The Intervention Effect Of Painting Therapy On Chemotherapy-related Nausea And Vomiting And Quality Of Life In Female Lung Cancer Patients

Objective:To investigate the status of chemotherapy-related nausea and vomiting and quality of life in lung cancer patients and analyze its influencing factors,and to explore the intervention effect of painting therapy on chemotherapy-related nausea and vomiting and quality of life in female lung cancer patients.Vomiting frequency in turn improves the quality of life of patients.Methods:The first part adopts the convenient sampling method,applying the general data questionnaire,MASCC antiemetic evaluation tool(MAT scale),vomiting life function index scale(FLIE scale),hospital anxiety and depression scale(HADS)to 200 cases of a tumor hospital in Shanxi Province in February 2019-In June,inpatients with lung cancer who underwent platinum-based chemotherapy for the first time were surveyed.Univariate and Logistic regression were used to analyze the influencing factors of nausea and vomiting.The second part adopts the convenient sampling method,and selects 84 female lung cancer chemotherapy patients who received chemotherapy in a provincial tertiary-level oncology specialist hospital from November 10,2018 to August 13,2019 as the research object;according to the admission time Grouping was performed.The 42 patientsselected from November 10,2018 to March 12,2019 were the control group,and the 42 patients selected from April 10,2019 to August 13,2019 were the intervention group.The control group(n = 42)received routine nursing care and applied antiemetic drugs as directed by the doctor;the intervention group(n = 42)performed painting therapy on the basis of the control group.In this study,the acute phase refers to the first to third days of cisplatin chemotherapy,and the delayed phase refers to the first to fourth days after the end of cisplatin chemotherapy.MASCC antiemetic evaluation tools and living function index scale were used as measurements.index.Epidata3.1 software was used to establish a database and save experimental data,and the data was imported into SPSS21.0 software for statistical analysis.The main statistical methods were chi-square test,logistic regression analysis,t test,and non-parametric Mann-Whitney U test.Results:1.Cross-sectional survey results:(1)Univariate analysis showed that: history of motion sickness,anxiety,and work status had statistically significant differences in acute and delayed nausea and vomiting(P <0.05).Motion sickness,work status,anxiety,age,fatigue,and history of pregnancy and vomiting were statistically significant for delayed nausea and vomiting(P <0.05),while drinking history,depression,and gender were not statistically significant for acute and delayed nausea and vomiting P> 0.05).(2)Logistic regression analysis showed that the differences between motion sickness and anxiety during the acute nausea and vomiting during chemotherapy were statistically significant(P= 0.003,0.001,P <0.001).The gender,work status,The differences in pregnancy vomiting history,motion sickness history,fatigue,and anxiety were statistically significant(P = 0.004,0.003,0.015,0.006,0.029,P <0.001).(3)Analysis of life function index showed that acute nausea and vomiting and delayed nausea and vomiting could affect the quality of life of patients to 89.1% and71.4%,respectively.According to the score,nausea and vomiting have the most significant effect on the patient's ability to eat,cook or do home repairs(the smell of fumes in the kitchen can cause patients with nausea).2.Intervention study results(1)Non-parametric Mann-Whitney U test: There was no significant difference in the frequency of vomiting and nausea in the acute phase between the two groups(P> 0.05).There was a statistical difference in the frequency of vomiting and nausea in the delayed phase between the two groups.Significance(P <0.05).(2)Non-parametric Mann-Whitney U test and t test: There was no significant difference in the scores of the life function index between the two groups before the intervention(P> 0.05);the nausea after the intervention: the degree of nausea,the effect on the activity,and the ability to eat After comparison,the ability to drink liquids,the ability of family and friends to coexist,the function of daily life,the degree of difficulty to individuals,the degree of influence on the closest ones,and the total score of nausea were all statistically significant(P <0.05).There was no statistically significant difference in home repairs(P> 0.05);vomiting after intervention: degree of vomiting,degree of influence on activities,ability to eat,coexistence of family and friends,difficulties for individuals,impact on the closest ones,and total score for vomiting After comparison,they all improved(P <0.05),and had no significant effect on the ability to cook and home repair,the ability to drink liquids,and the function of daily life(P> 0.05).Conclusion:1.The influencing factors of nausea and vomiting in the acute stage are history of motion sickness,anxiety,and work status,and the influencing factors of nausea andvomiting in the delay period are gender,work status,history of pregnancy and vomiting,history of motion sickness,fatigue,and anxiety.2.The incidence of chemotherapy-related nausea and vomiting in female lung cancer patients is at a relatively high level.The incidence of delayed nausea and vomiting is higher than that of acute nausea and vomiting,which significantly reduces the quality of life of patients.3.Painting therapy can effectively alleviate the severity of nausea and vomiting in the delayed period of female lung cancer chemotherapy patients,and improve the quality of life of patients.