Nursing assessment and management of patients with cardiogenic pulmonary edema

Cardiogenic pulmonary edema (CPE) is a clinical health problem that induces impaired gas exchange, dyspnea and hypoxia. This serious condition results in acute respiratory failure and high mortality rate. This article suggests an effective approach to CPE patient clinical symptom assessment and management. In accordance with evidence-based methods, we searched Cochrane, CINAHL and ScienceDirect and identified four Oxford Ia or Ib reports that employed a randomized controlled trial, systematic review and meta-analysis. Results suggest that prompt application of a non-invasive positive ventilator, especially continuous positive or bi-level positive airway pressure, can help patients reduce intubation risks, ICU stay days, and mortality rates. The authors hope to see more clinical trials on this topic to support evidence-based clinical nursing care.     

健择治疗非小细胞肺癌的护理

为探讨健择治疗晚期非小细胞肺癌的护理要点,笔通过对30例晚期非小细胞肺癌50次使用健择治疗的观察,提出护理重点在于掌握健择的配制,储存要求,调节滴注速度,加强对症护理,是防治不良反应的关键。     

氩氦刀靶向治疗肺癌的护理

氩氦刀靶向治疗术是近年来新兴的一项微创治疗技术，积极完善氩氦刀治疗肺癌术前准备工作，术中配合，并加强术中监护及术后护理，防止和预防术后并发症，是保证治疗成功的关键。     

Advances in nursing management of patients with lung cancer

Cancer of the lung is a medical and nursing challenge. Conventional treatment of lung cancer has resulted in such limited success that other treatment modalities are being investigated. Newer strategies and experimental studies have impacted on the nursing care required of these patients. Advances in oncology nursing are evident in the successful outpatient care of lung cancer patients receiving treatment, the preparation of patients for and the management of problems related to new treatment regimens, and the expansion of acute oncology nursing care for the home-bound patient.     

射波刀立体定向放射外科治疗肺癌56例的护理

目的探讨射波刀治疗肺癌的有效护理措施。方法对56例肺癌患者实施射波刀治疗前的宣教,治疗中的护理,治疗后并发症的观察与护理。结果 56例患者均顺利完成治疗,在实施有效护理措施后总有效率91.1%,取得较好效果,本组无并发症出现。结论精心的护理为射波刀治疗提供了有效的支持和保证,且无严重并发症发生。     

Nursing assessment and patient management

OBJECTIVES: To review contemporary knowledge and recent research in the nursing assessment and management of patients receiving radiation therapy. DATA SOURCES: Published scientific papers, review articles, book chapters, and clinical practice. CONCLUSIONS: Despite the enormous advances in treatment technology, dose-limiting acute and late effects of radiation therapy have not been eliminated. Astute assessment and early interventions can have a positive impact on the quality of life of the patient receiving radiation therapy. IMPLICATIONS FOR NURSING PRACTICE: Oncology nurses need to be well-informed about treatment advances and be able to integrate research findings into clinical practice. The increased use of concurrent or sequential combined modality therapy requires nurses to broaden their skills of assessment and management.     

肺癌患者围手术期呼吸道管理

目的：探讨肺癌患者围手术期的呼吸道管理对肺部术后并发症发生及康复的影响。方法：选择60例行肺叶或全肺切除的肺癌患者，进行有针对性的围手术期呼吸道管理。结果：60例患者均能按期进行手术，术后恢复良好，未发生肺部感染、肺不张、呼吸衰竭等并发症。结论：加强肺癌患者围手术期的呼吸道管理，可减少肺部并发症发生，同时也是保证患者以最佳状态接受手术并促进早日康复的重要环节。     

中央型肺癌腔内放射治疗的护理

我科于2003年7月-2007年3月对27例中央型肺癌病人施行了61台次经纤维支气管镜引导下放置引导钢丝送入施源管行支气管腔内癌区铱-192放射治疗的新技术.     

肺癌植入放射性微粒子的护理

我科2004年8月-2005年2月行放射性^125I粒子植入治疗肺癌局限性病灶病人11例，近期效果满意，现将护理体会介绍如下。     

肺癌病人应用紫杉醇加卡铂联合化学治疗的护理

紫杉醇是从紫杉树中提取的双菇烯植物制品,是新型抗微管药物,通过促进微管蛋白聚合,抑制解聚,保持微管蛋白稳定,抑制细胞有丝分裂,从而诱导肿瘤细胞凋亡,主要毒性为变态反应和白细胞、中性粒细胞减少,其他毒性有周围神经病变、低血压、肌肉关节痛、脱水等.卡铂为周期非特异性抗癌药,直接作用于脱氧核糖核酸(DNA),主要与细胞DNA的链间及链内交联,破坏DNA,而抑制肿瘤的生长,不良反应有骨髓抑制、变态反应等,但因紫杉醇价格昂贵,有些病人及家属拒之不用,现将我科近1年来应用紫杉醇加卡铂这一化学治疗方案的护理介绍如下.     

