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

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.	周清華, 范亞光, 王穎, 等. 中國肺癌低劑量螺旋 CT 篩查指南(2018 年版). 中國肺癌雜志, 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.	車國衛, 劉倫旭. 加速肺康復外科, 需要精準治療嗎? 中國肺癌雜志, 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.	楊梅, 余娜, 田聰林. 多元化術前宣教模式對減輕患者術前心理壓力及手術效果的影響分析. 檢驗醫學與臨床, 2016, 13(16): 2348-2350.
11.	應赟赟, 趙秀芬, 林海清, 等. 醫護聯合術前宣教在肝膽外科患者中的實施措施與成效. 中醫藥管理雜志, 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.	賴玉田, 田龍, 樊駿, 等. 肺癌住院手術患者臨床特征與就診模式的關系. 中國肺癌雜志, 2015, 18(7): 457-461.
14.	車國衛, 梅龍勇, 梅建東, 等. 單操作孔電視胸腔鏡手術治療肺部疾病 158 例臨床分析. 中國胸心血管外科臨床雜志, 2012, 19(2): 116-119.
15.	田龍, 沈誠, 車國衛. 肺部磨玻璃密度影研究進展. 中國胸心血管外科臨床雜志, 2015, 22(4): 371-374.
16.	車國衛. 加速康復外科——人文 or 技術? 中國肺癌雜志, 2018, 21(3): 168-172.
17.	邱舫, 楊梅, 車國衛, 等. 胸腔鏡肺葉切除術患者圍手術期無尿管留置導致尿潴留的危險因素分析. 中國胸心血管外科臨床雜志, 2016, 23(4): 328-333.
18.	周洪霞, 楊梅, 廖虎, 等. 胸腔鏡肺葉切除術后 16F 尿管胸腔引流可行性的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2016, 23(4): 334-340.
19.	楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后 16F 較 28F 胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
20.	杜娜, 饒志勇, 車國衛, 等. 肺癌術后短期中鏈甘油三酯飲食臨床效果的前瞻性隨機研究. 中國肺癌雜志, 2016, 19(12): 821-826.
21.	蒲強, 馬林, 車國衛, 等. 單向式胸腔鏡肺葉切除安全性及技術可行性研究——附 1040 例報告. 四川大學學報(醫學版), 2013, 44(1): 109-113.
22.	車國衛, 劉倫旭. 單孔電視胸腔鏡手術臨床應用的現狀與進展. 中國胸心血管外科臨床雜志, 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. 周清華, 范亞光, 王穎, 等. 中國肺癌低劑量螺旋 CT 篩查指南(2018 年版). 中國肺癌雜志, 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. 車國衛, 劉倫旭. 加速肺康復外科, 需要精準治療嗎? 中國肺癌雜志, 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. 楊梅, 余娜, 田聰林. 多元化術前宣教模式對減輕患者術前心理壓力及手術效果的影響分析. 檢驗醫學與臨床, 2016, 13(16): 2348-2350.
11. 應赟赟, 趙秀芬, 林海清, 等. 醫護聯合術前宣教在肝膽外科患者中的實施措施與成效. 中醫藥管理雜志, 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. 賴玉田, 田龍, 樊駿, 等. 肺癌住院手術患者臨床特征與就診模式的關系. 中國肺癌雜志, 2015, 18(7): 457-461.
14. 車國衛, 梅龍勇, 梅建東, 等. 單操作孔電視胸腔鏡手術治療肺部疾病 158 例臨床分析. 中國胸心血管外科臨床雜志, 2012, 19(2): 116-119.
15. 田龍, 沈誠, 車國衛. 肺部磨玻璃密度影研究進展. 中國胸心血管外科臨床雜志, 2015, 22(4): 371-374.
16. 車國衛. 加速康復外科——人文 or 技術? 中國肺癌雜志, 2018, 21(3): 168-172.
17. 邱舫, 楊梅, 車國衛, 等. 胸腔鏡肺葉切除術患者圍手術期無尿管留置導致尿潴留的危險因素分析. 中國胸心血管外科臨床雜志, 2016, 23(4): 328-333.
18. 周洪霞, 楊梅, 廖虎, 等. 胸腔鏡肺葉切除術后 16F 尿管胸腔引流可行性的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2016, 23(4): 334-340.
19. 楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后 16F 較 28F 胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
20. 杜娜, 饒志勇, 車國衛, 等. 肺癌術后短期中鏈甘油三酯飲食臨床效果的前瞻性隨機研究. 中國肺癌雜志, 2016, 19(12): 821-826.
21. 蒲強, 馬林, 車國衛, 等. 單向式胸腔鏡肺葉切除安全性及技術可行性研究——附 1040 例報告. 四川大學學報(醫學版), 2013, 44(1): 109-113.
22. 車國衛, 劉倫旭. 單孔電視胸腔鏡手術臨床應用的現狀與進展. 中國胸心血管外科臨床雜志, 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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