Abstract：
OBJECTIVE: Lung cancer surgery patients experience severe physical and mental symptoms, which seriously affect their quality of life and prognosis. Mindful breathing training is a promising strategy to improve their symptoms, but its effectiveness is affected by training compliance, and diary-based rehabilitation instruction has been shown to help improve training compliance. Therefore, the aim of this study was to evaluate the effects of mindful breathing training combined with diary-based rehabilitation guidance on improving perioperative outcomes in lung cancer surgery patients.
METHODS: This single-center, assessor-blinded, prospective, three-arm randomized controlled trial was conducted from November 1, 2021 to November 1, 2022. Patients diagnosed with primary non-small cell lung cancer and scheduled for thoracoscopic surgery were randomly allocated to the combined intervention group, the mindful breathing group or the control group, with 34 patients in each group. The control group received routine care, while the mindful breathing group received mindful breathing training and routine care. The combined intervention group received both mindful breathing training and diary-based rehabilitation guidance, along with routine care.
RESULTS: The per-protocol analysis revealed that patients in the mindful breathing group experienced statistically significant improvements in dyspnea, fatigue and anxiety. Patients in the combined intervention group had statistically significant improvements in dyspnea, fatigue, anxiety, depression, exercise self-efficacy and training compliance.
CONCLUSIONS: This study provides evidence that mindful breathing training combined with diary-based rehabilitation guidance can be effective in improving perioperative outcomes in lung cancer patients. It can be applied in clinical practice in the future.
METHODS: This single-center, assessor-blinded, prospective, three-arm randomized controlled trial was conducted from November 1, 2021 to November 1, 2022. Patients diagnosed with primary non-small cell lung cancer and scheduled for thoracoscopic surgery were randomly allocated to the combined intervention group, the mindful breathing group or the control group, with 34 patients in each group. The control group received routine care, while the mindful breathing group received mindful breathing training and routine care. The combined intervention group received both mindful breathing training and diary-based rehabilitation guidance, along with routine care.
RESULTS: The per-protocol analysis revealed that patients in the mindful breathing group experienced statistically significant improvements in dyspnea, fatigue and anxiety. Patients in the combined intervention group had statistically significant improvements in dyspnea, fatigue, anxiety, depression, exercise self-efficacy and training compliance.
CONCLUSIONS: This study provides evidence that mindful breathing training combined with diary-based rehabilitation guidance can be effective in improving perioperative outcomes in lung cancer patients. It can be applied in clinical practice in the future.
摘要：
目的：肺癌手术患者出现严重的身心症状，严重影响其生活质量和预后。正念呼吸训练是改善他们症状的有前途的策略，但是其有效性受到培训合规性的影响，和基于日记的康复指导已被证明有助于提高培训依从性。因此,本研究的目的是评估正念呼吸训练结合基于日记的康复指导对改善肺癌手术患者围手术期结局的效果.
方法：这种单中心，评估者盲化，prospective,三臂随机对照试验于2021年11月1日至2022年11月1日进行.将诊断为原发性非小细胞肺癌并计划进行胸腔镜手术的患者随机分为联合干预组，正念呼吸组或对照组，每组34例。对照组给予常规护理,正念呼吸组接受正念呼吸训练和常规护理。联合干预组同时接受正念呼吸训练和日记式康复指导,以及日常护理。
结果：符合方案分析显示，正念呼吸组患者呼吸困难有统计学意义的改善，疲劳和焦虑。联合干预组患者呼吸困难改善有统计学意义,疲劳,焦虑,抑郁症,锻炼自我效能感和训练依从性。
结论：本研究提供证据表明，正念呼吸训练结合基于日记的康复指导可以有效改善肺癌患者的围手术期预后。可在今后的临床实践中推广应用。
方法：这种单中心，评估者盲化，prospective,三臂随机对照试验于2021年11月1日至2022年11月1日进行.将诊断为原发性非小细胞肺癌并计划进行胸腔镜手术的患者随机分为联合干预组，正念呼吸组或对照组，每组34例。对照组给予常规护理,正念呼吸组接受正念呼吸训练和常规护理。联合干预组同时接受正念呼吸训练和日记式康复指导,以及日常护理。
结果：符合方案分析显示，正念呼吸组患者呼吸困难有统计学意义的改善，疲劳和焦虑。联合干预组患者呼吸困难改善有统计学意义,疲劳,焦虑,抑郁症,锻炼自我效能感和训练依从性。
结论：本研究提供证据表明，正念呼吸训练结合基于日记的康复指导可以有效改善肺癌患者的围手术期预后。可在今后的临床实践中推广应用。