肺癌植入放射性微粒子的护理

我科2004年8月-2005年2月行放射性125I粒子植入治疗肺癌局限性病灶病人11例,近期效果满意,现将护理体会介绍如下. ……     

Nursing assessment and management of nutrition in older people with cancer: An integrative review

BackgroundThere is a risk of malnutrition when older people are diagnosed with cancer, highlighting the need for nutritional assessments and appropriate management to be undertaken by healthcare professionals including nurses. The absence of a standardised assessment method and management of nutrition in older people creates a gap in clinical practice and warrants further research.AimThe aim of this review was to explore the current nutritional assessment methods and evidence-based interventions for improving nutritional outcomes in older people with cancer.MethodsAn integrative literature review was conducted using electronic databases. Papers were limited to those published in English between 2009 and 2021. Search terms included older adult, elder, geriatric, senior, cancer, nutrition, malnutrition, hospital, and inpatient across four databases: Embase, CINAHL, MEDLINE, and Scopus. Using the inclusion and exclusion criteria, 303 articles were screened. A Mixed Methods Appraisal Tool (MMAT) (2018) was used for quality appraisal. Concept analysis explored themes across the included articles.FindingsThe themes from the analysis of 10 primary research articles, which included 5,327 participants, were (i) types of nutritional assessment and (ii) management of older people with cancer. The main nutritional assessment scales used were the Mini Nutrition Assessment and Patient-Generated Subjective Global Assessment.ConclusionThe completion of a comprehensive nutritional assessment by health professionals, including nurses, could facilitate early dietary intervention in older persons with cancer. This would enable supportive dietary advice and supplementation to improve health outcomes.     

Nursing patients with interstitial lung disease

Annette Duck considers the important factors for supporting patients with a diagnostic label of interstitial lung disease.     

晚期肺癌生活质量与治疗方案选择

Inrecentyears，incidenceoflungcancerisincreas－ing．Incidenceaswellasmortalityoflungcancerrankthefirsta－mongcancersinmeninChina．Itisestimatedthat６５％ofpatientswithlungcancerwereinlatestageatdiagnosis．Now，longationofsurvivaltimeandimprovementofqualityoflifereceivemoreatten－tionindesignoftreatmentproject．Managementoflungcancerfallsintosurgery，radiotherapyandchemotherapy．Hottocombineinter－disciplinarilycomprehensivetreatmentsandavoidsimpledisciplinarytreatmentswhichcancauseexcessivein…     

Quality of life and management project for patients with advanced lung cancer

Compared with best supportive care,chemotherapy can prolong survival and improve quality of life, and symptoms associated with societry activities and disease. Chemotherapy can improve quality of life of patients with effective treatment and stable treatment. Treatment benefit was often underestimated using clinical relief rate, so which sould not chosen as index for evaluating effect of palliative treatment. Soo for patients with poor status, and objective of relieving symptoms, short term, low-dose chemotherapy should be suggested dure to its characteristic of low cost, short inhospitalization time, and favorable improvement of quality of life. For patients with good condition in limited advanced stage, radical treatment is objective, and hence single chemotherapy of standard dose or chemotherapy combining radiotherapy should be suggested.     

肺癌患者在术后并发急性呼吸窘迫综合征的护理干预

目的探讨肺癌患者术后并发急性呼吸窘迫综合征的临床护理方法。方法选取肺癌手术后并发急性呼吸窘迫综合征患者72例作为研究对象,其中对照组36例行常规护理,观察组36例在常规护理的基础上给予优质护理干预,观察比较2组患者的临床效果。结果观察组中27例顺利康复出院,其余9例手术后1～3周内死亡,存活率为75.0%; 对照组中19例顺利康复出院,其余17例手术后1～3周内死亡,存活率为52.8%。2组患者存活率比较,差异具有统计学意义（P＜0.05）。结论针对肺癌术后并发急性呼吸窘迫综合征患者予以及时有效的治疗和优质的护理,密切关注患者的病情发展和身心状态,并加强患者的呼吸道管理,可以有效改善患者的临床症状,提高患者的存活率,值得临床推广应用。     

全病程管理在肺癌化疗患者中的应用研究

目的 探讨全病程管理模式在肺癌再化疗患者中的应用效果。方法 选取2018年1—10月收治于湖南省某三级甲等医院的呼吸内科行再次化疗肺癌住院患者100例作为研究对象。按照入院时间的先后顺序,将2018年1—5月收治的50例患者作为对照组,2018年6—10月收治的50名患者作为观察组。对照组按照常规肺癌化疗标准护理流程护理,观察组采用全病程管理模式护理,比较两组患者平均住院日、癌症照护满意度量表得分、患者出院满意度得分的情况。 结果 观察组平均住院日为（5.44±1.43）d ,而对照组平均住院日为（7.02±1.04）d,两组差异比较有统计学意义（P＜0.05);观察组癌症照护满意度为（68.14±19.27）分,对照组癌症照护满意度为（38.74±14.50）分,两组差异比较有统计学意义（P＜0.05);观察组患者出院满意度为97分（88.10%）,而对照组为80分（72.70%）,且两组差异比较有统计学意义（P＜0.05)。结论 全病程管理模式可以缩短肺癌化疗患者平均住院日,提高癌症照护满意度和患者出院满意度,满足患者个性化和整体化的需求,值得临床推广应用。