Distribution pattern of respiratory symptoms and the relevant risk factors in patients with pulmonary nodules: A cross-sectional study
- VernacularTitle:肺结节患者呼吸系统症状分布及其影响因素的横断面研究
- Author:
Haijie XU
1
,
2
;
Weitao ZHUANG
3
,
4
;
Qi WANG
5
;
Junhan WU
1
,
4
,
6
;
Hansheng WU
7
;
Yali CHEN
3
,
4
;
Yong TANG
3
,
4
;
Guibin QIAO
3
,
4
Author Information
1. 1. Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
2. 2. Department of Thoracic Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
3. Department of Thoracic Surgery, Guangdong Provincial People&rsquo
4. s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P. R. China
5. School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, P. R. China
6. 3.Department of Thoracic Surgery, Guangdong Provincial People&rsquo
7. Department of Thoracic Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
- Publication Type:Journal Article
- Keywords:
Pulmonary nodule;
respiratory symptom;
risk factor;
anxiety;
depression
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(08):1175-1180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the distribution pattern of respiratory symptoms and relevant factors in patients with pulmonary nodules. Methods Demographic and clinical information were collected from patients who visited the Thoracic Surgery Outpatient Clinic of Guangdong Provincial People’s Hospital from January 2021 to January 2022. Hospital Anxiety and Depression Scale (HADS) was used to assess their anxiety and depression level. Results A total of 1 173 patients were enrolled, including 449 males and 724 females, with an average age of 46.94±11.43 years. Among the patients with pulmonary nodules, 37.7% of them had at least one respiratory symptom; 24.4% had cough, 14.0% had expectoration, 1.3% had hemoptysis and 14.9% had chest pain. Old age, male, exposure to second-hand smoking or environmental smoke, hair coloring and history of tuberculosis were major risk factors for respiratory symptoms (P<0.05). Middle age, old age, male, exposure to environmental smoke were major risk factors for cough (P<0.05); old age, smoking, larger maximum nodules diameters, exposure to environmental smoke and history of pneumonia were major risk factors for expectoration (P<0.05); male, multiple nodules, hair coloring, exposure to second-hand smoking and history of tuberculosis were major risk factors for chest pain (P<0.05). Symptomatic patients showed generally higher HADS scores than asymptomatic patients (P<0.001). Conclusion Cough, expectoration and chest pain are the predominant respiratory symptoms for patients with pulmonary nodules. The presentation of respiratory symptoms increases patients' anxiety and depression.
