Study on comprehensive evaluation of physiological stress and mental health of lung cancer patients in emergency department and its improvement of nursing effect
Abstract
Objective: To investigate the clinical value of a dual-index comprehensive assessment of physiological stress and mental health in lung cancer patients in the emergency department, and to verify the effectiveness of comprehensive nursing interventions in improving patients’ physiological and psychological status. Methods: A single-center retrospective study was conducted, enrolling 90 lung cancer patients hospitalized in the emergency department from January 2024 to November 2024. Serum cortisol, heart rate variability (HRV, SDNN parameter), IL-6, as well as HADS, PSS, QLQ-C30 scale scores and intervention execution status were collected within 48 h of admission and 48 to 72 h after the completion of comprehensive nursing intervention. Paired t-tests were used to compare the differences in each indicator before and after the intervention, and Pearson correlation analysis was performed to explore the relationships between ΔHRV and ΔHADS, ΔPSS, and ΔQLQ-C30. Results: After the intervention, serum cortisol was significantly lower than before the intervention (P = 0.001), HRV was significantly increased (P = 0.004), and IL-6 levels were significantly reduced (P = 0.042). The HADS and PSS scores significantly decreased (both P < 0.01), while QLQ-C30 global health, emotional, and social functioning scores significantly increased (P = 0.002, 0.005, 0.021, respectively). ΔHRV was significantly negatively correlated with ΔHADS and ΔPSS (both P < 0.01) and significantly positively correlated with ΔQLQ-C30 (P < 0.01). The intervention protocol adherence was high, showing good clinical feasibility. Conclusion: Comprehensive nursing interventions can effectively reduce physiological stress levels and improve mental health and quality of life in lung cancer patients in the emergency department. Physiological and psychological indicators are closely related, and comprehensive assessment provides empirical support for individualized nursing strategies, contributing to improved clinical nursing quality and overall patient prognosis.
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