Assessment of the Functioning Profile of Patients with Lung Cancer Undergoing Lobectomy in Relation to the ICF Rehabilitation Core Set.
Agnieszka Zawadzka-FabijanArtur FabijanMariusz ŁochowskiŁukasz PrytIreneusz PieszyńskiJolanta Ewa KujawaBartosz PolisEmilia NowosławskaKrzysztof ZakrzewskiJózef KozakPublished in: Journal of clinical medicine (2023)
Lung cancer often presents with pain and breathlessness, frequently necessitating surgical procedures, such as lung lobectomy. A pivotal component of postoperative care is rehabilitation, aimed not only at improving the clinical condition but also at influencing the patient's functional profile. In a study conducted at the Clinic of Thoracic Surgery and Respiratory Rehabilitation in the Regional Multispecialist Center for Oncology and Traumatology of the Nicolaus Copernicus Memorial Hospital in Lodz, the effectiveness of rehabilitation intervention was assessed in 50 patients ( n = 27 M, n = 23 F) postlobectomy due to early stage nonsmall cell lung cancer (NSCLC). The International Classification of Functioning, Disability, and Health-ICF Rehabilitation Core Set was used to evaluate the functional profile, the modified Laitinen scale for pain assessment, and the modified Borg scale for breathlessness evaluation. Additionally, lung-expansion time was monitored. The significance level of the statistical tests in this analysis was set at α = 0.05. The study employed an analysis of the normality of the distributions of the numerical variables, reporting of variable distributions, estimation of differences between groups, estimation of differences within groups, estimation of the independence of categorical variables, and regression analysis. The research confirmed that rehabilitation partially improves the functional profile of patients and reduces the sensation of breathlessness postsurgery. The study highlighted the need for future research with a larger number of participants and an extended observation period to gain a deeper understanding of the impact of rehabilitation on patients after lung lobectomy procedures.
Keyphrases
- end stage renal disease
- early stage
- ejection fraction
- healthcare
- newly diagnosed
- randomized controlled trial
- prognostic factors
- chronic pain
- small cell lung cancer
- machine learning
- systematic review
- public health
- multiple sclerosis
- mental health
- mesenchymal stem cells
- bone marrow
- radiation therapy
- pain management
- spinal cord
- tyrosine kinase
- epidermal growth factor receptor
- advanced non small cell lung cancer
- quality improvement
- neoadjuvant chemotherapy
- cell therapy
- health promotion
- brain metastases