Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery
Table 1
Patient characteristics and response to treatment.
Case
Case
Age
60-year-old
67-year-old
Sex
Male
Male
Comorbidity
No
Hepatic encephalopathy and dialysis
Laboratory values on admission
Albumin (g/dl)
3.7
2.6
Hemoglobin (g/dl)
12.7
9.8
Respiratory function test on admission
VC (L)
3.62
2.99
% VC (%)
100.6
79.4
FEV1 (L)
2.74
2.90
FVC (L)
3.79
2.97
FEV1/FVC (%)
72.2
89.2
Electrocardiography on admission
Sinus tachycardia
Normal
Surgery
Pneumonectomy and combined resection with recurrent nerve
S6 segmentectomy
6MWD (m)
on admission
493
372
at discharged
455
344
Statement
on admission
There is nothing I can do to help myself. (helplessness) I have put myself in the doctor. (fatalism)
I cannot seem to keep pain out of my mind. (rumination) I keep thinking about how badly I want the pain to stop. (rumination)
immediately after surgery
I try to fight the illness. (fighting spirit) I suffer a lot of anxiety due to my disease. (anxious preoccupation) I have difficulty in believing this happened to me. (anxious preoccupation) I distract myself when thoughts about my illness come into my head. (avoidance)
I do something active which divert one’s attention away from the pain. (increasing activity level) I tell myself to be brave and carry on despite the pain. (coping selfstatement)
at discharged
I am determined to beat this disease. (fighting spirit) I see my illness as a challenge. (fighting spirit)
I see my illness as a challenge. (fighting spirit)
