The survey and analysis of preoperative psychological state in patients with pulmonary nodules_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XU Hui , ZHOU Kun , LIN Lin , NIU Lingli , YANG Mei ,  CHE Guowei

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

CHE Guowei, Email: guowei_che@yahoo.com

Keywords：

Preoperative questionnaire; enhanced recovery after surgery (ERAS); preoperative education; pulmonary nodules

DOI：

10.7507/1007-4848.201808035

Video：

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Objective To investigate the preoperative psychological state of patients with pulmonary nodules in order to make the content of the education more "individualized and humanized".Methods We conducted a consecutive questionnaire study for 107 patients who were planning to undergo pulmonary resection surgery from May 2018 to July 2018 in our department. There were 54 males and 53 females with an average age of 56.8±11.2 years. The questionnaire content included two parts: personal basic information and 20 questions about surgery, complications, follow-up and hospitalization expense.Results There were 60.7% of the patients diagnosed with pulmonary nodules by CT scan during physical examination, and 52.3% of the patients had strong will to undergo pulmonary surgery to resect nodules; 64.5% of patients wanted doctors to tell them the extent of the disease and whether the tumor could be cured by surgery, and 30.0% of patients concerned whether chief surgeon would complete the whole surgery. The surgery risk and postoperative complications were ignored by patients easily (5.6% and 14.9% respectively). The hospital expenses were not the primary concern of patients. Only 1.9% of patients believed that doctors used nonessentials which deliberately led to increased costs. Network follow-up was accepted by most patients (94.4%).Conclusion It will contribute to improve preoperative education rationality and effectiveness by understanding true psychological state of patients.

Citation： XU Hui, ZHOU Kun, LIN Lin, NIU Lingli, YANG Mei, CHE Guowei. The survey and analysis of preoperative psychological state in patients with pulmonary nodules. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(6): 578-582. doi: 10.7507/1007-4848.201808035 Copy

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18.	周洪霞, 杨梅, 廖虎, 等. 胸腔镜肺叶切除术后 16F 尿管胸腔引流可行性的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 334-340.
19.	杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后 16F 较 28F 胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-517.
20.	杜娜, 饶志勇, 车国卫, 等. 肺癌术后短期中链甘油三酯饮食临床效果的前瞻性随机研究. 中国肺癌杂志, 2016, 19(12): 821-826.
21.	蒲强, 马林, 车国卫, 等. 单向式胸腔镜肺叶切除安全性及技术可行性研究——附 1040 例报告. 四川大学学报(医学版), 2013, 44(1): 109-113.
22.	车国卫, 刘伦旭. 单孔电视胸腔镜手术临床应用的现状与进展. 中国胸心血管外科临床杂志, 2012, 19(2): 181-184.
23.	Goldstraw P, Chansky K, Crowley J, et al. The IASLC Lung Cancer Staging Project: Proposals for Revision of the TNM Stage Groupings in the Forthcoming (Eighth) Edition of the TNM Classification for Lung Cancer. J Thorac Oncol, 2016, 11(1): 39-51.
24.	Eguchi T, Kadota K, Park B J, et al. The New IASLC-ATS-ERS Lung Adenocarcinoma Classification: What the surgeon should know. Semin Thorac Cardiovasc Surg, 2014, 26(3): 210-222.
25.	Agostini P, Cieslik H, Rathinam S, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors? Thorax, 2010, 65(9): 815-818.

