A survey of symptoms after thoracoscopic lung cancer resection based on patient-reported outcomes
- VernacularTitle:基于患者报告结局的胸腔镜肺癌切除术后患者症状调查
- Author:
Li YAO
1
;
E ZHENG
1
;
Mei YANG
1
;
Yuanyuan YIN
1
Author Information
1. Department of Thoracic Surgery, West China Hospital, Sichuan University/School of Nursing, Sichuan University, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Patient-reported outcomes;
lung cancer;
symptom management
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(01):84-88
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the changes of perioperative symptoms of lung cancer patients by using patient-reported outcomes at different time points. Methods A total of 109 patients who underwent thoracoscopic lung cancer resection in the department of thoracic surgery of our hospital from March to April 2021 were selected, including 55 (50.46%) males and 54 (49.54%) females. The mean age was 55.19±12.12 years. The postoperative symptom scale for lung cancer patients was used to investigate the changes of symptoms before surgery, 1 day after surgery, the day of discharge, and 30 days after surgery. Results The mean hospital stay was 6.89±2.25 days. None of the patients reported any clinical symptoms related to lung cancer before surgery. The most prominent symptoms 1 day after surgery were pain (3.33±0.96 points), nausea (2.81±1.18 points), dizziness (2.00±0.85 points), fatigue (1.89±0.79 points) and shortness of breath (1.79±1.37 points). The patients with dizziness, nausea, fatigue and other symptoms gradually decreased, and the symptoms were relieved significantly (P<0.05). However, the symptoms of conscious pain, cough and shortness of breath lasted for a long time. At 30 days after surgery, 70.64%, 64.22% and 33.03% of patients felt pain, cough and shortness of breath, respectively, and the degree of cough was aggravated (P<0.001). Conclusion Pain, cough, dizziness, shortness of breath and fatigue are the core postoperative symptoms of lung cancer patients. Most postoperative adverse symptoms can be effectively controlled in a short period of time, but pain, cough and shortness of breath still present persistent characteristics, which deserve further study.
