Chen Yi-Ping, Zhang Yi, Chen Xing, Luo Jiang, Chen Zhangqun, Zhao Liping, Xia Guili, Sui Xueqi, Li Yunchen
Department of Gastroenterology, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China.
Hunan Key Laboratory of Oral Health Research & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, Hunan, China.
Front Psychol. 2023 Mar 27;14:1039501. doi: 10.3389/fpsyg.2023.1039501. eCollection 2023.
This study aimed to compare the effects of robot-assisted thoracic surgery (RATS), video-assisted thoracic surgery (VATS), and thoracotomy on the psychological status, medical coping mode, and quality of life of patients with lung cancer.
A total of 158 patients with lung cancer were selected from the thoracic surgery center of a third-grade hospital in Hunan Province, China, from September to November 2020. The Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Medical Coping Modes Questionnaire (MCMQ), and Medical Outcomes Study (MOS) 36-item Short Form Health Survey (SF-36) were used to assess the effects of the surgical approaches on the study parameters before and 48-96 h after surgery. The t-test and analysis of variance were used to analyze the data.
The results revealed that the patients' depression increased, their short-term quality of life decreased, and they tended to adopt a positive coping mode after surgery ( < 0.05). The RATS and VATS groups differed in avoidance dimension of medical coping modes ( < 0.05). The VATS and thoracotomy groups differed in the body pain dimension of quality of life ( < 0.05). Different surgical approaches had no effect on the psychological status, medical coping modes except the avoidance dimension, and quality of life except the body pain dimension.
Surgical approaches have little effect on the psychological status, medical coping modes, and quality of life of patients with lung cancer; however, their depression increased and quality of life decreased after the surgery.
本研究旨在比较机器人辅助胸外科手术（RATS）、电视辅助胸外科手术（VATS）和开胸手术对肺癌患者心理状态、医疗应对方式及生活质量的影响。
选取2020年9月至11月中国湖南省某三级医院胸外科中心的158例肺癌患者。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、医学应对方式问卷（MCMQ）和医学结局研究（MOS）36项简短健康调查（SF - 36）评估手术方式对术前及术后48 - 96小时研究参数的影响。采用t检验和方差分析进行数据分析。
结果显示，患者术后抑郁情绪增加，短期生活质量下降，且倾向于采用积极应对方式（<0.05）。RATS组和VATS组在医疗应对方式的回避维度上存在差异（<0.05）。VATS组和开胸手术组在生活质量的身体疼痛维度上存在差异（<0.05）。不同手术方式对肺癌患者的心理状态、除回避维度外的医疗应对方式以及除身体疼痛维度外的生活质量无影响。
手术方式对肺癌患者的心理状态、医疗应对方式和生活质量影响较小；然而，患者术后抑郁情绪增加，生活质量下降。
