Rehabilitation Effect Of Lung Rehabilitation Training In Patients After Lung Cancer Lungectomy

Objective:To explore the effects of lung rehabilitation training on exercise endurance,respiratory function,time of closed chest tube placement,post-operative hospital stay and quality of life in patients after lung cancer lobectomy.Methods : A total of 120 patients with lung cancer who underwent lobectomy in the Department of Cardiothoracic Surgery,First Affiliated Hospital of Guangxi Medical University from September 2018 to December 2019 were selected as the research object,and were randomly divided into a lung rehabilitation training group and a conventional nursing group according to a random number table.There were 60 cases in the lung rehabilitation training group and 60 cases in the control group.The control group received routine care,including preoperative guidance,postoperative diet,exercise,pain,and discharge guidance.The lung rehabilitation group performed lung rehabilitation training on the basis of routine nursing.The lung rehabilitation plan is prepared by the lung rehabilitation team.The lung rehabilitation training mainly includes(1)Inspiratory muscles strength training(IMST);(2)Lung capacity improvement training;(3)Aerobic exercise training.The lung rehabilitation training program is mainly carried out by researchers,and the observation group and the control group are evaluated one day before surgery and after intervention(1)Exercise tolerance index: 6-minute walk distance(Six-minute walk distance,6WMT);(2)Respiratory function Related indicators: dyspnea index score(Brog score);(3)rehabilitation indicators: thoracic drainage tube indwelling time,postoperative hospital stay;(4)quality of life related indicators: quality of life(QLQ)measurement scale(including physical function,(Role function,emotional function,cognitive function,social function,overall quality of life,and symptoms,etc.)score.The data was input into SPSS22.0 software for description and statistical analysis of the effects of lung rehabilitation training.Result:Total of 120 patients were included in this study,with an average age of 55.3 ± 7.76,men 65%(78/120),women 35%(42/120);left lobectomy57.5%(69/120),right Lobectomy accounted for 42.5%(51/120);squamous cell carcinoma accounted for 69.2%(83/120),adenocarcinoma accounted for 24.2%(29/120),others 6.7%(8/120).General demographic data(age,gender,culture,marriage,smoking history,past history),surgical data(cancer type),preoperative 6MWT,Brog dyspnea score,and quality of life functional scales and symptom scores of the two groups of patients Significant difference(P>0.05);(1)After intervention,there was a significant difference in 6MWT between the lung rehabilitation group and the control group(P<0.001);(2)After intervention,there was a significant difference between the lung rehabilitation group and the control group The Brog score of the lung rehabilitation group was significantly lower than that of the control group(P<0.001);(3)There was a significant difference between the two groups of patients in the retention time of thoracic drainage tube and the length of hospital stay after surgery.The patient’s indwelling time(P=0.021)and postoperative hospital stay(P<0.001);(4)After the intervention,the lung rehabilitation group and the control group had physical function,emotional function,cognitive function,overall quality of life,fatigue in the physical function role,Pain,loss of appetite scores are statistically significant(P<0.05);social and symptomatic functions of nausea and vomiting,insomnia,constipation,diarrhea,and financial difficulties in physical function are not obvious Different(P>0.05).Conclusion:(1)Pulmonary rehabilitation training can significantly improve the exercise tolerance of patients after lung cancer lobectomy;(2)Pulmonary rehabilitation training can significantly improve the degree of breathing difficulty after lung cancer lobectomy.(3)Lung rehabilitation training can shorten the time of drainage tube indwelling and postoperative hospital stay in patients with lung cancer after lobectomy.(4)Pulmonary rehabilitation training can improve physical function,role function,emotional function,cognitive function,fatigue,pain,loss of appetite in the field of overall quality of life and symptom function,but in social function,nausea and vomiting,insomnia No significant improvement in constipation,diarrhea and financial difficulties.It can be seen that lung rehabilitation training can not only accelerate the recovery of patients after lung cancer lobectomy,but also improve the quality of life after surgery,and has significant clinical application value.