Influencing factors of postoperation fast-track recovery in patients with thoracoscopic lobectomy

Objective To explore influencing factors of postoperation fast-track recovery in patients with thoracoscopic lobectomy and provide support for the concept of fast track surgery in clinically application. Methods A total of 129 patients who underwent thoracoscopic lobectomy were selected and questionnaire were adopted for survey between January 2015 and September 2015. Univariate analysis and multivariable logistic regression analysis were used to screen influencing factors of postoperation fast-track recovery. Results Univariate analysis showed that the influnecing factors of postoperation fast-track recovery in patients with thoracoscopic lobectomy were closely related to the age, combined basic disease or not, smoking index, preoperative smoking cessation time, preoperative pulmonary function training or not, systematic health education or not, postoperative wound pain, early postoperative ambulation or not, postoperative chest exercises in time or not (t=2.880, χ2=0.219-33.224, P <0.01 or 0.05). Multivariable logistic regression analysis showed that systematic health education or not, postoperative wound pain, preoperative pulmonary function training or not, postoperative chest exercises in time or not, combined basic disease or not, smoking index, and quit smoking more than two weeks or not were the independent risk factors. Conclusions For the patients with thoracoscopic lobectomy, preoperative condition and postoperative condition in the early should be assessed in time. Controlling the pain effectively, giving reasonable guidance of preoperative pulmonary function exercise,strengthening the respiratory tract management, systematic health education, improving the ward environment, high quality of social support and other diversified services could accelerate the recovery of the postoperative patients. Key words: Thoracoscopic lobectomy; Fast track surgery; Influencing factors