Abstract
Background: The burden of immunotherapy-induced symptoms is prevalent in patients with advanced lung cancer and may impact their quality of life (QOL). Objective: To investigate the effect of auricular acupressure, based on the theory of midnight-noon ebb-flow, and using a randomized controlled trial, on alleviating symptoms burden and QOL in patients with advanced lung cancer during 3 cycles of immunotherapy treatment. Methods: Patients with advanced lung cancer who received immunotherapy were recruited. The control group (n = 60) was treated with standard clinical treatment and nursing care, and the intervention group (n = 60) was treated with 3 cycles of auricular acupressure under the guidance of midnight-noon ebb-flow theory. Patients’ symptoms and QOL were compared before and after the intervention of 3 cycles. Results: At 2 cycles after the intervention for symptoms burden and QOL, there were statistically significant differences between the control group and the intervention group (P < .05), but no statistically significant difference between the two groups after 3 cycles. Conclusion: Auricular acupressure based on the theory of midnight-noon ebb-flow can alleviate the specific symptom burden of immunotherapy patients with advanced lung cancer and improve their QOL. Implications for Practice: The special Traditional Chinese Medicine (TCM) nursing technology of auricular acupressure combined with TCM time treatment is beneficial and safe. Foundational: The QOL of patients can be improved by nursing technology with TCM, which may be best used as a part of clinical work.
Published Version
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