Application effect of chronic disease trajectory mode combined with health education in middle-aged and elderly lung cancer patients undergoing thoracic radiotherapy
Objective To explore the application effect of chronic disease trajectory mode combined with health edu-cation in middle-aged and elderly lung cancer patients undergoing thoracic radiotherapy.Method A total of 98 middle-aged and elderly lung cancer patients underwent thoracic radiotherapy were divided into conventional group(n=45)and chronic disease trajectory group(n=53)based on different intervention methods.The conventional group received routine intervention,while the chronic disease trajectory group received chronic disease trajectory mode combined with health ed-ucation.The psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[Eu-ropean Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],cancer-related fatigue[cancer fatigue scale(CFS)]and incidence of complications were compared between the two groups.Result After intervention,the SAS and SDS scores of both groups were lower than those before intervention,the SAS and SDS scores in the chronic disease trajectory group were lower than those in the conventional group,and the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of the CFS scale in both groups were lower than those before intervention,and the scores of all dimensions of the EORTC QLQ-C30 scale were higher than those before intervention,the scores of all dimensions of the CFS scale in the chronic disease trajectory group were lower than those in the conventional group,and the scores of all dimensions of the EORTC QLQ-C30 scale were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The total inci-dence of complications in the chronic disease trajectories group was 26.42%,which was lower than 60.00%in the conven-tional group,and the difference was statistically significant(P<0.01).Conclusion The chronic disease trajectory mode combined with health education can alleviate cancer-related fatigue in middle-aged and elderly lung cancer patients under-going thoracic radiotherapy,reduce the incidence of complications,improve quality of life and their psychological state.
middle-aged and elderly lung cancerchronic disease trajectory mode combined with health educationthoracic radiotherapy
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