A survey of symptoms after thoracoscopic lung cancer resection based on patient-reported outcomes_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YAO Li , ZHENG E ,  YANG Mei , YIN Yuanyuan

Department of Thoracic Surgery, West China Hospital, Sichuan University/School of Nursing, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding?author：

YANG Mei, Email: yangmei69@126.com

Keywords：

Patient-reported outcomes; lung cancer; symptom management

DOI：

10.7507/1007-4848.202112082

Video：

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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.

Citation： YAO Li, ZHENG E, YANG Mei, YIN Yuanyuan. A survey of symptoms after thoracoscopic lung cancer resection based on patient-reported outcomes. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(1): 84-88. doi: 10.7507/1007-4848.202112082 Copy

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15.	魯爾旦, 倪鍇文, 王真. 王真教授治療肺癌術后咳嗽的經驗. 浙江中醫藥大學學報, 2020, 44(4): 367-369.
16.	肖益萍. 肺癌患者圍手術期癥狀群的縱向研究. 新鄉醫學院, 2016.
17.	中華醫學會胸心血管外科學分會胸腔鏡外科學組, 中國醫師協會胸外科醫師分會微創外科專家委員會. 中國胸外科圍手術期疼痛管理專家共識(2018版). 中國胸心血管外科臨床雜志, 2018, 25(11): 921-928.

1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018, 68(6): 394-424.
2. Coons SJ, Gwaltney CJ, Hays RD, et al. Recommendations on evidence needed to support measurement equivalence between electronic and paper-based patient-reported outcome (PRO) measures: ISPOR ePRO Good Research Practices Task Force report. Value Health, 2009, 12(4): 419-429.
3. 沈誠, 李玨, 李鵬飛, 等. 加速康復外科評價指標: 病人報告結局在胸外科的臨床應用現狀與進展. 中國肺癌雜志, 2019, 22(3): 161-166.
4. 李華艷, 樊榕榕. 肺癌患者報告結局工具及應用研究進展. 護士進修雜志, 2021, 36(12): 1124-1128.
5. 王明銘, 李霞, 車國衛, 等. 肺癌患者術后癥狀評估量表的有效性及臨床應用. 中國胸心血管外科臨床雜志, 2017, 24(6): 417-422.
6. 孔慶芝, 邢飛, 張衛. 胸部手術后慢性疼痛危險因素及預防. 國際麻醉學與復蘇雜志, 2019, 40(3): 270-274.
7. 宋洋, 夏冰, 吳岳光. 肺癌術后長期慢性疼痛的特點及危險因素研究. 浙江醫學, 2021, 43(16): 1757-1760.
8. 紀霞, 曹秀真, 李政玲. 胸外科圍術期鎮痛效果及術后慢性疼痛相關影響因素. 國際護理學雜志, 2021, 40(16): 2922-2924.
9. 楊梅, 鄭娥, 林琳, 等. 基于加速康復外科的肺部疾病手術患者院外疼痛管理現狀研究. 中國胸心血管外科臨床雜志, 2019, 26(11): 1098-1102.
10. 閆憲飛. 胸外科圍手術期鎮痛效果及術后慢性疼痛相關影響因素的研究. 青島大學, 2019.
11. Urso B, Michaels S. Differentiation of lung cancer, empyema, and abscess through the investigation of a dry cough. Cureus, 2016, 8(11): e896.
12. 林嶸嘉, 車國衛, 徐志華, 等. 肺癌患者電視胸腔鏡手術后咳嗽的影響因素分析: 單中心前瞻性研究. 中國胸心血管外科臨床雜志, 2017, 24(10): 748-752.
13. Chen Z, Dong Q, Liang L. Effect of different thoracic anesthesia on postoperative cough. J Thorac Dis, 2018, 10(6): 3539-3547.
14. Gazala S, Pelletier JS, Storie D, et al. A systematic review and meta-analysis to assess patient-reported outcomes after lung cancer surgery. Sci World J, 2013, 2013: 789625.
15. 魯爾旦, 倪鍇文, 王真. 王真教授治療肺癌術后咳嗽的經驗. 浙江中醫藥大學學報, 2020, 44(4): 367-369.
16. 肖益萍. 肺癌患者圍手術期癥狀群的縱向研究. 新鄉醫學院, 2016.
17. 中華醫學會胸心血管外科學分會胸腔鏡外科學組, 中國醫師協會胸外科醫師分會微創外科專家委員會. 中國胸外科圍手術期疼痛管理專家共識(2018版). 中國胸心血管外科臨床雜志, 2018, 25(11): 921-928.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

A survey of symptoms after thoracoscopic lung cancer resection based on patient-reported outcomes

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