The rehabilitation of patients with preoperative lung cancer:a scoping review

ZHANG Wenxin; LIANG Chaoyang; SHI Yuhui; LI Yan; ZHANG Ning; SUN Yuhong

doi:10.3969/j.issn.1671-315x.2023.10.005

Abstract：Objective To analyze the application of prehabilitation intervention in the lung cancer patients,and identify its specific content,outcomes and application effects,in order to provide reference for medical staff to implement related interventions.Methods Ac-cording to the research methodology of scope review,domestic and international databases such as Cochrane Library,PubMed,Embase,Web of Science,China Biomedical Literature Database,China knowledge Network,Wanfang Database,WeiPu Database,etc.were searched with the time limit of building the database to August 1,2023.The included literature was screened,extracted summarized and analyzed.Results A to-tal of 29 papers were included,including 15 randomized controlled trials,9 class-experimental studies,4 own before-and-after controlled tri-als,and 1 retrospective cohort study.The content of pre-rehabilitation included aerobic exercise training,resistance training,endurance train-ing and pulmonary function training,etc.The intensity was mostly mild to moderate,and the exercise time was 30～90 min/time,and the fre-quency was 2～5 times/week.Pre-rehabilitation had a certain degree of influence on improving lung function and exercise endurance,reducing the incidence of postoperative complications and improving the quality of life of lung cancer surgery patients.Conclusion Prehabilitation in-tervention is safe and effective,which has positive effect on patients after lung cancer surgery.In future research,we should also focus on explo-ring the optimal prehabilitation strategy,formulating uniform and standardized evaluation standards and indicators,and developing a scientific,applicable and standardized prehabilitation program based on the conditions and physical status of patients waiting for lung cancer surgery.