Operative lung cancer patients' knowledge of pulmonary rehabilitation

接受肺癌手术的患者对肺康复的了解

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Abstract

INTRODUCTION: We conducted this survey to explore what operative lung cancer patients knew about pulmonary rehabilitation and the factors that influence it. METHODS: Between 1 January 2018 and 31 December 2020, patients who received thoracic surgery were enrolled in this study. We used a three-part questionnaire to collect the clinical features and knowledge of pulmonary rehabilitation. RESULTS: A total of 93 patients were enrolled in this study. Most patients were female, ≤60 years old, had normal pulmonary function, and had been diagnosed with non-small-cell lung cancer. Univariate analysis revealed that patients with abnormal pulmonary ventilatory function, higher preoperative COPD assessment test (CAT) scores, higher CAT differences, and higher mMRC differences showed a higher awareness of pulmonary rehabilitation (p = 0.043, 0.029, 0.178, and 0.003, respectively). Multivariate analysis suggested that preoperative CAT score (p = 0.01) and mMRC difference (p = 0.001) were the factors associated with awareness of pulmonary rehabilitation. CONCLUSION: Many factors may influence the patients' knowledge of pulmonary rehabilitation. We found that a higher preoperative CAT score and a larger mMRC difference were factors associated with awareness of pulmonary rehabilitation. However, assistance should also be provided to patients who do not fall into these categories, as they may lack knowledge of pulmonary rehabilitation.

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