J Korean Acad Fundam Nurs.  2020 May;27(2):106-115. 10.7739/jkafn.2020.27.2.106.

Factors Influencing Complications after Therapeutic Lung Resection in Lung Cancer Patients

• Son S
• Kim J

• KMID: 2502430
• DOI: http://doi.org/10.7739/jkafn.2020.27.2.106

Abstract

Purpose
The purpose of this study was to assess postoperative complications and factors influencing complications in lung cancer patients undergoing therapeutic lung resection.
Methods
This was a retrospective comparative study investigating participants’ individual characteristics, nutritional status, operative characteristics, and disease characteristics as found in the electronic medical records of patients undergoing therapeutic lung resection for lung cancer. Data were collected from 191 participants who received the therapeutic lung resection in 1 general hospital. Analysis was done using x2 test or independent t-test, Pearson correlation and multiple regression analysis.
Results
The incidence of complications according to the characteristics of the patients was significantly higher for men over 65 years old, smokers (former smokers included), FEV1/FVC ratio less than 70%. Other factors influencing outcomes were lengthy operation time, FEV1/FVC ratio less than 70% and post OP stageII.
Conclusion
Results show that a FEV1/FVC ratio less than 70%, and post OP stageII are factors influencing complications after therapeutic lung resection. Determination of chronic obstructive pulmonary disease through preoperative pulmonary function tests and plans to provide nursing interventions that improve lung function contribute to prevention of postoperative complications.

Keyword

Lung neoplasms; Postoperative complications; Risk factors