Sun Virginia, Kim Jae
Division of Nursing Research and Education, Department of Population Sciences, City of Hope, Duarte, CA, USA.
Division of Thoracic Surgery, Department of Surgery, City of Hope, Duarte, CA, USA.
J Thorac Dis. 2020 Nov;12(11):6931-6939. doi: 10.21037/jtd.2020.03.59.
Curative-intent surgery is the treatment of choice for thoracic malignancies, including lung cancer. There is significant complexity and uncertainty associated with the diagnosis, prognosis, and surgical treatment decision-making in thoracic surgery. From a patient point of view, this complexity and uncertainty can be overwhelming. Therefore, for high-quality cancer care, an emphasis on patient-centered care-including the improvement in quality of life (QOL) through symptom and functional monitoring-is essential. Using the current literature and our previous research, the purpose of this paper is to: (I) review the current evidence on symptom and functional monitoring in surgery; (II) describe strategies to monitor symptoms and functional recovery in surgery; and (III) describe a model of patient-centered care in thoracic surgery.
根治性手术是包括肺癌在内的胸部恶性肿瘤的首选治疗方法。胸外科手术在诊断、预后和手术治疗决策方面存在显著的复杂性和不确定性。从患者的角度来看，这种复杂性和不确定性可能令人难以承受。因此，为了提供高质量的癌症护理，强调以患者为中心的护理——包括通过症状和功能监测改善生活质量（QOL）——至关重要。本文利用当前文献和我们之前的研究，旨在：（I）回顾目前关于手术中症状和功能监测的证据；（II）描述手术中监测症状和功能恢复的策略；以及（III）描述胸外科以患者为中心的护理模式。
