Lisha Jiang
Introduction
Minimally invasive surgery reduces trauma and complications, promoting faster patient recovery. However, most surgeons focus on medical quality metrics like length of stay and complication rates, often overlooking perioperative psychological well-being, especially in day surgery patients. As the cornerstone of day surgery, ERAS focuses on rapid perioperative recovery, humanistic care, and improved patient comfort.
Methods
Based on clinical comfort scales, expert interviews, and literature review, a postoperative comfort scale for lung cancer patients was developed. Using the Delphi method, the scale was refined through two rounds of expert consultation. Its reliability and validity were tested on 200 patients, followed by application to 235 day-surgery lung cancer patients for evaluation.
Results
The final scale includes 10 items across 3 dimensions, demonstrating high clinical usability. Cronbach’s α was 0.801, and SCVI/ave was 0.97, indicating strong reliability and validity. Structural validity analysis showed two common factors with eigenvalues >1 (3.257 and 1.352), explaining 32.57% and 13.52% of variance, respectively. Pain and early ambulation were key factors affecting comfort. The study included 218 patients (61 males, 157 females) aged 38–68 (mean 36.40±11.16 years) undergoing daytime VATS, with a 92.77% effective recovery rate.
Conclusions
The postoperative comfort scale for lung cancer patients demonstrates high reliability and validity in clinical application, with pain and early ambulation identified as the primary factors influencing patient comfort. The lung cancer postoperative comfort scale is a practical, objective tool for evaluating patient experience in day surgery settings, offering valuable insights into perioperative comfort and recovery.
Authors
Lisha Jiang
West China Hospital, Sichuan University, Chengdu, China