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Wei Ling Hsiao
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P1.10 - Nursing/Palliative Care/Ethics (ID 696)
- Event: WCLC 2017
- Type: Poster Session with Presenters Present
- Track: Nursing/Palliative Care/Ethics
- Presentations: 1
- Moderators:
- Coordinates: 10/16/2017, 09:30 - 16:00, Exhibit Hall (Hall B + C)
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P1.10-004 - Testing Efficacy of a Pulmonary Rehabilitation Program for Post Lung Cancer Resection Surgery (ID 8464)
09:30 - 09:30 | Presenting Author(s): Wei Ling Hsiao
- Abstract
Background:
Lung cancer remains the number one cancer-related cause of death among Taiwanese. Surgery is to eradicate cancer cells and thus offer a cure. However, the surgery may decrease lung capacity due to the removal of the entire lobe of a lung and decrease the lung expansion due to the surgical damage . These may increase risks for postoperative pulmonary complications. Pulmonary rehabilitation enhancing lung expansion and ventilation may help to improve oxygenation and reduce postoperative lung complications in patients with lung resection for removing lung cancer.
Method:
An experimental design study. 90 lung cancer patients for a resection surgery were recruited and randomized to the control or intervention group. Patients in the control group received routine care. Patients in the intervention group practiced pulmonary rehabilitation exercise in home for 5 days before the surgery and post-operative pulmonary rehabilitation. Data on six-minute walk distance and level of fatigue werecollected at the baseline and before discharge. Information on diagnosis, stage of cancer, pre-operative lung capacity, surgery procedures, oxygen saturation, postoperative pulmonary compilations, and length of hospital stay were collected from the patients’ charts. 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.
Result:
The result of GEE showed signification effects on S/F ratio, indicating the intervention group had better oxygenation compared with the control group(β = 34.13,Wald X2 = 8.32, p = .004). There was only one patient in theintervention group reported clinical significant postoperative lung complications which was statisticallysignificantly less (X2 = 8.389, p = .001) than what (n= 10) was reported in the control group. The average duration of chest drainage in the intervention group was 2.0 days (SD = 1.00) which was significantly shorter than (t =-2.324, p = .022) 2.56 days (SD = 1.25) reportedin the control group. The decrease in the six-minute walk distance from pre to post-test in the intervention group was significantly lower than it in the control group (t =3.594, p = .001). The increase in the level of fatigue from pre to post-test in the intervention group was significantly lower than it in the control group (t =5.906, p =.001 ).
Conclusion:
Results of the study support the efficacy of the pulmonary rehabilitation program for improvingoxygenation and aerobic capacity, as well as reducing pulmonary complications and level of fatigue in lung cancer patients after cancer resection surgeries.
