Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.737
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
Lung cancer, being a highly prevalent and life-threatening ailment, poses a significant threat to public health and safety. The elderly population, due to their diminished ability for self-care, often exhibit a range of psychological issues.
To investigate nursing effect of elderly lung cancer patients.
This study aims to examine the efficacy of the initial check, information exchange, final accuracy check, reaction (IIFAR) information care model in improving the mental health outcomes of elderly patients diagnosed with lung cancer.
The control group used the usual care model, the observation group, which received the IIFAR information care model in addition to the conventional care protocol.
Following the intervention, the observation group exhibited lower scores in 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 compared to their pre-intervention scores, and these scores were significantly lower than those of the control group (P < 0.05). Additionally, both the observation and control groups showed significantly higher scores in Quality of Life Questionnaire Core 30 (QLQ-C30), Internal Health Locus of Control, and Powerful Others Health Locus of Control after the intervention compared to their pre-intervention scores within their respective groups. Furthermore, the observation group had significantly higher QLQ-C30 scores compared to the control group (P < 0.05).
The implementation of the IIFAR information care model has the potential to ameliorate various psychological challenges faced by elderly patients diagnosed with lung cancer, including anxiety, depression, psychological distress, and fatigue. Moreover, this model exhibits the capability to enhance their psychological well-being by positively influencing their locus of control in psychology and ultimately improving their overall quality of life.
The small sample size in this study and the fact that it was all patients from our hospital may lead to some bias in the findings. There is a need to expand the sample size, refine the study design, and explore the findings further.