Application of chronic illness trajectory model-based nursing interventions in patients undergoing radiotherapy after surgery for brain glioma

Abstract

Objective To explore the applicability of chronic illness trajectory model-based nursing interventions in patients undergoing radiotherapy after surgery for brain glioma. Methods Totally 100 patients receiving radiotherapy after surgery for brain glioma in the Third People's Hospital of Hubei Province from January 2015 to January 2018 were selected and divided into observation (n=50) and control (n=50) groups according to the random number table. Patients in the control group received routine care, while patients in the observation group received nursing interventions based on the chronic illness trajectory model. Self-Anxiety Scale (SAS) , Self-Depression Scale (SDS) , Connor-Davidson Resilience Scale (CD-RISC) , Brief Fatigue Inventory (BFI) , European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QOL-C30) and Jalowiec Coping Scale (JCS) were used to measure negative emotions, mental resilience, cancer-related fatigue, coping style and quality of life of the patients in both groups, and the incidence rate of adverse effects after radiotherapy were compared between the two groups. Results The SAS and SDS scores in the observation group were (43.57±4.49) and (46.19±4.82) , lower than (52.04±5.31) and (53.16±5.47) in the control group. The CD-RISC score in the observation group was (71.38±7.29) , higher than (68.14±6.75) in the control group. There were statistically significant differences between the two groups (P<0.05) . The observation scored higher in terms of palliative care and avoidance and lower in self-dependence, optimism, seeking support and emotional catharsis in JCS than the control group (P<0.05) . The scores in physical function, emotional function, social function, role function and cognitive function in EORTC QOL-C30 and its total score were higher in the observation group than in the control group (P<0.05) . The incidence rate of adverse effects was 12.00% in the observation group, lower than 30.00% in the control group (P<0.05) . Conclusions Nursing interventions based on the chronic illness trajectory model can enhance mental resilience and quality of life in patients receiving radiotherapy after brain glioma surgery, ameliorate their negative emotions and cancer-related fatigue, improve their coping style, and reduce the incidence of adverse effects following radiotherapy. Key words: Neurological glioma; Radiotherapy; Quality of life; Mental resilience; Negative emotion; Cancer-related fatigue; Coping style; Chronic illness trajectory model