肺癌手术前后症状出现情况及严重程度的变化。

Changes in Symptom Occurrence and Severity Before and After Lung Cancer Surgery.

作者信息

Oksholm Trine, Miaskowski Christine, Solberg Steinar, Lie Irene, Cooper Bruce, Paul Steven M, Kongerud Johny Steinar, Rustoen Tone

机构信息

Author Affiliations: Centre for Shared Decision Making and Collaborative Care Research (Ms Oksholm); Department of Respiratory Medicine (Ms Oksholm and Dr Kongerud); Department for Thoracic and Cardiovascular Surgery (Dr Solberg); Department of Cardiothoracic Surgery (Dr Lie); and Division of Emergencies and Critical Care (Dr Rustoen), Oslo University Hospital, Norway; School of Nursing, University of California, San Francisco (Drs Miaskowski, Cooper, and Paul); and Faculty of Medicine (Dr Kongerud) and Institute of Health and Society, Department of Nursing Science (Dr Rustoen), University of Oslo, Norway.

出版信息

Cancer Nurs. 2015 Sep-Oct;38(5):351-7. doi: 10.1097/NCC.0000000000000198.

DOI:10.1097/NCC.0000000000000198

PMID:25254409

Abstract

BACKGROUND

Patients need information about the course of recovery after surgery for lung cancer, but knowledge about symptoms in this period is limited.

OBJECTIVE

The purpose of this study was to assess for changes in symptom occurrence rates and severity scores from the preoperative period to 1 month after surgery.

METHODS

Patients (n = 228) completed questionnaires before and at 1 month after surgery. McNemar tests were used to evaluate for changes over time in symptom occurrence rates and paired t tests for changes in symptom severity scores. General linear model was used to determine if select demographic and clinical characteristics were associated with the number of symptoms after surgery.

RESULTS

The total number of symptoms increased significantly from the preoperative (mean, 9.4) to the postoperative (mean, 13.1) assessment. Of the 11 symptoms that occurred in 50% or more of the patients 1 month after surgery, 8 increased significantly in both occurrence and severity. Four symptoms were experienced by more than 80% of the patients 1 month after surgery: shortness of breath (85.5%), lack of energy (83.8%), pain (83.8%), and feeling drowsy (82.5%).

CONCLUSIONS

Patients experienced a high number of symptoms after lung cancer surgery. The only characteristic that was associated with a higher number of symptoms 1 month after surgery was the number of symptoms reported preoperatively.

IMPLICATIONS FOR PRACTICE

These findings can be used to educate patients about the normal course of postoperative recovery. Clinicians need to assess for these symptoms and develop effective interventions to improve symptom management for these patients.

摘要