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目的：了解肺癌化疗患者在治疗间歇期的症状及对延续护理的认知需求，为肺癌化疗患者的症状管理和延续护理的开展提供参考依据。方法采用便利抽样方法，运用安德森症状评估量表中文版、肺癌患者特异性症状评估表和延续护理认知需求问卷对156例肺癌化疗患者进行问卷调查。结果随着化疗次数的增加，肺癌患者在化疗间歇期咳嗽、咳痰、呼吸困难等症状较化疗前不断减轻（F=18.266、20.463、17.371，均P＜0.01），疲乏、恶心、呕吐、食欲减退、睡眠不安等症状较化疗前逐渐加重（F=15.821、20.116、16.439、13.541、9.528，P＜0.05或0.01），苦恼、悲伤感则无明显变化（P＞0.05）。间歇期症状对患者情绪造成严重困扰，化疗后比化疗前其发生率及严重程度有所提高（χ2=43.162，F=11.683，P＜0.05），在日常一般活动、走路、生活乐趣方面，首次化疗后、化疗2周期后发生率及严重程度也有所提高（χ2=42.589、37.689、39.125，F=9.148、15.325、14.758，均P＜0.05），但与化疗4周期后比较差异无统计学意义（P＞0.05）。79.49%（124/156）的患者不了解延续护理的内容及作用，98.72%（154/156）的患者希望在出院后接受延续护理服务。结论肺癌患者化疗间歇期药物不良反应症状加重，对日常生活造成困扰，且负性情绪明显。患者对延续护理了解程度较低，对延续护理需求强烈，应针对症状加强对患者的延续护理服务，从而提高患者的生命质量。

Objective To investigate the symptoms and the needs of transitional care for the patients with lung cancer at the intermission of chemotherapy and provide references for the symptom management and carrying out transitional care. Methods Totally 156 patients with lung cancer were investigated by questionnaire survey. Results With the increase of chemotherapy, symptoms such as cough, sputum, dyspnea were relieved after chemotherapy(F=18.266, 20.463, 17.371, P < 0.05), but symptoms like fatigue, nausea, vomiting, loss of appetite, sleep uncomfortable were worse than before(F=15.821, 20.116, 16.439, 13.541, 9.528, P<0.05,<0.01). Negative emotions like bitterness and sadness had no obvious change. Symptoms affected the patients′mood, the incidence and severity were higher after chemotherapy(χ2=43.162, F=11.683, P < 0.05), as for general activity and walking, the incidence and severity were higher after the first cycle chemotherapy and the second cycle(χ2=42.589, 37.689, 39.125, F=9.148, 15.325, 14.758, P < 0.05), but after 4 cycles of chemotherapy, it did not change significantly (P>0.05). 79.49%(124/156)patients did not know the content and function of transitional care, 98.72%(154/156)patients hope to get transitional care through the hospital. Conclusions Symptoms by side effects were getting worse for patients with lung cancer and influenced their daily life. Patients got to know less about transitional care, however they had a strong need for transitional care. We should <br> reinforce the management of symptoms and transitional care to improve their quality of life.