Evidence map›Paper›PMID 41254517›Full record

Trial reportBMC cancer2025

Effect of position management combined with active cycle of breathing techniques on reducing postoperative pulmonary complications in lung cancer patients.

Guo Ning, Chen Sihan, Ji Daihong, Zhao Zhilong, Zhao Aihua, Li Liting, Gao Heling

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07612033 (Effect of Positioning Combined With Active Cycle of Breathing Techniques on Pulmonary Complications After Cardiac Surgeries), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07612033 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Positioning Combined With Active Cycle of Breathing Techniques on Pulmonary Complications After Cardiac Surgeries

TypeinterventionalSponsorAssiut UniversityRan2026 to 2027Enrolled124ConditionsPostoperative Pulmonary Complications (PPCs), Cardiac Surgery With Sternotomy, Atelectasis, Postoperative PneumoniaArmsStructured Position Management Protocol, Active Cycle of Breathing Techniques (ACBT)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Guo NingAffiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China.
Chen SihanChifeng Municipal Hospital, Chifeng, 024099, China.
Ji DaihongAffiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China. yourfriend.123@163.com.
Zhao ZhilongAffiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China.
Zhao AihuaAffiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China.
Li LitingAffiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China.
Gao HelingAffiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China.

Funding

Chinese Medical Association Journals 2021-2022 Nursing Research Topics CMAPH-NRG2021001
6 · The paper itself

Abstract

objectiveTo explore the effect of position management combined with active cycle of breathing techniques (ACBT) in reducing postoperative complications in patients with lung cancer.

methodsBetween March 2022 and March 2023, 213 patients undergoing thoracoscopic radical lung cancer surgery at a tertiary hospital in Dalian were screened and randomized into three groups: control (routine nursing, n=71), experimental group 1 (routine nursing + ACBT, n=73), and experimental group 2 (routine nursing + ACBT + position management, n=69). After excluding 6 patients, 207 were analyzed (69 per group). Outcomes compared included incidence of postoperative pulmonary complications, duration of chest tube placement, hospital stay, postoperative oxygen saturation (SpO₂), and nursing satisfaction.

resultsPostoperative pulmonary complications occurred in 23.2% (17/69) of the control group, 13.0% (9/69) of experimental group 1, and 4.3% (4/69) of experimental group 2 (X2, p=0.007). Repeated measures ANOVA showed significant differences in SpO₂ across groups (p < 0.001), time points (p< 0.001), and their interaction (p < 0.001) on postoperative days 1-5. The average drainage tube duration was 3.74 ± 2.83 days (control),3.90 ± 3.25 days (group 1), and 2.74 ± 1.11 days (group 2) (H=10.638, p=0.005). The postoperative hospital stays were 6.42 ± 3.76 days (control), 6.39 ± 4.33 days (group 1), and 4.99 ± 1.24 days (group 2) (H=7.868, p=0.020). Satisfaction scores were 4.46 ± 0.50 (control), 4.66 ± 0.48 (group 1), and 4.87 ± 0.34 (group2) (H=26.121, p=0.000).

conclusionsPosition management combined with active cycle of breathing techniques (ACBT) may promote respiratory secretion clearance, potentially reduce postoperative pulmonary complications, shorten chest tube duration and hospitalization, and improve oxygen saturation and patient satisfaction in lung cancer patients. These findings suggest potential clinical benefits of the combined approach in perioperative nursing for lung cancer patients; however, larger multicenter trials with longer follow-up are required to validate these results.

Indexed as

Lung NeoplasmsPostoperative ComplicationsAgedFemaleHumansLength of StayMaleMiddle AgedActive cycle of breathing techniquesLung cancerPosition managementPulmonary complication

Identifiers

PMID41254517
PMCPMC12625461

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.