Analysis of preoperative adverse emotion of patients with lung cancer and its effect on postoperative rehabilitation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Rui ^1,2 , PU Qiang ¹ , WANG Ye ³ , MEI Xiaoli ¹ ,  LIU Lunxu ¹

1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. Department of Thoracic Surgery, Seventh People’s Hospital of Chengdu, 610041, P.R.China;
3. Mental Health Center, West China Hospital, Sichuan University, Chengdu, Chengdu, 610041, P.R.China;

Corresponding author：

LIU Lunxu, Email: lunxu_liu@aliyun.com

Keywords：

Enhanced recovery after surgery; lung cancer; adverse emotion; Huaxi emotional-distress index; treatment

DOI：

10.7507/1007-4848.201903034

Video：

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Objective To examine the effect of preoperative adverse emotion on rehabilitation outcomes in lung cancer patients undergoing thoracoscopic major pulmonary resection.Methods We retrospectively analyzed the clinical data of 1 438 patients with lung cancer who underwent thoracoscopic lobectomy and segmentectomy in West China Hospital of Sichuan University from February 2017 to July 2018 including 555 males and 883 females. All patients were assessed by Huaxi emotional-distress index scoring, and were divided into three groups including a non-negative emotion group, a mild negative emotion group, and a moderate-severe negative emotion group. All patients underwent thoracoscopic lobectomy or segmentectomy plus systematic lymph node dissection or sampling. The volume of postoperative chest drainage, postoperative lung infection rate, time of chest tube intubation and postoperative duration of hospitalization were compared among these three groups.Results There were different morbidities of adverse emotion in age, sex, education level and smoking among patients before operation (P<0.05). Univariate analysis showed that there was no statistical difference in the duration of indwelling drainage tube, drainage volume, postoperative pulmonary infection rate or the incidence of other complications among these three groups, but the duration of hospitalization in the latter two groups was less than that in the first group with a statistical difference (P<0.05). After correction of confounding factors by multiple regression analysis, there was no statistical difference among the three groups.Conclusion Young patients are more likely to develop bad emotions, women are more likely to develop serious bad emotions, highly educated patients tend to develop bad emotions, and non-smoking patients tend to develop bad emotions. There is no effect of preoperative adverse emotions on the rapid recovery of lung cancer patients after minimally invasive thoracoscopic surgery.

Citation： ZHANG Rui, PU Qiang, WANG Ye, MEI Xiaoli, LIU Lunxu. Analysis of preoperative adverse emotion of patients with lung cancer and its effect on postoperative rehabilitation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(7): 775-779. doi: 10.7507/1007-4848.201903034 Copy

1.	孙桂苓. 肺癌患者围手术期焦虑抑郁调查及心理干预. 中国误诊学杂志, 2011, 11(5): 1253.
2.	陈万青, 孙可欣, 郑荣寿, 等. 2014 年中国分地区恶性肿瘤发病和死亡分析. 中国肿瘤, 2018, 27(1): 1-14.
3.	唐煜东, 郑娥, 梅小丽, 等. 胸外科肿瘤患者抑郁焦虑情绪的调查分析. 中国胸心血管外科临床杂志, 2017, 15(11): 835-838.
4.	姜永红, 朱盼盼, 穆少锋, 等. 肺癌手术患者抑郁状态对免疫代谢的影响. 国际精神病学杂志, 2017, 44(1): 109-111.
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6.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
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8.	唐煜东, 梅小丽, 郑娥, 等. 胸部肿瘤术后患者不良情绪现状及影响因素分析. 中国胸心血管外科临床杂志, 2018, 16(1): 67-70.
9.	方忠民, 蓝斌, 杨彦龙, 等. 快速康复外科理念在胸腔镜肺癌手术中的应用. 广东医学, 2015, 36(8): 1226-1229.
10.	Mineo TC, Ambrogi V. A glance at the history of uniportal video-assisted thoracic surgery. J Vis Surg, 2017, 7(3): 157.
11.	Yang SM, Hsu HH, Chen JS. Recent advances in surgical management of early lung cancer. J Formos Med Assoc, 2017, 116(12): 917-923.
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13.	Ng CS, Wan S, Hui CW, et al. Video-assisted thoracic surgery for early stage lung cancer-can short-term immunological advantages improve long-term survival? Ann Thorac Cardiovasc Surg, 2006, 12(5): 308-312.
14.	马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
15.	张苏梅, 李小妹, 高苗, 等. 肺癌患者焦虑抑郁与自我效能感的相关性研究. 现代肿瘤医学, 2015, 23(9): 1221-1223.
16.	苏丹, 张静平, 吴显宁. 肺癌围术期患者家属焦虑、抑郁状况与疾病了解程度的相关性研究. 中国全科医学, 2011, 28: 3286-3287.
17.	王卉, 朱慧, 李蓓, 等. 肺癌患者心理及免疫功能变化的相关性研究. 中国行为医学科学, 2005, 14(4): 320-321.
18.	张金芳, 刘淑俊, 张继平, 等. 247 例恶性肿瘤患者抑郁和焦虑的发病调查. 中国肿瘤临床与康复, 2002, 9(6): 56-59.
19.	Deimling GT, Wagner LJ, Bowman KF, et al. Coping among older-adult, long term cancer survivors. Psychooncology, 2006, 15(2): 143-159.
20.	Brown LF, Kroenke K, Theobald DE, et al. The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain. Psychooncology, 2010, 19(7): 734-741.
21.	杨芮. 肿瘤患者术前焦虑及影响因素分析. 河南职工医学院学报, 2013, 25(5): 629-630.
22.	胡洪, 陈功. 中国恶性肿瘤患者抑郁患病率及其相关因素的研究. 中国肿瘤临床与康复, 2015, 22(8): 636-637.
23.	朱虹. 雌激素协同因子的抗抑郁效应及其作用机制. 中国科学技术大学, 2008.
24.	刘景丽, 邱红, 刘东伯, 等. 癌症患者焦虑抑郁发生率及其影响因素分析. 药品评价, 2012, 9(3): 24-28.
25.	韩蓓蓓, 李永光, 李帅, 等. 胸痛患者焦虑和抑郁发生情况及其影响因素研究. 中国全科医学, 2018, 21(36): 4515-4520.
26.	汤宜朗. 香烟可能具有抗抑郁效果. 中国药物依赖性杂志, 2001, 10(4): 320.

