Application Value of Whole-course Nursing Management in Immunotherapy of Lung Cancer using Evidence-based Concepts: An Approach to Patient Health Behavior

Abstract

Objective: In this retrospective study, we aimed to assess the application value of whole-course nursing management, using evidence-based concepts, in lung cancer patients undergoing immunotherapy by considering their health behavior. Methods: The study included 60 lung cancer patients who received immunotherapy at our hospital from March 2020 to March 2022. We evaluated the patients′ psychological state using the CD-RISC, self-care ability using the ESCA scale, and patients′ quality of life (QoL) using the Chinese version of the FACT-G scale. The nursing effect was analyzed by recording the incidence of adverse reactions. Results: After receiving nursing management, the CD-RISC, ESCA, and FACT-G scores significantly improved in both groups. However, the scores in the intervention group were notably higher than those in the control group (p < .05). The incidence of adverse reactions did not significantly differ between the 2 groups, with one patient in the intervention group experiencing immune-related pneumonia resulting in death. Conclusion: Whole-course nursing management using evidence-based concepts has a significant positive impact on lung cancer patients undergoing immunotherapy, particularly when combined with positive health behavior. This approach improves patients′ psychological state, self-care ability, and QoL while reducing adverse reactions.