Efficacy of nurse led interventions on Symptom Cluster among Lung cancer patients- A Randomised Control trial

As lung cancer is one of the highest cause of mortality and the main focus is given for chemotherapy an radiation therapy for these patients, they also suffer a lot from breathlessness, cough anf fatigue which worsen their quality of life. Thus certain nurse led interventions will be given to allieviate the suffering of these patients. The study aims to compare the efficacy the nurse led interventions on the symptom cluster of breathlessness, cough and fatigue. A total of 50 participants will be taken (25 in each experimental and control group). The participants will be randomly allocated in experimental and control group by using Block Randomization method and Allocation Concealment will be maintained by SNOSE method. Initially consent will be taken and then patients will be screened using W.H.O Performance Status score and those with score between 0-2 will be taken for the study. The participants will be given a detailed instruction regarding the interventions whereas the control group will be given the standard care. The nurse led interventions include Diaphragmatic and Pursed lip breathing for Breathlessness; Sips of water, Steam inhalation and Huff cough technique for Cough and ROM exercises and Patient tailored exercises(walking) for Fatigue. 3 Standardized tools will be used for collecting the data. (Dyspnoea-12 tool, The Leicester Cough Questionnaire tool and The FACIT-Fatigue version 4 tool). Data will be collected at baseline and ate 3-5 weeks and again at 6-8 weeks of follow-up. Daily telephonic conversations along with a log book will be given to the patients for better compliance. After collection of the data, the data will be analysed by using differential and infereantial statistics.