Evaluation Of The Symptoms Of Perioperative Lung Cancer VATS And The Influencing Factors After Operation

ObjectiveDue to the small incisions and large operative fields in video-assisted thoracoscopic surgery,it has been used more and more widely in the treatment of lung cancer in the past twenty years.Considering the extensive application of VATS surgery in the treatment of clinical lung cancer,this study only included patients with primary lung cancer who were to receive VATS,and dynamically evaluated the occurrence and development of their perioperative symptoms and symptom clusters,thus providing theoretical and data support for the nursing care of patients and the formulation of symptom intervention measures by clinical medical staff.MethodAdopt convenient sampling to study lung cancer patients who plan to undergo VATS in two hospitals in Jinan City.Patients fill out the general demographic questionnaire and Chinese version of Strategies Used by People to Promote Health(SUPPH),A simplified version of the 10-item Connor-Davidson Resilience Scale(CD-RISC10),the Anderson Symptom Inventory of Chinese version(MDASI-C),and lung-specific symptoms Module Preoperative 1-2 days.Fill in only MDASI-C and lung-specific symptoms for 1-2 days,3-4 days,and 5-6 days after surgery for symptom evaluation.Use SPSS22.0 for data analysis,through exploratory factor analysis and hierarchical regression analysis,symptoms and symptom clusters at the four time points were extracted and summarized.The outcome of the last postoperative symptom measurement,which can represent the recovery effect of the perioperative hospitalization,analyzed the influence factors for patients experience symptoms,discussing the influence factors of patients with postoperative recovery,and analyze the resilience in self-efficacy and symptoms of the mediation role.Result1.The top four incidences of lung cancer patients at To time point were:dry mouth,poor appetite,restless sleep,and distress;the severity of top four were:distress,poor appetite,restless sleep,and fatigue.The top four incidences at T1 time point are:pain,fatigue,drowsiness,and dry mouth;the top four severity levels are:fatigue,dry mouth,poor appetite,and drowsiness.The top four incidences at the T2 time point are:pain,fatigue,nausea,and poor appetite;the top four severity levels are:fatigue,cough,expectoration,and pain.T3 time point incidences is the top four:pain,fatigue,cough,expectoration;severity is the top four:cough,fatigue,poor appetite,pain.Analysis of the symptom cluster score,the emotion-digestive symptom cluster score at the T0 time point was the highest,and the lung function impairment symptom cluster score was the highest at the other time points.2.The results of multivariate analysis of the symptom cluster at T3 time point showed that the influence of drinking history,education level and disease stage on the emotion-digestive cluster was statistically significant.The influence of age and educational level on lung function impairment-hypoxia-related symptom cluster was statistically significant.3.The level of resilience of patients mediates between self-efficacy and symptom cluster.Clinical nurses can train patients’ self-management skills or resilience intervention training to alleviate their clinical symptoms.ConclusionThe data analysis results collected at 4 time points show that although the perioperative symptoms of lung cancer patients have dynamic changes,they have a stable trend.Sadness,chest tightness,poor appetite,and pain persisted throughout the study period.At T0 stage,patients with emotion-related symptoms were the most serious,and at other time points,patients with lung function-related symptoms were the most serious.Self-efficacy and resilience are the main factors affecting patients postoperative recovery.Interventions to improve patient resilience can improve patients’ postoperative symptom experience.