Lung Cancer Treatment in COVID-19–Positive Patients: Guidelines and Gestalt

Greenberg, A.; Anand, Girija; Sinclair, Georges

doi:10.1200/op.20.00511

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Dans les pratiques de Gestalt, la bonne santé mentale et le bien-être émotionnel commencent par l'examen du problème et l'expression des émotions. La recherche semble indiquer qu'il faut libérer les émotions toxiques et qu'il est plus utile d'accepter une situation que de la rejeter (Greenberg et al, 2020). Les séances de Gestalt-thérapie en groupe fournissent le soutien nécessaire et permettent d'unir les patients aux prises avec le même problème (Ludolph et al, 2019).…”

Section: Discussionunclassified

Soins infirmiers donnés pendant la chimiothérapie aux patients atteints de tumeurs gastro-intestinales

Dai¹,

Chen²

2023

CONJ

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Objectifs : La présente recherche menée auprès de patients atteints d’un cancer gastro-intestinal étudiait les effets escomptés des interventions infirmières sur a) le respect du traitement par les patients, b) leur satisfaction à l’égard des soins infirmiers et c) la santé physique, par exemple la fonction pulmonaire. Méthodologie : Tous les patients (60 personnes) ayant reçu de la chimiothérapie au service de médecine traditionnelle chinoise du First Affiliated Hospital of Soochow University, ont été répartis en deux groupes égaux. Aux patients du groupe 1, on a administré les soins usuels planifiés; les patients du groupe 2 ont bénéficié d’interventions infirmières fondées sur des données probantes. Résultats : Les résultats montrent que le respect du traitement était meilleur dans le groupe 2 que dans le groupe témoin (p=0,01). De plus, on a observé un degré de satisfaction plus élevé à l’égard des services infirmiers (p =0,01) et une amélioration de la fonction pulmonaire (p=0,01). Le respect du traitement a fait diminuer la proportion d’infections secondaires dans le groupe 2 (p =0,05). Conclusion : Les résultats montrent que des interventions infirmières de qualité permettent d’améliorer la fonction pulmonaire, de réduire le stress, de bonifier les plans de traitement et de réduire le nombre d’infections secondaires.

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Section: Discussionunclassified

Soins infirmiers donnés pendant la chimiothérapie aux patients atteints de tumeurs gastro-intestinales

Dai¹,

Chen²

2023

CONJ

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“…4,5 Notably, individuals with lung cancer harbor an accumulation of risk factors contributing to COVID-19 morbidity and mortality, including advanced age, a multitude of comorbidities, a history of smoking, lung damage associated with the tumor, and the immunosuppressive effects of cancer treatments. 2,6,7 Nevertheless, there remains a gap in understanding the precise clinical trajectory of COVID-19 Omicron variant infection, particularly concerning the relationships between patient outcomes, clinical laboratory parameters, and features indicative of interstitial lung disease on CT scans. 8 Consequently, it is of utmost importance to uncover predictive markers and risk factors that can empower clinicians to accurately identify life-threatening conditions in lung cancer patients afflicted with COVID-19 Omicron infection.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prognostic Factors and Outcomes in Advanced Stage Lung Cancer Patients with COVID-19 Omicron Variant Infection

Zhao,

Han,

You

et al. 2023

IJGM

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We study the characteristics and outcomes in lung cancer patients with COVID-19 Omicron variant infection. Methods: Hospitalized lung cancer patients with advanced-stage disease and laboratory-confirmed COVID-19 Omicron infection were included. Pneumonitis involving at least 25% of lung parenchyma on CT scans, accompanied by symptoms and oxygen saturation below 93%, were criteria for enrollment. Pneumonitis severity was graded using CTCAE v5.0. Treatment included Paxlovid, prednisolone, anticoagulation, and ventilation. Initial data, radiographic findings, and outcomes were compared. Logistic regression was employed to determine risk factors for in-hospital mortality. Results: Fifteen patients (median age: 65 years; 80.0% males) were included. 73.3% improved and were discharged, 20.0% died, and 6.7% remained intubated. Initial symptoms included cough (100.0%), fever (73.3%), and shortness of breath (53.3%). Symptoms resolved in discharged patients. Median fever duration was 3.5 days, and respiratory symptom recovery took 26 days. Three patients died due to respiratory failure from Omicron pneumonia. Lower oxygen saturation, reduced lymphocyte/neutrophil ratio on day 7, and diffuse bilateral lung lesions were poor prognostic factors. Conclusion:This study underscores the importance of prompt intervention and early diagnosis for lung cancer patients infected with the COVID-19 Omicron variant. Lower oxygen saturation, decreased lymphocyte/neutrophil ratio on day 7, and diffuse lung lesions on CT scans were associated with worse outcomes. Clinicians should prioritize timely and comprehensive management to improve survival rates in this population.

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“…Gestalt practices are based on discussing the problem and expressing emotions as the necessary first steps to positive mental health and emotional well-being. Research suggests that releasing toxic emotions and accepting a situation is more helpful than rejecting it (Greenberg et al, 2020). Gestalt therapy group sessions provide support and unite patients experiencing the same problem (Ludolph et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Medical nursing care of gastrointestinal tumour patients during chemotherapy

Dai¹,

Chen²

2023

CONJ

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Objectives. This research with gastrointestinal cancer patients analyzed the expected outcomes of nursing interventions on a) patient adherence to treatment; b) patient satisfaction with nursing care; and c) health of body conditions such as lung function. Methods. All patients (60 individuals) who underwent chemotherapy at The First Affiliated Hospital of Soochow University, Department of Traditional Chinese Medicine, were divided into two equal groups. Group 1 received planned care and Group 2 received evidence-based nursing interventions. Results. The results showed that treatment adherence was higher in Group 2 than in the control group (p = 0.01). In addition, there was a higher rating by patients for the quality of nursing care (p = 0.01), as well as a higher score obtained for lung function (p = 0.01). Treatment adherence resulted in a decrease in the secondary infection rate in Group 2 (p = 0.05). Conclusion. The results showed that quality nursing intervention is effective for lung function improvement, stress level reduction, treatment plans, and a reduction of secondary infections. Keywords: cancer, nursing care, quality of life, lung function, commitment to treatment, secondary infection

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Lung Cancer Treatment in COVID-19–Positive Patients: Guidelines and Gestalt

Abstract: bilateral, multifocal ground glass opacification at the level of the carina. (B) Radiotherapy planning CT in the axial plane showing persistent COVID-19-induced changes at the level of the carina.

Cited by 4 publications

References 11 publications

Soins infirmiers donnés pendant la chimiothérapie aux patients atteints de tumeurs gastro-intestinales

Soins infirmiers donnés pendant la chimiothérapie aux patients atteints de tumeurs gastro-intestinales

Prognostic Factors and Outcomes in Advanced Stage Lung Cancer Patients with COVID-19 Omicron Variant Infection

Medical nursing care of gastrointestinal tumour patients during chemotherapy

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