Effect of high quality nursing on alleviating negative emotions in patients with advanced lung cancer

To analyze the risk factors of moderate and severe depression and to study the effect of high quality nursing on alleviating negative emotions and improving quality of life of patients with advanced lung cancer.

A total of 100 patients with advanced lung cancer were collected from our hospital. According to the SDS score before the nursing, the patients with SDS score ≤62 and >52 were enrolled in the mild depression group, and those with SDS score >62 were enrolled in the moderate, severe depression group. The risk factors that make mild depression develop into moderate/severe depression were studied. The patients were randomly divided into a control group (n = 50) and an observation group (n = 50). The patients in both groups were given routine nursing, and those in the observation group received high quality nursing on the basis of routine nursing. The QOL-C30 was used to evaluate the changes in quality of life. The SDS (Self-Rating Depression Scale) and SAS (Self-rating Anxiety Scale) were used for assessing the degree of anxiety and depression. The incidence of complications and the nursing satisfaction of patients were observed.

The multi-factor Logistic regression results showed that gender (OR: 3.398, 95% CI: 1.020-11.324), course of disease (OR: 0.676, 95% CI: 0.562~0.814), educational level (OR: 2.073, 95% CI: 1.165-3.688), and family income (OR: 1.676, 95% CI: 9.020) were the influence factors of moderate and severe depression. The QOL-30 score in the observation group was higher than those in the control group after nursing, and the changes in the observation group were significantly greater than those in the control group (P<0.05). After nursing, the observation group had much lower SAS and SDS scores and significantly greater changes than the control group (P<0.5). The total incidence of complications in the control group was statistically greatly higher than that in the observation group (P<0.05). The nursing satisfaction in the control group was statistically much lower than that in the observation group (P<0.5).

Gender, course of disease, educational level, and family income are independent influencing factors of moderate and severe depression. High quality nursing can effectively improve the anxiety and depression, and quality of life of patients, which is worthy of being popularized clinically.