two groups were compared in terms of pain level, nutrition, quality of life, anxiety and depression, sleep quality, satisfaction with care, and complication rate. RESULTS: The visual analogue scale (VAS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), patient-Generated Subjective Global Assessment (PG-SGA), and Pittsburgh Sleep Quality Index (PSQI) scores were lower in the RG than in the CG after nursing, and the scores were higher in both groups before nursing than after nursing (P<0.05). The World Health Organization Quality of Life Brief Version (WHOQOL-BREF) scores, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and maximum ventilation volume (MVV) were higher in the RG than in the CG after nursing, and the scores, FVC, FEV1 and MVV were lower in both groups before nursing than after nursing (P<0.05). The complication rate of patients in the CG was higher than that of those in the RG (P<0.05). The nursing satisfaction of patients in the CG was lower than that of those in the RG (P<0.05). Age, TNM stage, smoking history, and maximum tumor diameter were risk factors affecting patient prognosis, and logistic regression analysis found that smoking history was an independent risk factor affecting patient prognosis. CONCLUSION: Fine nursing with dietary intervention can effectively reduce pain, regulate patients' restlessness, reduce the incidence of complications, improve patients' nutrition and sleep quality, and can improve their quality of life, which is worthy of application and promotion in clinical practice.