The Impact of Symptom Management Nursing Intervention on the QoL of Patients With Advanced Lung Cancer: Mediation of Self-management Efficacy and Regulation of Psychological Resilience

Dahua Hospital, Xuhui District, Shanghai

Symptom management nursing intervention can improve the self-management efficacy, psychological resilience, and QoL of patients with advanced lung cancer.

Self management efficacy is an important mediating variable in the impact of Symptom management nursing intervention on patients' quality of life. Psychological resilience plays a negative moderating role in the effect of Symptom management nursing intervention. Late stage lung cancer patients with low psychological resilience can obtain more significant self management efficacy and quality of life improvement from Symptom management nursing intervention, and are the key beneficiaries of the intervention.

Inclusion Criteria:

• According to the diagnostic criteria of primary lung cancer [9], the clinical stage was stage ⅢB-Ⅳ
• aged 18-75 years old
• Karnofsky performance status (KPS) ≥60 and expected survival ≥3 months
• Patients had clear consciousness and normal cognitive function, and could complete the questionnaire independently or with the assistance of the researcher
• have basic communication skills and can cooperate to complete the whole intervention
• Patients or their families informed and signed the consent form.

Exclusion Criteria:

• primary malignant tumors in other parts
• history of severe heart, liver, kidney and other important organ failure, severe infection or mental illness
• Unable to cooperate with the study due to cognitive impairment, visual and hearing impairment
• participating in other similar nursing intervention studies.