Analysis of preoperative adverse emotion of patients with lung cancer and its effect on postoperative rehabilitation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Rui ^1,2 , PU Qiang ¹ , WANG Ye ³ , MEI Xiaoli ¹ ,  LIU Lunxu ¹

1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. Department of Thoracic Surgery, Seventh People’s Hospital of Chengdu, 610041, P.R.China;
3. Mental Health Center, West China Hospital, Sichuan University, Chengdu, Chengdu, 610041, P.R.China;

Corresponding?author：

LIU Lunxu, Email: lunxu_liu@aliyun.com

Keywords：

Enhanced recovery after surgery; lung cancer; adverse emotion; Huaxi emotional-distress index; treatment

DOI：

10.7507/1007-4848.201903034

Video：

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Objective To examine the effect of preoperative adverse emotion on rehabilitation outcomes in lung cancer patients undergoing thoracoscopic major pulmonary resection.Methods We retrospectively analyzed the clinical data of 1 438 patients with lung cancer who underwent thoracoscopic lobectomy and segmentectomy in West China Hospital of Sichuan University from February 2017 to July 2018 including 555 males and 883 females. All patients were assessed by Huaxi emotional-distress index scoring, and were divided into three groups including a non-negative emotion group, a mild negative emotion group, and a moderate-severe negative emotion group. All patients underwent thoracoscopic lobectomy or segmentectomy plus systematic lymph node dissection or sampling. The volume of postoperative chest drainage, postoperative lung infection rate, time of chest tube intubation and postoperative duration of hospitalization were compared among these three groups.Results There were different morbidities of adverse emotion in age, sex, education level and smoking among patients before operation (P<0.05). Univariate analysis showed that there was no statistical difference in the duration of indwelling drainage tube, drainage volume, postoperative pulmonary infection rate or the incidence of other complications among these three groups, but the duration of hospitalization in the latter two groups was less than that in the first group with a statistical difference (P<0.05). After correction of confounding factors by multiple regression analysis, there was no statistical difference among the three groups.Conclusion Young patients are more likely to develop bad emotions, women are more likely to develop serious bad emotions, highly educated patients tend to develop bad emotions, and non-smoking patients tend to develop bad emotions. There is no effect of preoperative adverse emotions on the rapid recovery of lung cancer patients after minimally invasive thoracoscopic surgery.

Citation： ZHANG Rui, PU Qiang, WANG Ye, MEI Xiaoli, LIU Lunxu. Analysis of preoperative adverse emotion of patients with lung cancer and its effect on postoperative rehabilitation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(7): 775-779. doi: 10.7507/1007-4848.201903034 Copy

