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.