Testing Efficacy of A Pulmonary Rehabilitation Program for Post-operative Oxygenation and Pulmonary Complications Following Lung Cancer Resection Surgery

• Main Authors: HSIAO,WEI-LING, 蕭偉伶
• Other Authors: WANG,TSAE-JYY
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/99022044616889328900

碩士 === 國立臺北護理健康大學 === 護理研究所 === 104 === Background: Lobectomy of lungs is the primary treatment for non-small cell lung cancer. Pulmonary rehabilitation enhancing lung expansion and ventilation may help to improve oxygenation and reduce postoperative lung complications. Aim: The study was to test the efficacy of a pulmonary rehabilitation intervention on oxygenation, pulmonary complications in lung cancer patients with lung resection surgery.Methods: 90 lung cancer patients scheduled for a lung resection surgery were recruited and randomized to the control or intervention group. The intervention group practiced pulmonary rehabilitation exercise in home for 5 days before the surgery and post-operative pulmonary rehabilitation while in the hospital. Data on six minute walk distance and level of fatigue were collected at the baseline and before discharge. Descriptive analyses were used to describe patients’ demographics, disease variables, and outcome variables. The Chi-square, T-test, and GEE were used to test the efficacy of the study interventions. Results: Two groups were similar at baseline. The result of GEE showed signification group, time, and group by time interaction effects on S/F ratio, indicating the intervention group had better oxygenation with a β value of 34.13 (Wald X2 = 8.32, p = 0.04) compared with the control group. There was only one patient in the intervention group reported clinical significant postoperative lung complications (X2 = 8.389, p = 0.004 ) than what was reported in the control group. The average duration of chest drainage in the intervention group was 2.00 days (t =-2.324 , p = 0.022).Conclusion: The study results were provided evidence of the pulmonary rehabilitation intervention for improved oxygenation, reduced postoperative pulmonary complications in lung cancer with lung resection patients.