ABSTRACT
OBJECTIVE@#To summarize the experience of perioperative prevention during double-lung transplantation for elderly patients with coronavirus disease 2019 (COVID-19).@*METHODS@#Clinical data of 2 elderly patients with COVID-19 who underwent double-lung transplantation in the First Affiliated Hospital of Zhejiang University School of Medicine in March 2020 were retrospectively reviewed. Perioperative protective measures were introduced in terms of medical staffing, respiratory tract, pressure injuries, air in operating room, instruments and equipment, pathological specimens, and information management.@*RESULTS@#Two cases of double-lung transplantation were successfully completed, and the patients had no operation-related complications. Extracorporeal membrane oxygenator was successfully removed 2 to 4 days after surgery and the patients recovered well. There was no infection among medical staff.@*CONCLUSIONS@#Adequate preoperative preparation, complete patient transfer procedures, proper placement of instruments and equipment, strengthening of intraoperative care management, and attention to prevention of pressure injury complications can maximize the safety of COVID-19 patients and medical staff.
Subject(s)
Aged , Humans , Betacoronavirus , COVID-19 , Coronavirus Infections , Lung Transplantation/standards , Pandemics , Perioperative Care/standards , Pneumonia, Viral , Postoperative Complications/prevention & control , Retrospective Studies , SARS-CoV-2 , Transplant RecipientsABSTRACT
Objective@#To evaluate the influence of anti-anxiety nursing intervention to advanced lung cancer and its effect on cancer-related fatigue (CRF).@*Methods@#Total of 48 advanced lung cancer patients were assigned to study group (24 cases) and control group (24 cases) by random digits tale method. The control group adopted routine nursing mode, while the control group increased anti-anxiety nursing intervention. All patients were assessed with Piper Fatigue Correction Scale (Revise-Pfs), Self-rating Anxiety Scale (SAS) and WHO Quality of Life Scale (WHOQOL-BREF).@*Results@#Cancer-related fatigue was common among advanced lung cancer patients. There was no significant difference in the all scales before intervention between two groups (P >0.05). After intervention, the score of Revise-Pfs, SAS, WHOQOL-BREF was (5.24±1.57), (38.17±5.46), (73.17±2.62) points in control group, and (4.94 ± 1.15), (30.97±4.64), (81.35±3.01) points in study group, there was significant difference between two groups (t =1.21, 8.74, 1.43, P<0.05).@*Conclusions@#The anti-anxiety nursing is effective and CRF could be relieved by this way.
ABSTRACT
Objective To evaluate the influence of anti-anxiety nursing intervention to advanced lung cancer and its effect on cancer-related fatigue (CRF). Methods Total of 48 advanced lung cancer patients were assigned to study group (24 cases) and control group (24 cases) by random digits tale method. The control group adopted routine nursing mode, while the control group increased anti-anxiety nursing intervention. All patients were assessed with Piper Fatigue Correction Scale (Revise-Pfs), Self-rating Anxiety Scale (SAS) and WHO Quality of Life Scale (WHOQOL-BREF). Results Cancer-related fatigue was common among advanced lung cancer patients. There was no significant difference in the all scales before intervention between two groups (P>0.05). After intervention, the score of Revise-Pfs, SAS, WHOQOL-BREF was (5.24±1.57), (38.17±5.46), (73.17±2.62) points in control group, and (4.94 ± 1.15), (30.97±4.64), ( 81.35±3.01) points in study group, there was significant difference between two groups (t=1.21, 8.74, 1.43, P<0.05). Conclusions The anti-anxiety nursing is effective and CRF could be relieved by this way.