1.	孫桂苓. 肺癌患者圍手術期焦慮抑郁調查及心理干預. 中國誤診學雜志, 2011, 11(5): 1253.
2.	陳萬青, 孫可欣, 鄭榮壽, 等. 2014 年中國分地區惡性腫瘤發病和死亡分析. 中國腫瘤, 2018, 27(1): 1-14.
3.	唐煜東, 鄭娥, 梅小麗, 等. 胸外科腫瘤患者抑郁焦慮情緒的調查分析. 中國胸心血管外科臨床雜志, 2017, 15(11): 835-838.
4.	姜永紅, 朱盼盼, 穆少鋒, 等. 肺癌手術患者抑郁狀態對免疫代謝的影響. 國際精神病學雜志, 2017, 44(1): 109-111.
5.	趙彩萍, 方建群, 李媛, 等. 胃癌患者希望水平與人格特征、焦慮抑郁情緒的相關性研究. 中華護理雜志, 2012, 47(1): 65-67.
6.	車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
7.	Jian Wang, Wan-jun, G uo, L an, et al. The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Comprehensive Psychiatry, 2017, 76: 87-97.
8.	唐煜東, 梅小麗, 鄭娥, 等. 胸部腫瘤術后患者不良情緒現狀及影響因素分析. 中國胸心血管外科臨床雜志, 2018, 16(1): 67-70.
9.	方忠民, 藍斌, 楊彥龍, 等. 快速康復外科理念在胸腔鏡肺癌手術中的應用. 廣東醫學, 2015, 36(8): 1226-1229.
10.	Mineo TC, Ambrogi V. A glance at the history of uniportal video-assisted thoracic surgery. J Vis Surg, 2017, 7(3): 157.
11.	Yang SM, Hsu HH, Chen JS. Recent advances in surgical management of early lung cancer. J Formos Med Assoc, 2017, 116(12): 917-923.
12.	陳林, 鄭儒君, 余春華, 等. 肺癌疼痛患者心理痛苦影響因素的研究. 四川大學學報 (醫學版), 2014, 45(3): 471-475.
13.	Ng CS, Wan S, Hui CW, et al. Video-assisted thoracic surgery for early stage lung cancer-can short-term immunological advantages improve long-term survival? Ann Thorac Cardiovasc Surg, 2006, 12(5): 308-312.
14.	馬丹, 楊梅, 樊駿, 等. 胸腔鏡肺葉切除術后引流管管徑對患者舒適度影響的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2015, 22(10): 928-931.
15.	張蘇梅, 李小妹, 高苗, 等. 肺癌患者焦慮抑郁與自我效能感的相關性研究. 現代腫瘤醫學, 2015, 23(9): 1221-1223.
16.	蘇丹, 張靜平, 吳顯寧. 肺癌圍術期患者家屬焦慮、抑郁狀況與疾病了解程度的相關性研究. 中國全科醫學, 2011, 28: 3286-3287.
17.	王卉, 朱慧, 李蓓, 等. 肺癌患者心理及免疫功能變化的相關性研究. 中國行為醫學科學, 2005, 14(4): 320-321.
18.	張金芳, 劉淑俊, 張繼平, 等. 247 例惡性腫瘤患者抑郁和焦慮的發病調查. 中國腫瘤臨床與康復, 2002, 9(6): 56-59.
19.	Deimling GT, Wagner LJ, Bowman KF, et al. Coping among older-adult, long term cancer survivors. Psychooncology, 2006, 15(2): 143-159.
20.	Brown LF, Kroenke K, Theobald DE, et al. The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain. Psychooncology, 2010, 19(7): 734-741.
21.	楊芮. 腫瘤患者術前焦慮及影響因素分析. 河南職工醫學院學報, 2013, 25(5): 629-630.
22.	胡洪, 陳功. 中國惡性腫瘤患者抑郁患病率及其相關因素的研究. 中國腫瘤臨床與康復, 2015, 22(8): 636-637.
23.	朱虹. 雌激素協同因子的抗抑郁效應及其作用機制. 中國科學技術大學, 2008.
24.	劉景麗, 邱紅, 劉東伯, 等. 癌癥患者焦慮抑郁發生率及其影響因素分析. 藥品評價, 2012, 9(3): 24-28.
25.	韓蓓蓓, 李永光, 李帥, 等. 胸痛患者焦慮和抑郁發生情況及其影響因素研究. 中國全科醫學, 2018, 21(36): 4515-4520.
26.	湯宜朗. 香煙可能具有抗抑郁效果. 中國藥物依賴性雜志, 2001, 10(4): 320.

