The value of the lung cancer nurse specialist in the development and implimentation of the local optimal lung cancer pathway

Bennett, Abbey; Patrick, C.

doi:10.1016/s0169-5002(19)30166-7

Cited by 2 publications

(3 citation statements)

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“…With the development of rehabilitation medicine, respiratory function training has been proposed as a way of lung rehabilitation training for patients undergoing lung cancer surgery, whose purpose is to enhance the strength and endurance of respiratory muscles through active breathing exercise, in order to lower the incidence of postoperative pulmonary complications and speed up the rehabilitation [ 17 ]. However, at present, there is no unified respiratory training standard or program for patients undergoing lung cancer surgery, and some commonly used methods include deep breathing training, balloon blowing, and breathing training apparatus.…”

Section: Discussionmentioning

confidence: 99%

Effects of ADOPT-Based Breathing Training Combined with Continuous Nursing on Quality of Life, Mental Health, and Self-Efficacy in Lung Cancer Patients Undergoing Chemotherapy: Based on a Retrospective Cohort Study

Mou

Zheng

2022

Computational and Mathematical Methods in Medicine

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Objective. Considering the poor effect of routine nursing program on patients with lung cancer after chemotherapy, a retrospective cohort study was conducted to elucidate the effects of respiratory training based on ADOPT mode combined with continuous nursing on quality of life, mental health, and self-efficacy in patients undergoing lung cancer chemotherapy. Methods. Sixty patients with lung cancer admitted in our hospital from January 2019 to April 2021 were selected. Patients in both groups received ADOPT breathing training. Patients who underwent routine nursing were assigned into control group ( n = 30 ) and patients with continuous nursing were set as study group ( n = 30 ). The differences in nursing satisfaction, self-management efficacy, quality of life score, mental health, family care index, and self-transcendence scale scores of patients with lung cancer were determined. Results. First of all, we compared the baseline data of the two groups, and there was no statistical difference. In the comparison of nursing satisfaction between the two groups, 24 cases in the study group were very satisfied, 5 cases were satisfied, 1 case was general, and the satisfaction rate was 100%, whereas in the control, 14 cases were very satisfied, 8 cases were satisfied, 4 cases were not satisfied, and the satisfaction rate was 86.67%. Compared to the control, the nursing satisfaction was higher in the study group ( P < 0.05 ). There exhibited no significant difference in the sense of self-management efficacy between the two on the day of admission ( P > 0.05 ). After nursing, the scores of self-management efficacy were higher in the study group, compared to the control ( P < 0.05 ). In contrast to control, the scores of self-management efficacy at discharge and 1, 3, and 6 months after discharge were higher in the study group ( P < 0.05 ). In terms of the scores of quality of life of patients with lung cancer, on the day of admission, no significant difference exited ( P > 0.05 ). The scores of quality of life at discharge and 1, 3, and 6 months after discharge of the study group were higher compared to the control ( P < 0.05 ). In the comparison of mental health, there was no significant difference between the two groups on the day of admission ( P > 0.05 ), but the scores of anxiety and depression in the two groups decreased after nursing, and the scores of anxiety and depression in the study group at discharge and 1 month, 3 months, and 6 months after discharge were lower than those in the control group ( P < 0.05 ). In terms of the family care index, there was no significant difference between the two groups at admission ( P > 0.05 ), but after nursing, the family care index of the two groups increased, and the family care index at discharge and 1, 3, and 6 months after discharge was greater in the study group ( P < 0.05 ). In terms of the score of self-transcendence scale, there exhibited no significant difference on the day of admission ( P > 0.05 ), but the score of self-transcendence scale of the two groups increased after nursing. Furthermore, compared to the control, the score of self-transcendence scale at discharge and 1 month, 3 months, and 6 months after discharge in the study group was higher ( P < 0.05 ). Conclusion. Patients undergoing lung cancer chemotherapy using ADOPT-based breathing training combined with continuous nursing can effectively facilitate the overall quality of life of lung cancer chemotherapy patients, promote the mental health and self-efficacy of patients with lung cancer chemotherapy, and then reduce the medical burden of patients. The nursing model based on ADOPT breathing training combined with continuous nursing is worthy to be applied in the rehabilitation of patients with lung cancer.

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Section: Discussionmentioning

confidence: 99%

Effects of ADOPT-Based Breathing Training Combined with Continuous Nursing on Quality of Life, Mental Health, and Self-Efficacy in Lung Cancer Patients Undergoing Chemotherapy: Based on a Retrospective Cohort Study

Mou

Zheng

2022

Computational and Mathematical Methods in Medicine

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“…[4,24]. Many centres employed dedicated lung cancer care nurses or nurse navigators or dedicated physicians to coordinate and spearhead their lung cancer services [42,43]. Cultural factors include leadership, teamwork, and good relationships within the service as exemplified by the ACE Lung Cancer Pathway cluster in United Kingdom [47].…”

Section: Discussionmentioning

confidence: 99%

“…Various modifications to the lung cancer care pathways have reduced delays to diagnosis and improved the efficacy of the pathways, including employment of a lung cancer nurse specialist [43,44], straight-to CT pathway [44] and immediate reporting of chest x-rays by a radiographer [45]. Quick turnaround time for pathology reporting is essential for implementing an optimal lung cancer pathway, and delays in pathology reporting can be due to logistical issues or requests for molecular testing [46].…”

Section: Development and Implementation Of Lung Cancer Care Pathwaysmentioning

confidence: 99%

Optimal Care Pathways for People with Lung Cancer- a Scoping Review of the Literature

Otty¹,

Brown²,

Sabesan³

et al. 2020

Int J Integr Care

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Introduction: Much of the existing work around implementation of cancer optimal care pathways (OCP) has either focused exclusively on the clinical elements of care or has targeted individual stages in the cancer trajectory, rather than using a patient-centred or service delivery lens to inform the integration of care across the continuum. This review aimed to identify and summarise the available literature on lung cancer OCP. Methods: A scoping review was conducted, with literature across multiple databases and grey literature searched. Articles were included if the OCP was being used to manage adult patients with lung cancer and reported on either the development process and outcomes and/or barriers and facilitators associated with optimal care pathway development and/or uptake. Results: Of the 381 references screened, 32 articles were included. The lung cancer pathways reviewed varied significantly. A number of themes were identified including the development and implementation of the OCP; the use of quality indicators to audit the OCP; and studies on outcomes of the OCP incorporating timeliness of care delivery, patient experiences and health care utilisation and costs. Conclusions: The limited number of relevant articles found in this review may suggest that an OCP for lung cancer is still in its preliminary stages across the broader health systems.

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The value of the lung cancer nurse specialist in the development and implimentation of the local optimal lung cancer pathway

Cited by 2 publications

References 0 publications

Effects of ADOPT-Based Breathing Training Combined with Continuous Nursing on Quality of Life, Mental Health, and Self-Efficacy in Lung Cancer Patients Undergoing Chemotherapy: Based on a Retrospective Cohort Study

Effects of ADOPT-Based Breathing Training Combined with Continuous Nursing on Quality of Life, Mental Health, and Self-Efficacy in Lung Cancer Patients Undergoing Chemotherapy: Based on a Retrospective Cohort Study

Optimal Care Pathways for People with Lung Cancer- a Scoping Review of the Literature

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