Efficacy and mechanism of multidisciplinary treatment combined with lifting mobile chest cart to promote rapid recovery after surgical lung cancer surgery
Objective To observe the application value of multidisciplinary treatment mode com-bined with lifting mobile chest carriage for rapid rehabilitation of postoperative lung cancer patients and its impact on stress response.Methods Eighty patients with lung cancer who underwent surgical resection in the Sir Run Run Shaw Hospital from January 2022 to 2023 January 2022 were divided into control group(n=40)and observation group(n=40).The patients in the control group were treated with conventional therapy,while the patients in the observation group were treated with the combination of multi-disciplinary care model and lifting mobile chest vehicle.The scores of stress disorder,pulmonary function,physical ac-tivity,depressive mood and serum stress disorder markers were compared between the two groups before and after operation.Results After intervention,the scores of impact of event scale-revised of the observa-tion group were lower than those of the control group in the degree of stress disorder in intrusion,avoidance and arousal[(6.87±0.95,9.38±2.96,9.02±1.15 vs.7.65±0.98,10.97±2.83,10.68±2.51,t=0.463,0.365,0.253,P＜0.05].Forced Expiratory Volume in one second(FEV1),forced expiratory volume in one second/forced vital capacity(FEV1/FVC),6 min physical activity in observation group were higher than those in control group 28 days after Operation[(2.20±0.35)L,(76.35±6.58)％,(452.00± 22.18)m vs.(2.01±0.52)L,(72.55±6.14)％,(422.00±20.14)m,t=1.247,4.268,5.291,P＜0.05].The scores of Hama and Hamd in the observation group were significantly lower than those in the control group(6.32±2.31,5.51±2.12 vs.10.66±2.74,8.71±1.99,t=2.363,0.113,P＜0.05).The postoperative cortisol level in the observation group was lower than that in the control group[(541.72±91.51)nmol/L vs.(571.20±83.68)nmol/L,t=0.096,P＜0.05].The postoperative prostaglandin E2(PGE2)level in the observation group was significantly lower than that in the control group[(132.62±72.33)pg/ml vs.(152.48±69.98)pg/ml,t=0.082,P＜0.05].Conclusion The stress disorder scores and lung function scores of the two groups of patients before surgery were similar,while the postoperative observation group had lower stress disorder scores than the control group,higher lung function indicators,better physical activity ability,and better negative emotion scores than the control group.The difference was statistically significant.
Multidisciplinary care modelElevating mobile chest carStress theorySerum stress disorder markers
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