1. 孫桂苓. 肺癌患者圍手術期焦慮抑郁調查及心理干預. 中國誤診學雜志, 2011, 11(5): 1253.
2. 陳萬青, 孫可欣, 鄭榮壽, 等. 2014 年中國分地區惡性腫瘤發病和死亡分析. 中國腫瘤, 2018, 27(1): 1-14.
3. 唐煜東, 鄭娥, 梅小麗, 等. 胸外科腫瘤患者抑郁焦慮情緒的調查分析. 中國胸心血管外科臨床雜志, 2017, 15(11): 835-838.
4. 姜永紅, 朱盼盼, 穆少鋒, 等. 肺癌手術患者抑郁狀態對免疫代謝的影響. 國際精神病學雜志, 2017, 44(1): 109-111.
5. 趙彩萍, 方建群, 李媛, 等. 胃癌患者希望水平與人格特征、焦慮抑郁情緒的相關性研究. 中華護理雜志, 2012, 47(1): 65-67.
6. 車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
7. Jian Wang, Wan-jun, G uo, L an, et al. The development and validation of Huaxi emotional-distress index (HEI): A Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Comprehensive Psychiatry, 2017, 76: 87-97.
8. 唐煜東, 梅小麗, 鄭娥, 等. 胸部腫瘤術后患者不良情緒現狀及影響因素分析. 中國胸心血管外科臨床雜志, 2018, 16(1): 67-70.
9. 方忠民, 藍斌, 楊彥龍, 等. 快速康復外科理念在胸腔鏡肺癌手術中的應用. 廣東醫學, 2015, 36(8): 1226-1229.
10. Mineo TC, Ambrogi V. A glance at the history of uniportal video-assisted thoracic surgery. J Vis Surg, 2017, 7(3): 157.
11. Yang SM, Hsu HH, Chen JS. Recent advances in surgical management of early lung cancer. J Formos Med Assoc, 2017, 116(12): 917-923.
12. 陳林, 鄭儒君, 余春華, 等. 肺癌疼痛患者心理痛苦影響因素的研究. 四川大學學報 (醫學版), 2014, 45(3): 471-475.
13. Ng CS, Wan S, Hui CW, et al. Video-assisted thoracic surgery for early stage lung cancer-can short-term immunological advantages improve long-term survival? Ann Thorac Cardiovasc Surg, 2006, 12(5): 308-312.
14. 馬丹, 楊梅, 樊駿, 等. 胸腔鏡肺葉切除術后引流管管徑對患者舒適度影響的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2015, 22(10): 928-931.
15. 張蘇梅, 李小妹, 高苗, 等. 肺癌患者焦慮抑郁與自我效能感的相關性研究. 現代腫瘤醫學, 2015, 23(9): 1221-1223.
16. 蘇丹, 張靜平, 吳顯寧. 肺癌圍術期患者家屬焦慮、抑郁狀況與疾病了解程度的相關性研究. 中國全科醫學, 2011, 28: 3286-3287.
17. 王卉, 朱慧, 李蓓, 等. 肺癌患者心理及免疫功能變化的相關性研究. 中國行為醫學科學, 2005, 14(4): 320-321.
18. 張金芳, 劉淑俊, 張繼平, 等. 247 例惡性腫瘤患者抑郁和焦慮的發病調查. 中國腫瘤臨床與康復, 2002, 9(6): 56-59.
19. Deimling GT, Wagner LJ, Bowman KF, et al. Coping among older-adult, long term cancer survivors. Psychooncology, 2006, 15(2): 143-159.
20. Brown LF, Kroenke K, Theobald DE, et al. The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain. Psychooncology, 2010, 19(7): 734-741.
21. 楊芮. 腫瘤患者術前焦慮及影響因素分析. 河南職工醫學院學報, 2013, 25(5): 629-630.
22. 胡洪, 陳功. 中國惡性腫瘤患者抑郁患病率及其相關因素的研究. 中國腫瘤臨床與康復, 2015, 22(8): 636-637.
23. 朱虹. 雌激素協同因子的抗抑郁效應及其作用機制. 中國科學技術大學, 2008.
24. 劉景麗, 邱紅, 劉東伯, 等. 癌癥患者焦慮抑郁發生率及其影響因素分析. 藥品評價, 2012, 9(3): 24-28.
25. 韓蓓蓓, 李永光, 李帥, 等. 胸痛患者焦慮和抑郁發生情況及其影響因素研究. 中國全科醫學, 2018, 21(36): 4515-4520.
26. 湯宜朗. 香煙可能具有抗抑郁效果. 中國藥物依賴性雜志, 2001, 10(4): 320.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Analysis of preoperative adverse emotion of patients with lung cancer and its effect on postoperative rehabilitation

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