The effect of nursing intervention combined with PD-1 inhibitor on platelets, white blood cells, tumor markers and quality of life in patients with lung cancer

ABSTRACT

Tumor immunotherapy has become one of the important directions in the field of anti-tumor research. Among them, programmed death molecule-1 (PD-1) and its ligand (PD-L1) inhibitors have attracted considerable attention. This study analyzed the application effects of PD-1 inhibitors assisted nursing intervention in patients with lung cancer (LC). Sixty-eight patients with LC were divided into research group and control group randomly. Control group was treated with PD-1 inhibitor chemotherapy. Research group was treated with PD-1 inhibitors as auxiliary nursing intervention. Platelets, immune function indexes, tumor markers, and white blood cells were analyzed. Clinical efficacy was evaluated by traditional Chinese medicine (TCM) symptom score, survival quality of karnofsky performance scale (KPS) score, living quality of quality of life (QOL) score, and nausea and vomiting classification. Hemoglobin (HB), platelet (PLT) and serum white blood cells (WBC) levels in the two groups were decreased after treatment. HB, PLT and WBC levels were enhanced in research group versus control group. Moreover, carcino-embryonic antigen (CEA), carbohydrate antigen 199 (CA199) and CA125 levels in both groups were reduced after treatment. Compared with before treatment, the levels of cluster of differentiation (CD)3+, CD4+, CD4+/CD8+ in control group and the research group increased, while the CD8+ content was significantly decreased after treatment. And their content of the research group was significantly higher/lower than that of the control group. TCM symptom score, KPS score, QOL score and nausea and vomiting classification were improved in research group compared to control group. PD-1 inhibitors assisted nursing intervention can improve the living quality of patients with LC after chemotherapy.

KEYWORDS:

• PD-1 inhibitor
• nursing intervention
• lung cancer
• tumor markers
• quality of life score

Acknowledgements

Not applicable

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

No funding was received.

Notes on contributors

Jianna Liu

Jianna Liu, who has been engaged in surgical nursing for 34 years, can skillfully master the use of various large machines in the fumigation room.

Aiju Wang

Aiju Wang, engaged in intensive care nursing for 12 years, has a very rich clinical nursing experience.

Xianzhong Zhang

Xianzhong Zhang, engaged in thoracic surgery nursing work for 34 years, can master thoracic surgery for esophageal cancer and pulmonary nodules preoperative and postoperative nursing, critical patients with emergency treatment and rescue work.

Xinting You

Xinting You, good at endoscopy room nursing work.

Yanzheng Wang

Yanzheng Wang, with solid professional knowledge of laboratory, especially good at the detection of various tumor markers.