Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trial
Introduction Preoperative inspiratory muscle training (IMT) is recognised as an important component of the preoperative management of lung cancer, although there is limited evidence for the delivery of a home-based IMT programme combined with preoperative education. We developed a programme combinin...
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| Format: | Article |
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BMJ Publishing Group
2024-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/11/e084072.full |
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| author | Ke Ma Jun Ni Lan Lv Ting Lu Shuna Huang Xichen Wang Zhixuan Shi |
| author_facet | Ke Ma Jun Ni Lan Lv Ting Lu Shuna Huang Xichen Wang Zhixuan Shi |
| author_sort | Ke Ma |
| collection | DOAJ |
| description | Introduction Preoperative inspiratory muscle training (IMT) is recognised as an important component of the preoperative management of lung cancer, although there is limited evidence for the delivery of a home-based IMT programme combined with preoperative education. We developed a programme combining short-term home-based IMT and preoperative physiotherapy education (‘the programme’). This study aims to evaluate the effectiveness of this programme in reducing postoperative pulmonary complications (PPCs) after lung cancer resection compared with standard care.Methods and analysis In this randomised controlled trial, 114 participants scheduled for lung cancer surgery at the First Affiliated Hospital of Fujian Medical University will be randomly assigned (1:1) to either receive usual care (information booklet) or usual care combined with the programme, which consist of short-term home-based IMT and preoperative physiotherapy education. The primary outcome measure will be PPCs using the Melbourne Group Score. Secondary outcomes will include health-related quality of life, maximal inspiratory pressure, 6 min walk distance, length of hospital stay, anxiety and depression levels, and hospital costs.Ethics and dissemination The study has received ethics approval from the ethics committee of the first affiliated hospital of Fujian Medical University (approval no: MRCTA, ECFAH of MFU [2021]569). Participants will be required to provide written informed consent. The results of the study will be submitted for publication in peer-reviewed journals.Trial registration number ChiCTR2300067464. |
| format | Article |
| id | doaj-art-2d87c8eeb79841aba4332b5a6eb47858 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-2d87c8eeb79841aba4332b5a6eb478582025-08-20T01:52:38ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2024-084072Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trialKe Ma0Jun Ni1Lan Lv2Ting Lu3Shuna Huang4Xichen Wang5Zhixuan Shi6Department of Clinical Research and Translation Center, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, ChinaDepartment of Rehabilitation Medicine, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, ChinaDepartment of Rehabilitation Medicine, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, ChinaDepartment of Rehabilitation Medicine, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, ChinaDepartment of Clinical Research and Translation Center, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, ChinaDepartment of Rehabilitation Medicine, Nantong First People`s Hospital, Nantong, Jiangsu, ChinaDepartment of Rehabilitation Medicine, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, ChinaIntroduction Preoperative inspiratory muscle training (IMT) is recognised as an important component of the preoperative management of lung cancer, although there is limited evidence for the delivery of a home-based IMT programme combined with preoperative education. We developed a programme combining short-term home-based IMT and preoperative physiotherapy education (‘the programme’). This study aims to evaluate the effectiveness of this programme in reducing postoperative pulmonary complications (PPCs) after lung cancer resection compared with standard care.Methods and analysis In this randomised controlled trial, 114 participants scheduled for lung cancer surgery at the First Affiliated Hospital of Fujian Medical University will be randomly assigned (1:1) to either receive usual care (information booklet) or usual care combined with the programme, which consist of short-term home-based IMT and preoperative physiotherapy education. The primary outcome measure will be PPCs using the Melbourne Group Score. Secondary outcomes will include health-related quality of life, maximal inspiratory pressure, 6 min walk distance, length of hospital stay, anxiety and depression levels, and hospital costs.Ethics and dissemination The study has received ethics approval from the ethics committee of the first affiliated hospital of Fujian Medical University (approval no: MRCTA, ECFAH of MFU [2021]569). Participants will be required to provide written informed consent. The results of the study will be submitted for publication in peer-reviewed journals.Trial registration number ChiCTR2300067464.https://bmjopen.bmj.com/content/14/11/e084072.full |
| spellingShingle | Ke Ma Jun Ni Lan Lv Ting Lu Shuna Huang Xichen Wang Zhixuan Shi Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trial BMJ Open |
| title | Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trial |
| title_full | Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trial |
| title_fullStr | Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trial |
| title_full_unstemmed | Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trial |
| title_short | Effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high-risk patients with lung cancer: protocol for a randomised controlled trial |
| title_sort | effect of preoperative inspiratory muscle training combined with preoperative education on postoperative pulmonary complications in high risk patients with lung cancer protocol for a randomised controlled trial |
| url | https://bmjopen.bmj.com/content/14/11/e084072.full |
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