title: Combination Treatment of Perioperative Rehabilitation and Psychoeducation Undergoing Thoracic Surgery.
abstract: 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.
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.
authors.forename: Kazuhiro
authors.identifier: 0000-0002-1894-8831
authors.initials: K
authors.lastname: Hayashi
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Inoue
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.
authors.forename: Motoki
authors.initials: M
authors.lastname: Nagaya
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan; Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Ito
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Nakajima
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Hattori
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Izumi
authors.initials: I
authors.lastname: Kadono
authors.affiliation: Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Yokoi
authors.affiliation: Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nishida