Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2024; 12(4): 737-745
Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.737
Influence of initial check, information exchange, final accuracy check, reaction information nursing on the psychology of elderly with lung cancer
Cui Jiang, Jing Ma, Wen He, Hai-Ying Zhang
Cui Jiang, The Second Ward of Thoracic Radiotherapy, Hubei Cancer Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430079, Hubei Province, China
Jing Ma, Nursing School, Henan University of Science and Technology, Luoyang 471000, Henan Province, China
Wen He, Department of Intensive Care Unit, Wuhan First Hospital, Wuhan 430033, Hubei Province, China
Hai-Ying Zhang, Department of Nursing, Huangpi District People′s Hospital of Wuhan, Wuhan 430300, Hubei Province, China
Co-first authors: Cui Jiang and Jing Ma.
Author contributions: Jiang C and Ma J designed the research and wrote the paper; Jiang C, Ma J, He W, and Zhang HY contributed to new reagents/analytic tools; He W and Zhang HY analyzed the data; Cui Jiang and Jing Ma contributed equally to this work as co-first authors; All authors were involved in the critical review of the results and have read and approved the final manuscript. The reasons for designating Jiang C and Ma J as co-first authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-first authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-first authors best reflect this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, Jiang C and Ma J contributed efforts of equal substance throughout the research process. The choice of these researchers as co-first authors acknowledge and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating Jiang C and Ma J as co-first authors of is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.
Institutional review board statement: This study was approved by the Ethics Committee of Huangpi District People′s Hospital of Wuhan.
Informed consent statement: All the families have voluntarily participated in the study and have signed informed consent forms.
Conflict-of-interest statement: The authors declared no conflict of interest existing in this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hai-Ying Zhang, Chief Nurse, Department of Nursing, Huangpi District People′s Hospital of Wuhan, No. 61 Banqiao Avenue, Qianchuan Street, Huangpi District, Wuhan 430300, Hubei Province, China. haiying87666@163.com
Received: November 21, 2023
Peer-review started: November 21, 2023
First decision: December 5, 2023
Revised: December 16, 2023
Accepted: January 12, 2024
Article in press: January 12, 2024
Published online: February 6, 2024
Processing time: 64 Days and 23.9 Hours
Abstract
BACKGROUND

As one of the fatal diseases with high incidence, lung cancer has seriously endangered public health and safety. Elderly patients usually have poor self-care and are more likely to show a series of psychological problems.

AIM

To investigate the effectiveness of the initial check, information exchange, final accuracy check, reaction (IIFAR) information care model on the mental health status of elderly patients with lung cancer.

METHODS

This study is a single-centre study. We randomly recruited 60 elderly patients with lung cancer who attended our hospital from January 2021 to January 2022. These elderly patients with lung cancer were randomly divided into two groups, with the control group taking the conventional propaganda and education and the observation group taking the IIFAR information care model based on the conventional care protocol. The differences in psychological distress, anxiety and depression, life quality, fatigue, and the locus of control in psychology were compared between these two groups, and the causes of psychological distress were analyzed.

RESULTS

After the intervention, Distress Thermometer, Hospital Anxiety and Depression Scale (HADS) for anxiety and the HADS for depression, Revised Piper’s Fatigue Scale, and Chance Health Locus of Control scores were lower in the observation group compared to the pre-intervention period in the same group and were significantly lower in the observation group compared to those of the control group (P < 0.05). After the intervention, Quality of Life Questionnaire Core 30 (QLQ-C30), Internal Health Locus of Control, and Powerful Others Health Locus of Control scores were significantly higher in the observation and the control groups compared to the pre-intervention period in their same group, and QLQ-C30 scores were significantly higher in the observation group compared to those of the control group (P < 0.05).

CONCLUSION

The IIFAR information care model can help elderly patients with lung cancer by reducing their anxiety and depression, psychological distress, and fatigue, improving their tendencies on the locus of control in psychology, and enhancing their life qualities.

Keywords: Initial check, information exchange, final accuracy check, reaction information care model; Lung cancer; Mental health

Core Tip: Elderly patients with lung cancer have poor self-care ability, which easily leads to a series of psychological problems. The purpose of this study is to explore the influence of initial check, information exchange, final accuracy check, reaction (IIFAR) nursing on mental health of elderly patients with lung cancer. Through the randomized controlled trial based on IIFAR nursing, it is found that IIFAR information nursing mode can help the elderly patients with lung cancer to reduce anxiety, depression, psychological distress and fatigue, improve their tendency of locus of control and effectively improve their quality of life.