Effect of early palliative care on quality of life in patients with non-small-cell lung cancer

  • H. Zhuang Weifang People’s Hospital
  • Y. Ma The First People’s Hospital of Xianyang City
  • L. Wang Binzhou City Central Hospital
  • H. Zhang Baoji Central Hospital
Keywords: Palliative care, non-small-cell lung cancer, hads-d/a, phq-9, pulmonary function

Abstract

Background

Patients with metastatic non-small-cell lung cancer (nsclc) experience great pain and stress. Our study aimed to explore the effect of early palliative care on quality of life in patients with nsclc.

Methods

A total of 150 patients were randomly divided into two groups: control group with conventional care and study group with early palliative care. The quality of life (qol) rating scale and self-rating scale of life quality (sslq) were used to analyze the patients’ quality of life. The Hospital Anxiety and Depression Scale-D/A (hads-d/a) and Patient Health Questionnaire 9 (phq-9) were used to analyze the patients’ mood. Pulmonary function indexes of peak expiratory flow (pef), functional residual capacity (frc), and trachea-esophageal fistula 25% (tef 25%) were analyzed using the lung function detector.

Results

The qol and sslq scales scores of patients receiving early palliative care were significantly higher than those in the control group (p < 0.05). Moreover, the questionnaire results of the hads-d/a and phq-9 were better in patients receiving palliative care than in the control group (p < 0.05 or p < 0.01). In addition, analytical results of pulmonary function showed that the levels of pef, frc, and tef 25% in patients assigned to early palliative care were remarkably higher than those in the control group (p < 0.01 or p < 0.001).

Conclusions

These data demonstrate that early palliative care improves life quality, mood, and pulmonary function of nsclc patients, indicating that early palliative care could be used as a clinically meaningful and feasible care model for patients with metastatic nsclc.

Author Biographies

H. Zhuang, Weifang People’s Hospital
Department of Respiratory Medicine
Y. Ma, The First People’s Hospital of Xianyang City
Department of Nursing
L. Wang, Binzhou City Central Hospital
Department of Oncology
H. Zhang, Baoji Central Hospital
Department of Respiratory Medicine
Published
2018-02-28
How to Cite
Zhuang, H., Ma, Y., Wang, L., & Zhang, H. (2018). Effect of early palliative care on quality of life in patients with non-small-cell lung cancer. Current Oncology, 25(1), e54-e58. https://doi.org/10.3747/co.25.3639
Section
Palliative Care