Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery

Postoperative pulmonary complications are a risk associated with thoracic surgery. However, there have been few reports on cases at high risk of postoperative complications. Cancer patients often have negative automatic thoughts about illness, and these negative automatic thoughts are associated wit...

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Main Authors: Kazuhiro Hayashi, Takayuki Inoue, Motoki Nagaya, Satoru Ito, Hiroki Nakajima, Keiko Hattori, Izumi Kadono, Kohei Yokoi, Yoshihiro Nishida
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2017/4743952
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author Kazuhiro Hayashi
Takayuki Inoue
Motoki Nagaya
Satoru Ito
Hiroki Nakajima
Keiko Hattori
Izumi Kadono
Kohei Yokoi
Yoshihiro Nishida
author_facet Kazuhiro Hayashi
Takayuki Inoue
Motoki Nagaya
Satoru Ito
Hiroki Nakajima
Keiko Hattori
Izumi Kadono
Kohei Yokoi
Yoshihiro Nishida
author_sort Kazuhiro Hayashi
collection DOAJ
description Postoperative pulmonary complications are a risk associated with thoracic surgery. However, there have been few reports on cases at high risk of postoperative complications. Cancer patients often have negative automatic thoughts about illness, and these negative automatic thoughts are associated with reduced health behavior and physical activity. This case series demonstrates the successful combination treatment of perioperative rehabilitation and psychoeducation for negative automatic thoughts in two cancer patients who underwent thoracic surgery. One patient underwent pneumonectomy with laryngeal recurrent nerve paralysis; the other patient, who had a history of recurrent hepatic encephalopathy and dialysis, underwent S6 segmentectomy. Both patients had negative automatic thoughts about cancer-related stress and postoperative pain. The physical therapists conducted a perioperative rehabilitation program in which the patients were educated to replace their maladaptive thoughts with more adaptive thoughts. After rehabilitation, the patients had improved adaptive thoughts, increased physical activity, and favorable recovery without pulmonary complications. This indicates that the combination treatment of perioperative rehabilitation and psychoeducation was useful in two thoracic cancer surgery patients. The psychoeducational approach should be expanded to perioperative rehabilitation of patients with cancer.
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issn 1687-9627
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publishDate 2017-01-01
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series Case Reports in Medicine
spelling doaj-art-d5c91aed0fd843ccb6def075b3d341482025-02-03T06:12:55ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/47439524743952Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic SurgeryKazuhiro Hayashi0Takayuki Inoue1Motoki Nagaya2Satoru Ito3Hiroki Nakajima4Keiko Hattori5Izumi Kadono6Kohei Yokoi7Yoshihiro Nishida8Department of Rehabilitation, Nagoya University Hospital, Nagoya, JapanDepartment of Rehabilitation, Nagoya University Hospital, Nagoya, JapanDepartment of Rehabilitation, Nagoya University Hospital, Nagoya, JapanDepartment of Rehabilitation, Nagoya University Hospital, Nagoya, JapanDepartment of Rehabilitation, Nagoya University Hospital, Nagoya, JapanDepartment of Rehabilitation, Nagoya University Hospital, Nagoya, JapanDepartment of Rehabilitation, Nagoya University Hospital, Nagoya, JapanDepartment of Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Rehabilitation, Nagoya University Hospital, Nagoya, JapanPostoperative pulmonary complications are a risk associated with thoracic surgery. However, there have been few reports on cases at high risk of postoperative complications. Cancer patients often have negative automatic thoughts about illness, and these negative automatic thoughts are associated with reduced health behavior and physical activity. This case series demonstrates the successful combination treatment of perioperative rehabilitation and psychoeducation for negative automatic thoughts in two cancer patients who underwent thoracic surgery. One patient underwent pneumonectomy with laryngeal recurrent nerve paralysis; the other patient, who had a history of recurrent hepatic encephalopathy and dialysis, underwent S6 segmentectomy. Both patients had negative automatic thoughts about cancer-related stress and postoperative pain. The physical therapists conducted a perioperative rehabilitation program in which the patients were educated to replace their maladaptive thoughts with more adaptive thoughts. After rehabilitation, the patients had improved adaptive thoughts, increased physical activity, and favorable recovery without pulmonary complications. This indicates that the combination treatment of perioperative rehabilitation and psychoeducation was useful in two thoracic cancer surgery patients. The psychoeducational approach should be expanded to perioperative rehabilitation of patients with cancer.http://dx.doi.org/10.1155/2017/4743952
spellingShingle Kazuhiro Hayashi
Takayuki Inoue
Motoki Nagaya
Satoru Ito
Hiroki Nakajima
Keiko Hattori
Izumi Kadono
Kohei Yokoi
Yoshihiro Nishida
Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery
Case Reports in Medicine
title Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery
title_full Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery
title_fullStr Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery
title_full_unstemmed Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery
title_short Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery
title_sort combination treatment of perioperative rehabilitation and psychoeducation undergoing thoracic surgery
url http://dx.doi.org/10.1155/2017/4743952
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