Evidence map›Paper›PMID 41426323›Full record

ArticleFrontiers in oncology2025

Effects of evidence-based nursing under a quantitative assessment strategy on cancer-related fatigue, self-management ability, and quality of life in lung cancer patients undergoing chemotherapy.

Liwei Zhang, Haixian Fang, Yongqian Zhang, Xin Su, Juan Zhang, Li He, Changwen Bo, Yusha Yan, Jing Liu, Feifei Wang

Abstract read
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Liwei Zhang *Department of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Haixian Fang *Department of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Yongqian ZhangDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Xin SuDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Juan ZhangDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Li HeDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Changwen BoDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Yusha YanDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Jing LiuDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Feifei WangDepartment of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the effects of evidence-based nursing under a quantitative assessment strategy (EB-NQAS) on cancer-related fatigue (CRF), self-management ability, quality of life (QoL), and adverse events in lung cancer patients undergoing chemotherapy. Methods: A single-center, prospective, randomized controlled trial (RCT) was conducted, enrolling 150 lung cancer patients undergoing chemotherapy between January 2024 and January 2025. Participants were randomized into the intervention group (n=75) and control group (n=75) using a random number table. The intervention group received EB-NQAS, which featured personalized care plans based on symptom quantification via the Edmonton Symptom Assessment Scale (ESAS), while the control group received routine nursing care. Outcomes were assessed at baseline and 3 months. CRF was assessed using the Piper Fatigue Scale (PFS), self-management ability via the Adult Health Self-Management Scale (AHSMSRS), and QoL via the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC-QLQ-C30). Adverse events were recorded. Data were analyzed using linear mixed-effects models and chi-square tests. Results: Analyses were conducted on all 150 randomized participants per the intention-to-treat principle. After 3 months, the EB-NQAS group showed a significantly greater reduction in the total PFS score compared to the control group (22.88 ± 1.72 vs. 25.36 ± 1.63; group × time interaction, P<0.001). The intervention group also demonstrated significantly greater improvements in total AHSMSRS scores (146.00 ± 9.77 vs. 128.45 ± 12.45) and global health status/QoL scores (77.66 ± 9.74 vs. 68.91 ± 9.51) than the control group (all group × time interactions, P<0.001). The incidence of gastrointestinal reactions in the intervention group (5.33%) was lower than that in the control group (18.67%, P = 0.012). No significant differences were observed in other adverse events (P>0.05). Conclusion: Evidence-based nursing under a quantitative assessment strategy effectively reduces CRF, improves self-management ability and QoL, and decreases gastrointestinal reactions in lung cancer patients undergoing chemotherapy, demonstrating strong potential for clinical application.

Indexed as

cancer-related fatiguechemotherapyevidence-based nursinglung cancerquantitative assessment strategy

Identifiers

PMID41426323
PMCPMC12711549

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.