{"title":"全面管理模式在肺癌术后慢性咳嗽治疗中的效果分析。","authors":"Jing Ma, Yuanhang Zhang, Xue Gao, Liyun Bao, Jiaqi Xu, Sijia Wang, Xintong Tian, Baohua Li","doi":"10.1111/1759-7714.70148","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze the effect of the holistic management model on the management of postoperative chronic cough patients with lung cancer.</p><p><strong>Methods: </strong>A total of 197 patients were selected to receive routine perioperative health guidance from August 2021 to July 2022 and 180 patients were selected to receive the holistic management rehabilitation model from August 2022 to March 2024 by using convenience sampling method. The incidence and severity of chronic cough assessed using a visual analog scale (VAS) and the quality of life assessed by the Chinese version of the Leicester Cough Scale (LCQ-MC) were compared between the two groups, at baseline and 1, 2, and 6 months postoperatively. The effect of the total management was evaluated (assessed by the rate of loss of visit, referral, and follow-up), and adherence to total management (assessed by the Chronic Disease Self-Efficacy Scale [CDSES]) and satisfaction were investigated at the end of the 6 months of continuous postoperative management.</p><p><strong>Results: </strong>The incidence of postoperative chronic cough in the total management group is lower than in the conventional care group (p < 0.05), and the degree of chronic cough and its impact on quality of life were better than those in the conventional care group at 2 and 6 months postoperatively, with statistically significant differences (p < 0.05).</p><p><strong>Conclusion: </strong>The total management model is remarkably effective in managing postoperative chronic cough in patients with lung cancer, reducing the incidence of chronic cough.</p>","PeriodicalId":23338,"journal":{"name":"Thoracic Cancer","volume":"16 18","pages":"e70148"},"PeriodicalIF":2.3000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446716/pdf/","citationCount":"0","resultStr":"{\"title\":\"Analysis of the Effectiveness of a Total Management Model in the Management of Chronic Cough After Lung Cancer Surgery.\",\"authors\":\"Jing Ma, Yuanhang Zhang, Xue Gao, Liyun Bao, Jiaqi Xu, Sijia Wang, Xintong Tian, Baohua Li\",\"doi\":\"10.1111/1759-7714.70148\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To analyze the effect of the holistic management model on the management of postoperative chronic cough patients with lung cancer.</p><p><strong>Methods: </strong>A total of 197 patients were selected to receive routine perioperative health guidance from August 2021 to July 2022 and 180 patients were selected to receive the holistic management rehabilitation model from August 2022 to March 2024 by using convenience sampling method. The incidence and severity of chronic cough assessed using a visual analog scale (VAS) and the quality of life assessed by the Chinese version of the Leicester Cough Scale (LCQ-MC) were compared between the two groups, at baseline and 1, 2, and 6 months postoperatively. The effect of the total management was evaluated (assessed by the rate of loss of visit, referral, and follow-up), and adherence to total management (assessed by the Chronic Disease Self-Efficacy Scale [CDSES]) and satisfaction were investigated at the end of the 6 months of continuous postoperative management.</p><p><strong>Results: </strong>The incidence of postoperative chronic cough in the total management group is lower than in the conventional care group (p < 0.05), and the degree of chronic cough and its impact on quality of life were better than those in the conventional care group at 2 and 6 months postoperatively, with statistically significant differences (p < 0.05).</p><p><strong>Conclusion: </strong>The total management model is remarkably effective in managing postoperative chronic cough in patients with lung cancer, reducing the incidence of chronic cough.</p>\",\"PeriodicalId\":23338,\"journal\":{\"name\":\"Thoracic Cancer\",\"volume\":\"16 18\",\"pages\":\"e70148\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446716/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Thoracic Cancer\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/1759-7714.70148\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Thoracic Cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/1759-7714.70148","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}
Analysis of the Effectiveness of a Total Management Model in the Management of Chronic Cough After Lung Cancer Surgery.
Objective: To analyze the effect of the holistic management model on the management of postoperative chronic cough patients with lung cancer.
Methods: A total of 197 patients were selected to receive routine perioperative health guidance from August 2021 to July 2022 and 180 patients were selected to receive the holistic management rehabilitation model from August 2022 to March 2024 by using convenience sampling method. The incidence and severity of chronic cough assessed using a visual analog scale (VAS) and the quality of life assessed by the Chinese version of the Leicester Cough Scale (LCQ-MC) were compared between the two groups, at baseline and 1, 2, and 6 months postoperatively. The effect of the total management was evaluated (assessed by the rate of loss of visit, referral, and follow-up), and adherence to total management (assessed by the Chronic Disease Self-Efficacy Scale [CDSES]) and satisfaction were investigated at the end of the 6 months of continuous postoperative management.
Results: The incidence of postoperative chronic cough in the total management group is lower than in the conventional care group (p < 0.05), and the degree of chronic cough and its impact on quality of life were better than those in the conventional care group at 2 and 6 months postoperatively, with statistically significant differences (p < 0.05).
Conclusion: The total management model is remarkably effective in managing postoperative chronic cough in patients with lung cancer, reducing the incidence of chronic cough.
期刊介绍:
Thoracic Cancer aims to facilitate international collaboration and exchange of comprehensive and cutting-edge information on basic, translational, and applied clinical research in lung cancer, esophageal cancer, mediastinal cancer, breast cancer and other thoracic malignancies. Prevention, treatment and research relevant to Asia-Pacific is a focus area, but submissions from all regions are welcomed. The editors encourage contributions relevant to prevention, general thoracic surgery, medical oncology, radiology, radiation medicine, pathology, basic cancer research, as well as epidemiological and translational studies in thoracic cancer. Thoracic Cancer is the official publication of the Chinese Society of Lung Cancer, International Chinese Society of Thoracic Surgery and is endorsed by the Korean Association for the Study of Lung Cancer and the Hong Kong Cancer Therapy Society.
The Journal publishes a range of article types including: Editorials, Invited Reviews, Mini Reviews, Original Articles, Clinical Guidelines, Technological Notes, Imaging in thoracic cancer, Meeting Reports, Case Reports, Letters to the Editor, Commentaries, and Brief Reports.