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Title: The evaluation of utility of preoperative systematised pulmonological physiotherapy among non-small-cell lung cancer patients undergoing anatomical lung resection

Abstract:

Objectives To estimate an impact of the 2-week intensive preoperative systematised pulmonological physiotherapy (PSPP) conducted in household conditions among non-small-cell lung cancer (NSCLC) patients undergoing anatomical lung resection on respiratory tests, endurance during exercise, time of hospitalization and number of post-operative complications.Methods The study included 100 NSCLC. Patients from test group (T) were submitted to PSPP, while those from control group (C) were not. Initially patients had performed spirometry, six-minute walk test (6MWT) and evaluation of anxiety. The same tests were repeated a day before the operation and on the 4-9th and 21-23th day after the operation. Additionally spirometry was performed on the 1st and 3rdday after the operation. A level of pain measured by visual analogue scale (VAS) was also assessed on the 1st , 3rd, 4-9th and 21-23th day after the operation.Results In group T 6MWT distance was considerably longer than in group C on the 4-9th and 21-23th day after surgery. In group C bigger dyspnea (p=0.049) and weariness (p<0001) after exercise during post-operative period were observed. In group T a test for homogeneity (p<0.005) revealed less intensive post-operative pain . In group T a lower level of fear before the operation (p=0.0019), a lower post-operative complication rate and shorter time of hospitalization was noticed (p=0.0495).Conclusions After this study the PSPP improves endurance during exercise, relieves post-operative pain and level of fear before the operation, reduces number of post-operative complications and time of hospitalization. The significant improvement of respiratory parameters wasn’t observed.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

pulmonologia ; onkologia ; rehabilitacja

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Nauk o Zdrowiu.

Promoter:

Artur Szlubowski

Date issued:

2014

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:3978

Call number:

ZB-122316

ControlNumberVIRTUA:

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Language:

pol

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

May 24, 2021

In our library since:

Apr 2, 2015

Number of object content hits:

8

Number of object content views in PDF format

8

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/3978

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ZB-122316 May 24, 2021
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