Patient reported outcomes of symptoms at home and symptom management needs af-ter lung cancer surgery:a mixed-method study
Objective To investigate patient reported outcomes of symptoms at home and management needs after lung cancer surgery,and to provide a reference for medical staff to carry out continuous intervention measures.Methods A total of 384 home-residing patients in the early period after surgery for early-stage lung cancer were surveyed by the Patient Reported Outcomes Scale After Early-stage Lung Cancer Surgery.Then semi-structured interviews on symptom management needs were conducted among 15 patients based on purposive sampling method.Results The scores of the Patient Reported Outcomes Scale After Early-stage Lung Cancer Surgery were as follows in descending order:physiological field(2.59±0.71),treatment field(2.54±0.46),social field(2.27±0.65),and psychological field(1.71±0.84).The top 3 scores in the 13 dimensions were independence(4.00± 1.18),chest symptoms(3.02±0.52),and social adaptation(2.91±1.12).Four themes were identified in the qualitative re-search:physiological needs(diversified symptoms occurring at home,hoping to receive symptom management services);psychological needs(being anxious and worried,hoping for timely care and communication);social needs(hoping to receive under-standing and care from family when feeling uncomfortable);treatment needs(continuous care and rehabilitation guidance from professional medical staff).Conclusion Postoperative symptoms of lung cancer patients at home were diverse,and they had a strong demand for symptom management.Such measures as building an information intelligence platform might provide symptom management support for patients.
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