Application of multidisciplinary collaboration in intervention plan for chemotherapy-induced peripheral neuropathy in elderly patients with lung cancer
Objective To analyze the effects of multidisciplinary collaborative intervention mode on chemotherapy-in-duced peripheral neuropathy(CIPN)in elderly lung cancer patients undergoing chemotherapy,and provide new ideas for clinical diagnosis and treatment.Methods A retrospective analysis was conducted on the clinical data of 84 elderly lung cancer patients who underwent chemotherapy in Cancer Hospital of Nantong City from January 2023 to June 2024.They were divided into control group(42 cases)and observation group(42 cases)based on different intervention methods.The control group received routine intervention during chemotherapy,while the observation group applied a multidisciplinary collaborative intervention mode on the basis of the control group.The Chemotherapy-Induced Peripheral Neuropathy Assessment Tool(CIPNAT)was used to assess the CIPN symptoms of patients,and the CIPN Quality of Life Questionnaire 20(EORTC QLQ-CIPN 20)scale was used to evaluate their quality of life.Results Before intervention,there were no statistically significant differences in the scores of the symptom experience,daily life,and total score of the CIPNAT scale between the two groups(P>0.05).After intervention,the scores of the symptom experience,daily life,and total score of the CIPNAT scale in both groups were lower than those in the same group before intervention,and the scores in the observation group were lower than those in the control group(P<0.05).The propor-tion of patients with CIPN grade 0 and 1 in the observation group was higher than that in the control group,while the proportion of patients with CIPN grade 2,3,and the total incidence of CIPN were lower than those in the control group(P<0.05).Before intervention,there were no statistically significant differences in the scores of the EORTC QLQ-CIPN 20 scale between the two groups(P>0.05).After intervention,the scores of the EORTC QLQ-CIPN 20 scale in both groups were lower than those in the same group before intervention,and the score in the observation group was lower than that in the control group(P<0.05).Conclusion The multidisciplinary collaborative intervention mode can reduce the incidence of CIPN in elderly lung cancer patients undergoing chemotherapy,alleviate CIPN symptoms,and improve their quality of life.
elderlylung cancerchemotherapy-induced peripheral neuropathymultidisciplinary collaborationquality of lifesymptom grade