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肺叶切除术后的生活:康复与健康之路——一项描述性研究。

Life after lung lobectomy: The road to recovery and well-being - A descriptive study.

作者信息

Ghosh Nandita, Singh Neena V, Kaur Sukhpal, Singh Harkant

机构信息

Department of Nursing Education, National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of CVTS, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Lung India. 2025 Mar 1;42(2):120-127. doi: 10.4103/lungindia.lungindia_349_24. Epub 2025 Feb 27.

Abstract

BACKGROUND

Pulmonary lobectomy significantly impacts the quality of life (QOL) in lung cancer patients. This study investigates QOL in lung lobectomy patients, identifying challenges and influencing factors to inform strategies for improving care and outcomes and enhancing recovery and long-term well-being.

OBJECTIVE

To assess the quality of life of patients who underwent lung lobectomy.

METHODS

Using a descriptive study design, 50 patients who had undergone lung lobectomy at least 3 months before and were attending CTVS OPD at a tertiary hospital were enrolled consecutively. Apart from collecting the clinical and socio-demographic profiles of patients, the EORTC-QLQ-C30 scale was used to assess QOL of patients.

RESULTS

The mean (standard deviation [SD]) age of the patients was 45.34 (15.19) years. Male patients outnumbered females (62%). The most common diagnosis was non-small cell lung cancer (28%). Around 18% of patients had a history of treatment for pulmonary tuberculosis. The majority (76%) of patients had a higher QOL, with a mean (SD) score of 64.50 (19.27). Age and socioeconomic status were linked to fatigue and pain, respectively. Alcohol consumption history was associated with fatigue (P = 0.02), while smoking history was linked to pain (P = 0.04) and dyspnoea (P = 0.02), revealing significant correlations between lifestyle factors and postoperative symptoms. In addition, patients in the postoperative period of 3-6 months tended to have poorer QOL.

CONCLUSION

There is a need to plan comprehensive support, considering the age, health habits and socioeconomic status of patients to optimise recovery and QOL. Proper care and education can help patients adapt and make positive outcomes in post-surgery rehabilitation.

摘要

背景

肺叶切除术对肺癌患者的生活质量有显著影响。本研究调查肺叶切除术患者的生活质量,识别挑战和影响因素,为改善护理和治疗结果、促进康复及提高长期健康水平提供策略依据。

目的

评估接受肺叶切除术患者的生活质量。

方法

采用描述性研究设计,连续纳入50例在三级医院心胸外科门诊就诊、至少在3个月前接受过肺叶切除术的患者。除收集患者的临床和社会人口学资料外,还使用欧洲癌症研究与治疗组织生活质量核心问卷(EORTC-QLQ-C30)评估患者的生活质量。

结果

患者的平均(标准差[SD])年龄为45.34(15.19)岁。男性患者多于女性(62%)。最常见的诊断是非小细胞肺癌(28%)。约18%的患者有肺结核治疗史。大多数(76%)患者的生活质量较高,平均(SD)评分为64.50(19.27)。年龄和社会经济状况分别与疲劳和疼痛相关。饮酒史与疲劳相关(P = 0.02),而吸烟史与疼痛(P = 0.04)和呼吸困难(P = 0.02)相关,表明生活方式因素与术后症状之间存在显著相关性。此外,术后3至6个月的患者生活质量往往较差。

结论

需要根据患者的年龄、健康习惯和社会经济状况规划全面的支持措施,以优化康复和生活质量。适当的护理和教育可以帮助患者适应并在术后康复中取得积极成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d8/11952736/54a28886fd70/LI-42-120-g001.jpg

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