Development and implementation of self-management intervention in patients recei-ving immunotherapy for lung cancer
Objective To develop and evaluate the effect of self-management intervention based on the integrated theory of health be-havior on venous thromboembolism(VTE)prevention in patients receiving immunotherapy for lung cancer.Methods A total of 130 patients with lung cancer receiving immunotherapy were allocated into a control group and an intervention group chronologically,with 65 in each group.The control group received routine nursing care,while the intervention group received self-management in-tervention for VTE prevention,which was developed following the guidance for developing complex interventions.The differences in VTE self-management behavior,satisfaction with VTE management,risk self-assessment rate,VTE incidence,anxiety and de-pression,self-efficacy,and self-care ability were compared between the two groups before,immediately after,1 month,and 2 months after the intervention.Results The above-mentioned evaluation indicators in the intervention group were superior to those in the control group at different time points after the intervention(all P＜0.05).Conclusion The self-management intervention for VTE prevention in lung cancer patients receiving immunotherapy developed based on the integrated theory of health behavior,ena-bles patients to adopt and maintain VTE self-management behaviors,reduces the incidence of VTE,alleviates anxiety and depres-sion,and enhances self-efficacy and self-care ability.
lung cancerimmunotherapyvenous thromboembolismintegrated theory of health behaviorself-manage-mentself-efficacynegative emotionsself-care ability
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