Application value of triple pre-rehabilitation mode in treating patients with thoracoscopic surgery for lung cancer

Objective To explore the effect of triple pre-rehabilitation mode on the prognosis of patients with thoracoscopic surgery for lung cancer.

Methods A total of 148 patients with thoracoscopic surgery for lung cancer were randomly divided into experimental group and control group, with 74 cases in each group. The control group was given routine nursing intervention in perioperative period, while the experimental group was given additional triple pre-rehabilitation plan. At the time points of hospital admission, before operation and one month after operation, the mental state, serum nutritional indexes, lung function and exercise endurance were compared between two groups, and the incidence of postoperative pulmonary complications in both groups was recorded.

Results During the study, data of one case in the experimental group was lost, and two cases withdrew from the study and data of one case in the control group was lost. Before operation and one month after operation, the scores of the Hamilton Anxiety Scale (HAMA) and the Hamilton Depression Scale (HAMD) in the experimental group were lower than those in the control group, the levels of serum prealbumin (PA), retinol binding protein (RBP), ferritin (FER) and transferrin (TRF) in the experimental group were higher than those in the control group, the values of the forced expiratory volume in the first second (FEV₁), the forced vital capacity (FVC), the maximum ventilatory volume per minute (MVV) and 6-minute walking test (6MWT) in the experimental group were higher than those in the control group, and the between-group differences mentioned above were statistically significant (P < 0.05). The incidence of complications in the experimental group was 5.48%, which was significantly lower than 16.90% in the control group (P < 0.05).

Conclusion The triple pre-rehabilitation mode is safe and effective in the treatment of patients with thoracoscopic surgery for lung cancer, which can alleviate degrees of anxiety and depression, improve preoperative and postoperative nutritional status, enhance pulmonary function and exercise endurance, and reduce the risk of postoperative pulmonary complications.