ObjectiveTo determine if comfort level was associated with chest tube size(16F or 28F) among lung cancer patients with video-assisted thoracoscopic surgery (VATS) lobectomy. MethodsWe performed VATS lobectomy for 163 patients with lung cancer in our hospital between February and May 2014. There were 70 males 93 females. The patients were allocated into two groups including a 28F group and a 16F group. There were 75 patients at age of 53.18±14.73 years with insertion of one chest drain of 28F in the 28F group. And there were 88 patients at age of 56.62±12.62 years with insertion of one chest drain of 16F in the 16F group. Heart rate and variation of pulse, breathing rate and variation of breathing rate, pain scores, comfort level, and activities daily living (ADL) of the two groups were compared. ResultsThere was no significant difference in the patient characteristics and operation data between the two groups. There were statistical differences in variation of heart rates on the 1st day, 2nd day, and 3rd day after operation between the 16Fgroup and the 28F group (9.67±3.33 times/min vs.18.54±5.33 times/min, P=0.037; 7.89±2.88 times/min vs. 19.01±4.67 times/min, P=0.045; 7.67±3.01 times/min vs. 20.88±5.34 times/min, P=0.021). The percentage patients of mild pain in the 16F group (77.65%) was higher than that in the 28F group (49.78%, P=0.023) with a statistical difference. The independent ambulation and comfort level in the 16F group(67.05%, 67.05%) were significant higher than those in the 28F group (45.78%,55.11%, P=0.023, P=0.026). ConclusionOur findings suggest that drainage via a small-bore chest tube provides meaningful postoperative comfort level in the patients with VATS lobectomy.
Objective To investigate the comfort status of patients undergoing video electroencephalogram (VEEG) examination and explore its influencing factors. Method A total of 177 patients who underwent VEEG examination in the Second Affiliated Hospital of Guangzhou Medical University from March 2023 to February 2024 were selected as the research subjects, and their comfort status and influencing factors during the examination period were analyzed. Result The comfort level of patients undergoing VEEG examination was at a moderate to high level (68.9% and 31.1%, respectively); complete mastery of VEEG health knowledge accounted for 49.2% and 65.5% in the moderate and high comfort groups, respectively. Logistic regression analysis results showed that head discomfort and lack of knowledge of VEEG health were independent influencing factors on the comfort of VEEG examination (P<0.05). Conclusions The comfort level of patients undergoing VEEG examination is at a moderate to high level of comfort; the overall mastery of knowledge related to video electroencephalography is insufficient and still needs further improvement; medical staff should pay attention to the comfort of patients and their mastery of relevant knowledge in examinations. They should take targeted intervention measures in a timely manner based on influencing factors, improve their knowledge level and cooperation with VEEG examinations, reduce the occurrence of discomfort during examinations, and improve the overall comfort level of VEEG examinations.