Volume 23 Issue 2
Feb.  2025
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DU Xiaoxia, SUN Yuanyuan, LU Degan, ZHAO Xinyue, XU Huanyu, SU Shufen. Effects of one-core-multiple hospice care on cancer-induced fatigue, hope level, and depression in advanced patients with lung cancer[J]. Chinese Journal of General Practice, 2025, 23(2): 335-339. doi: 10.16766/j.cnki.issn.1674-4152.003898
Citation: DU Xiaoxia, SUN Yuanyuan, LU Degan, ZHAO Xinyue, XU Huanyu, SU Shufen. Effects of one-core-multiple hospice care on cancer-induced fatigue, hope level, and depression in advanced patients with lung cancer[J]. Chinese Journal of General Practice, 2025, 23(2): 335-339. doi: 10.16766/j.cnki.issn.1674-4152.003898

Effects of one-core-multiple hospice care on cancer-induced fatigue, hope level, and depression in advanced patients with lung cancer

doi: 10.16766/j.cnki.issn.1674-4152.003898
Funds:

 ZR2021MH379

  • Received Date: 2024-06-14
    Available Online: 2025-03-27
  •   Objective   To investigate the effects of one-core-multiple hospice care on cancer-induced fatigue, hope level, and depression in patients with advanced lung cancer.   Methods   From September 2021 to September 2023, 60 patients with advanced lung cancer were enrolled at the First Affiliated Hospital of Shandong First Medical University. They were randomly assigned to the observation group (n=30, receiving one-core-multiple hospice care) and the control group (n=30, receiving routine care). Cancer-induced fatigue (cancer fatigue scale, CFS), hope level (Herth hope inventory, HHI), anxiety and depression (Hamilton depression scale score, HAMD; Hamilton anxiety scale score, HAMA), meaning of life (meaning of life scale, MiLS), and quality of life (international quality of life for cancer patients, QOL-C30) were compared between the two groups before and 6 weeks after intervention.   Results   After 6 weeks of intervention, both groups showed reduced CFS, HAMD, and HAMA scores. The observation group had a significant increase in MiLS scores after intervention than before (P < 0.01). CFS in the observation group was lower than that in the control group, while MiLS was higher after 6 weeks of intervention, after adjustment for baseline values (P < 0.01). After 6 weeks of intervention, the medium to high level proportion of hope and life meaning in the observation group was 66.67% (20/30) and 53.33% (16/30), respectively. In contrast, the control group had 36.67% (11/30) for hope and 26.67% (8/30) for life meaning. The medium to high level proportion of hope and life meaning in the observation group were higher than those in the group (Z=2.237, 4.444, P=0.025, 0.035).   Conclusion   One-core-multiple hospice care for advanced lung cancer patients can reduce the level of cancer-related fatigue, anxiety and depression, while improving the level of hope, life meaning, and life quality.

     

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