Author of

• 11595

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  P2.07 - Poster Session 2 - Surgery (ID 190)

  • Event: WCLC 2013
  • Type: Poster Session
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/29/2013, 09:30 - 16:30, Exhibit Hall, Ground Level

  • 11640

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    P2.07-045 - Post lung surgery rehabilitation (ID 3202)

    09:30 - 09:30  |  Author(s): P. Mikkelsen
    • Abstract

    Background
    Due to a recommendation from The Danish Board of Health, the department for Heart, - Lung, - and Vascular Surgery on Odense University Hospital, Denmark has developed a specialized program of rehabilitation for lung cancer patients who have recently undergone lung surgery.

    Methods
    Purpose The patient is offered a specialized and precisely targeted physical lung rehabilitation program supplemented with nurse intervention with the goal of an improved quality of life, functionality and capability. Method The project is conducted as a qualitative study e.g. with questionnaires about life quality and smoking habits. Spirometry, walking test after the Borg 10 scale, and also VAS-score related to pain, are conducted. A preoperative FEV1 is also measured. The physical rehabilitation begins three weeks post surgery and takes place twice a week throughout the total length of the program of 4-10 weeks. A specially trained physiotherapist is responsible for tests and physical exercise. The physical rehabilitation is accompanied by patient interviews conducted by a specially trained nurse and also by supervision from other health professionals. The areas of focus of the nurse intervention are dyspnea, coughing, nausea, loss of appetite, pain, fatigue, smoking habits, and other psychological symptoms, and consultation with specially trained nurse is offered 3, 6, 9, and 12 months postoperative. At the same time the patient is offered a CT scan. Due to ethical standards no control group of patients was established in this study.

    Results
    The nurse intervention has shown a clear positive effect on the patients smoking habits. The results on the effect on dyspnea, coughing, nausea, loss of appetite, pain, fatigue, smoking habits and psychological symptoms will be presented on the poster. Data show improvement in FEV1, and significant improvement in 6-minute walk test after finishing the physical rehabilitation program.

    Conclusion
    In the beginning of the program the patients are very motivated. Statements from patients and relatives show that they choose rehabilitation offers which are available in the Health Care System with the anticipation of a future positive influence on their prognoses. The patients are expressing that the tests which are a part of the physical rehabilitation program have a huge effect on their motivation. Data shows that physical and emotional rehabilitation has a very positive effect on the patients’ life quality, functionality, and capability. According to statements from patients the interdisciplinary intervention of physiotherapist, nurse and doctor in this project is very valuable. Professional experience has shown that the collection of data from surgical lung cancer patients is difficult due to the fact that a lot of patients disappear from the program of rehabilitation. A large group of the patients transfer to oncological treatment, aborts the rehabilitation offer or dies. This influences the results of the study and therefore also the conclusion.