Lung cancer ranks among the most prevalent and lethal malignancies globally. Its prognostic outcomes are not only contingent upon tumor characteristics and therapeutic interventions but also intricately linked to the nutritional and immune profiles of patients. This article conducts a thorough review of both domestic and international research, providing a comprehensive synthesis of the prognostic value of widely investigated nutritional and immune indicators in the context of lung cancer. The primary objective is to identify optimal prognostic markers in clinical practice, offering guidance for precise post-treatment assessment and early intervention for lung cancer patients.
Objective To investigate the current status of fear of disease progression and sleep quality among laryngeal cancer patients, and analyze the correlation between them. Methods Laryngeal cancer patients who were hospitalized in West China Hospital of Sichuan University between March 2021 and February 2022 were selected for this cross-sectional survey. Sociodemographic and disease-related data questionnaires, Chinese version of Fear of Progression Questionaire Short Form, and Pittsburgh Sleep Quality Index (PSQI) Scale were used to investigate the laryngeal cancer patients who met the inclusion criteria, and the correlation between fear of disease progression and PSQI score in laryngeal cancer patients was analyzed by Spearman correlation analysis. Multiple linear stepwise regression analysis was used to analyze the effects of sociodemographic and disease-related characteristics on the total score of fear of disease progression in laryngeal cancer patients, and the effects of sociodemographic, disease-related characteristics and total score of fear of disease progression on the total score of PSQI of laryngeal cancer patients. Scores were expressed as median (lower quartile, upper quartile). Results A total of 312 copies of questionnaires were distributed and 309 valid copies were recovered, with an effective recovery rate of 99.0%. The total score of fear of disease progression in the laryngeal cancer patients was 22.00 (16.00, 30.00), including 12.00 (8.00, 17.00) in physiological health dimension, and 10.00 (7.00, 14.00) in social and family dimension. The total score of PSQI was 5.00 (3.00, 8.50). The correlations of the physiological health dimension score, the social and family dimension score, and the total score of fear of disease progression with the total score of PSQI in laryngeal cancer patients were positive with statistical significance (rs=0.294, P<0.001; rs=0.234, P<0.001; rs=0.287, P<0.001). Multiple linear stepwise regression analyses showed that the total score of fear of disease progression in laryngeal cancer patients was affected by the stage of disease, occupation, primary caregiver and treatment plan (P<0.05), and the total score of PSQI of laryngeal cancer patients was affected by level of education, treatment plan and the total score of fear of disease progression (P<0.05). Conclusions The fear of disease progression in laryngeal cancer patients has a significant negative correlation with the sleep quality. Meanwhile, alleviating the level of fear of disease progression may improve sleep quality.
隨著社會的不斷發展，護理在維護人類身心健康方面發揮了極其重要的作用。但是大量的調查發現臨床護士在工作中自我成長需求無法滿足，自身價值得不到體現，導致護理人才的流失，進而影響了護理隊伍的穩定，這對護理事業的發展十分不利。文章運用馬斯洛需要層次理論中的成長型需要分析臨床護士的自身發展需求，并針對其現狀為護理管理者提供相應的建議，以期更好地滿足臨床護士的成長需要。With the continuous development of society, nursing has been very important in maintaining the physiological and psychological health of human beings. But many surveys found that clinical nurses could not meet their growing demands in the work and their values could not get reflected, which led to a loss of nursing talents, and thus affected the stability of nursing teams. This is quite unfavorable for the cause of nursing. In this paper, growing needs in Maslow’s hierarchy theory of needs are used to analyze the needs of clinical nurses in their own development, and correspondent recommendations are proposed to nursing managers to better meet the growing needs of clinical nurses.
【摘要】 目的 探討腫瘤科護士銳器傷發生原因及預防管理對策。 方法 2006年6月-2008年5月，采用醫療銳器傷登記表收集護士銳器傷情況，并對相關數據資料進行統計分析。 結果 24名護士（5.71人次/100張床）發生銳器傷，主要發生于護齡≤1年的護士（66.67%）；發生時間多集中在上午8:30～11:00之間（41.67%）；地點多為病房床旁（70.83%）；銳器傷集中發生在操作后處理廢棄物過程中（50.00%）；而傷害發生率最高的器具為輸液器頭皮針（59.26%）；通過追蹤調查，發現所有銳器傷人員經處理后均未發生血源性感染。 結論 加強防范知訓培訓，提高護士自我防護意識；規范護理操作行為和廢棄銳器的處理等是預防或降低護士工作時段被感染的重要措施與方法。【Abstract】 Objective To discuss the causes and preventive measures of sharp instrument injuries among oncology nurses. Methods Sharp Instrument injuries were collected with the guide of Roll Call of Sharp Instrument Injuries in Medicine from June 2006 to May 2008. Related data were statistically analyzed. Results Sharp instrument injuries occurred to 24 nurses (5.71 per 100 beds), most of whom had just been in the post for less than one year (66.67%). Most injuries happened at 8:30 am-11:00 am during the morning (41.67%) and at, the bed side (70.83%). A half of the injuries occurred during medical waste disposal and most injuries were caused by scalp acupuncture (59.26%). No hematogenous infection occurred after proper treatment of the injuries. Conclusion Strengthening the knowledge of self-protection, stipulating and monitoring procedures of operating and disposing of sharp instruments are the most important measures to prevent the nurses from being injured during their working.
Objective
To discuss the effect of Balint groups on promoting mental health of oncology nurses through developing Balint group activities.
Methods
From December 2015 to December 2016, a series of Balint group activities were carried out among 63 oncology nurses in West China Hospital of Sichuan University. Huaxi Emotion Index was used to investigate the psychological status in the nurses before and after the activities of Balint groups, and then the data was analyzed statistically.
Result
Except the scores of nurses aged over 41 and nurses above the primary and secondary level (P>0.05), all other scores had significant differences (P<0.05).
Conclusions
Balint group activities can significantly relieve oncology nurses’ negative emotions such as anxiety, tension and depression, alleviate body discomfort symptoms and improve interpersonal relationships. Huaxi Emotion Index is easy to understand, which helps rapid clinical assessment and nurses’ psychological problems screening. It is suitable for popularization and application clinically.