1. 孙桂苓. 肺癌患者围手术期焦虑抑郁调查及心理干预. 中国误诊学杂志, 2011, 11(5): 1253.
2. 陈万青, 孙可欣, 郑荣寿, 等. 2014 年中国分地区恶性肿瘤发病和死亡分析. 中国肿瘤, 2018, 27(1): 1-14.
3. 唐煜东, 郑娥, 梅小丽, 等. 胸外科肿瘤患者抑郁焦虑情绪的调查分析. 中国胸心血管外科临床杂志, 2017, 15(11): 835-838.
4. 姜永红, 朱盼盼, 穆少锋, 等. 肺癌手术患者抑郁状态对免疫代谢的影响. 国际精神病学杂志, 2017, 44(1): 109-111.
5. 赵彩萍, 方建群, 李媛, 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 2012, 47(1): 65-67.
6. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
7. Jian Wang, Wan-jun, G uo, L an, et al. The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Comprehensive Psychiatry, 2017, 76: 87-97.
8. 唐煜东, 梅小丽, 郑娥, 等. 胸部肿瘤术后患者不良情绪现状及影响因素分析. 中国胸心血管外科临床杂志, 2018, 16(1): 67-70.
9. 方忠民, 蓝斌, 杨彦龙, 等. 快速康复外科理念在胸腔镜肺癌手术中的应用. 广东医学, 2015, 36(8): 1226-1229.
10. Mineo TC, Ambrogi V. A glance at the history of uniportal video-assisted thoracic surgery. J Vis Surg, 2017, 7(3): 157.
11. Yang SM, Hsu HH, Chen JS. Recent advances in surgical management of early lung cancer. J Formos Med Assoc, 2017, 116(12): 917-923.
12. 陈林, 郑儒君, 余春华, 等. 肺癌疼痛患者心理痛苦影响因素的研究. 四川大学学报 (医学版), 2014, 45(3): 471-475.
13. Ng CS, Wan S, Hui CW, et al. Video-assisted thoracic surgery for early stage lung cancer-can short-term immunological advantages improve long-term survival? Ann Thorac Cardiovasc Surg, 2006, 12(5): 308-312.
14. 马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
15. 张苏梅, 李小妹, 高苗, 等. 肺癌患者焦虑抑郁与自我效能感的相关性研究. 现代肿瘤医学, 2015, 23(9): 1221-1223.
16. 苏丹, 张静平, 吴显宁. 肺癌围术期患者家属焦虑、抑郁状况与疾病了解程度的相关性研究. 中国全科医学, 2011, 28: 3286-3287.
17. 王卉, 朱慧, 李蓓, 等. 肺癌患者心理及免疫功能变化的相关性研究. 中国行为医学科学, 2005, 14(4): 320-321.
18. 张金芳, 刘淑俊, 张继平, 等. 247 例恶性肿瘤患者抑郁和焦虑的发病调查. 中国肿瘤临床与康复, 2002, 9(6): 56-59.
19. Deimling GT, Wagner LJ, Bowman KF, et al. Coping among older-adult, long term cancer survivors. Psychooncology, 2006, 15(2): 143-159.
20. Brown LF, Kroenke K, Theobald DE, et al. The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain. Psychooncology, 2010, 19(7): 734-741.
21. 杨芮. 肿瘤患者术前焦虑及影响因素分析. 河南职工医学院学报, 2013, 25(5): 629-630.
22. 胡洪, 陈功. 中国恶性肿瘤患者抑郁患病率及其相关因素的研究. 中国肿瘤临床与康复, 2015, 22(8): 636-637.
23. 朱虹. 雌激素协同因子的抗抑郁效应及其作用机制. 中国科学技术大学, 2008.
24. 刘景丽, 邱红, 刘东伯, 等. 癌症患者焦虑抑郁发生率及其影响因素分析. 药品评价, 2012, 9(3): 24-28.
25. 韩蓓蓓, 李永光, 李帅, 等. 胸痛患者焦虑和抑郁发生情况及其影响因素研究. 中国全科医学, 2018, 21(36): 4515-4520.
26. 汤宜朗. 香烟可能具有抗抑郁效果. 中国药物依赖性杂志, 2001, 10(4): 320.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Analysis of preoperative adverse emotion of patients with lung cancer and its effect on postoperative rehabilitation

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