| Abstract |
[Abstract] Objective To investigate the effect of preoperative anxiety disorder on the early rehabilitation of thoracoscopic radical surgery for lung cancer. Methods A total of 104 patients with lung cancer from September 2018 to September 2021 in our hospital were the subjects of this study, and all of whom were treated with thoracoscopic radical surgery for lung cancer. Patients were screened for anxiety disorders using the hospital anxiety and Depression Scale (HADS) 1 d before surgery and were set as anxiety and non-anxiety groups (n = 42, 62, respectively). We compared the visual analog scale (VAS) for pain at 1D, 2D, and 3D after surgery between the two groups to compare the duration of hospitalization, time to first flatus of the anus, and other complications, such as vomiting and arrhythmia. Results VAS scores at 1 D and 2 d after surgery were significantly higher in the anxiety group than in the nonanxiety group (P <. 05). There was no significant difference at 3D after operation (P > 0.05). Length of hospital stay, time to first flatus, time to first ambulation, and postoperative analgesic use were significantly higher in the anxious group than in the nonanxiety group (P < 0.05). The anxiety group had significantly higher incidences of nausea and vomiting, arrhythmia and other complications than the non-anxiety group (P < 0.05). Conclusion Preoperative comorbid anxiety disorders would affect the early rehabilitation effect of thoracoscopic radical lung cancer surgery, such as increasing the early postoperative pain sensation, prolonging the hospital stay, and increasing the complication rate, and so on.
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