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;
YANG Mei, Email: yangmei69@126.com
Patient-reported outcomes; lung cancer; symptom management
10.7507/1007-4848.202112082
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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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