1. Rampinelli C, De Marco P, Origgi D, et al. Exposure to low dose computed tomography for lung cancer screening and risk of cancer: secondary analysis of trial data and risk-benefit analysis. BMJ, 2017, 356: j347.
2. 周清华, 范亚光, 王颖, 等. 中国肺癌低剂量螺旋 CT 筛查指南(2018 年版). 中国肺癌杂志, 2018, 21(2): 67-75.
3. Boffa DJ, Allen MS, Grab JD, et al. Data from The Society of Thoracic Surgeons General Thoracic Surgery database: the surgical management of primary lung tumors. J Thorac Cardiovasc Surg, 2008, 135(2): 247-254.
4. Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: The impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns, 2016, 99(5): 733-738.
5. Gouin JP, Kiecolt-Glaser JK. The impact of psychological stress on wound healing: methods and mechanisms. Immunol Allergy Clin North Am, 2011, 31(1): 81-93.
6. 车国卫, 刘伦旭. 加速肺康复外科, 需要精准治疗吗? 中国肺癌杂志, 2017, 20(8): 549-554.
7. Kalogianni A, Almpani P, Vastardis L, et al. Can nurse-led preoperative education reduce anxiety and postoperative complications of patients undergoing cardiac surgery? Eur J Cardiovasc Nurs, 2016, 15(6): 447-458.
8. Kesanen J, Leino-Kilpi H, Lund T, et al. Increased preoperative knowledge reduces surgery-related anxiety: a randomised clinical trial in 100 spinal stenosis patients. Eur Spine J, 2017, 26(10): 2520-2528.
9. Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial. Int J Nurs Stud, 2012, 49(2): 129-137.
10. 杨梅, 余娜, 田聪林. 多元化术前宣教模式对减轻患者术前心理压力及手术效果的影响分析. 检验医学与临床, 2016, 13(16): 2348-2350.
11. 应赟赟, 赵秀芬, 林海清, 等. 医护联合术前宣教在肝胆外科患者中的实施措施与成效. 中医药管理杂志, 2016, 24(13): 150-151.
12. Aarts M, Okrainec A, Glicksman A, et al. Adoption of enhanced recovery after surgery (ERAS) strategies for colorectal surgery at academic teaching hospitals and impact on total length of hospital stay. Surg Endosc, 2012, 26(2): 442-450.
13. 赖玉田, 田龙, 樊骏, 等. 肺癌住院手术患者临床特征与就诊模式的关系. 中国肺癌杂志, 2015, 18(7): 457-461.
14. 车国卫, 梅龙勇, 梅建东, 等. 单操作孔电视胸腔镜手术治疗肺部疾病 158 例临床分析. 中国胸心血管外科临床杂志, 2012, 19(2): 116-119.
15. 田龙, 沈诚, 车国卫. 肺部磨玻璃密度影研究进展. 中国胸心血管外科临床杂志, 2015, 22(4): 371-374.
16. 车国卫. 加速康复外科——人文 or 技术? 中国肺癌杂志, 2018, 21(3): 168-172.
17. 邱舫, 杨梅, 车国卫, 等. 胸腔镜肺叶切除术患者围手术期无尿管留置导致尿潴留的危险因素分析. 中国胸心血管外科临床杂志, 2016, 23(4): 328-333.
18. 周洪霞, 杨梅, 廖虎, 等. 胸腔镜肺叶切除术后 16F 尿管胸腔引流可行性的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 334-340.
19. 杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后 16F 较 28F 胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-517.
20. 杜娜, 饶志勇, 车国卫, 等. 肺癌术后短期中链甘油三酯饮食临床效果的前瞻性随机研究. 中国肺癌杂志, 2016, 19(12): 821-826.
21. 蒲强, 马林, 车国卫, 等. 单向式胸腔镜肺叶切除安全性及技术可行性研究——附 1040 例报告. 四川大学学报(医学版), 2013, 44(1): 109-113.
22. 车国卫, 刘伦旭. 单孔电视胸腔镜手术临床应用的现状与进展. 中国胸心血管外科临床杂志, 2012, 19(2): 181-184.
23. Goldstraw P, Chansky K, Crowley J, et al. The IASLC Lung Cancer Staging Project: Proposals for Revision of the TNM Stage Groupings in the Forthcoming (Eighth) Edition of the TNM Classification for Lung Cancer. J Thorac Oncol, 2016, 11(1): 39-51.
24. Eguchi T, Kadota K, Park B J, et al. The New IASLC-ATS-ERS Lung Adenocarcinoma Classification: What the surgeon should know. Semin Thorac Cardiovasc Surg, 2014, 26(3): 210-222.
25. Agostini P, Cieslik H, Rathinam S, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors? Thorax, 2010, 65(9): 815-818.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The survey and analysis of preoperative psychological state in patients with pulmonary nodules

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