The impact of thoracoscopic lung cancer resection on patients’ work-related resourcefulness level and job engagement upon returning to work_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YIN Yuanyuan ¹ , SHEN Cheng ² , ZHANG Jie ¹ , WANG Cheng ¹ , ZHENG E ¹ ,  YANG Mei ¹

1. Thoracic Surgery Department, West China School of Nursing/West China Hospital, Sichuan University, Chengdu, 610000, P. R. China;
2. Thoracic Surgery Department, West China Hospital, Sichuan University, Chengdu, 610000, P. R. China;

Corresponding author：

YANG Mei, Email: yangmei69@126.com

Keywords：

Lung cancer; thoracoscopy; return to work; resourcefulness; job engagement

DOI：

10.7507/1007-4848.202503014

Video：

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Objective To investigate the current level of resourcefulness and its impact on work engagement among lung cancer patients who have returned to work after video-assisted thoracoscopic surgery (VATS) lung resection. Methods A sample of middle-aged and young lung cancer patients who underwent VATS lung resection at the Department of Thoracic Surgery, West China Hospital of Sichuan University, between March and September 2023 and had returned to work were selected as the study subjects. Data were collected using a general information questionnaire, the Resourcefulness Scale, and the Utrecht Work Engagement Scale (UWES). Univariate analysis and multiple stepwise regression analysis were used to examine the current status of patients’ resourcefulness upon returning to work and its influence on work engagement. Results A total of 219 patients were included in the study, comprising 60 males and 159 females, with a mean age of (43.18±7.55) years. The patients' score for resourcefulness in returning to work was (107.58±14.42) points, and the total score for work engagement was (64.80±12.72) points. A significant positive correlation was observed between the resourcefulness score and the work engagement score (P<0.001). Multiple stepwise regression analysis revealed that factors such as job nature, average monthly household income, postoperative complications, and individuals' level of resourcefulness all significantly influenced the degree of patients' work engagement (all P<0.05).Conclusion The resourcefulness level and work engagement of patients returning to work after VATS lung resection need to be improved.

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2.	Wang Y, Che G. Ground glass opacity (GGO) predicts improved survival of pathologic stage Ⅰ lung adenocarcinoma patients. Ann Surg Oncol, 2021, 28(Suppl 3): 841-842.
3.	Mao J, Tang Z, Mi Y, et al. Robotic and video-assisted lobectomy/segmentectomy for non-small cell lung cancer have similar perioperative outcomes: A systematic review and meta-analysis. Transl Cancer Res. 2021, 10(9): 3883-3893.
4.	刘桂香, 蒋文娟, 申小平. 住院肺癌患者抑郁状况危险因素及其对生活质量的影响. 临床肺科杂志, 2020, 25(7): 990-993.Liu GX, Jiang WJ, Shen XP. Risk factors for depression and their impact on quality of life in hospitalized lung cancer patients. J Clin Pulm Med, 2020, 25(7): 990-993.
5.	Zauszniewski JA, Sweetko JS, She HY, et al. Documenting the need for teaching resourcefulness skills to family caregivers. Appl Nurs Res, 2022, 67: 151627.
6.	Tomietto M, Paro E, Sartori R, et al. Work engagement and perceived work ability: An evidence-based model to enhance nurses’ well-being. J Adv Nurs, 2019, 75(9): 1933-1942.
7.	常红娟, 曾容, 张雨, 等. 临床护士工作投入相关因素及与自我关怀的关系. 中国健康心理学杂志, 2024, 32(5): 769-774.Chang HJ, Zeng R, Zhang Y, et al. Factors related to work engagement of clinical nurses and their relationship with self-care. China J Health Psychol, 2024, 32(5): 769-774.
8.	Zauszniewski JA, Chien YI, Tithiphontumrong S. Development and testing of the resourcefulness scale for older adults. J Nurs Meas, 2006, 14(1): 57-58.
9.	柯熹, 吴美华, 刘雅清. 中文版智谋量表信效度分析. 中华现代护理杂志, 2015, 21(15): 1737-1740.Ke X, Wu MH, Liu YQ. Reliability and validity analysis of the Chinese version of the Wisdom Scale. Chin J Mod Nurs, 2015, 21(15): 1737-1740.
10.	张轶文, 甘怡群. 中文版 Utrecht 工作投入量表 (UWES) 的信效度检验. 中国临床心理学杂志, 2005, 13(3): 268-270.Zhang YW, Gan YQ. Reliability and validity test of the Chinese version of the Utrecht Work Engagement Scale (UWES). Chin J Clin Psychol, 2005, 13(3): 268-270.
11.	陆嘉佳, 张云飞, 柯熹, 等. 智谋概念在我国护理领域的应用进展. 循证护理, 2022, 8(15): 2041-2045.Lu JJ, Zhang YF, Ke X, et al. Application progress of the concept of wisdom in China’s nursing field. Evid Based Nurs, 2022, 8(15): 2041-2045.
12.	姚丽, 郑娥, 杨梅, 等. 基于患者报告结局的胸腔镜肺癌切除术后患者症状调查. 中国胸心血管外科临床杂志, 2023, 30(1): 84-88.Yao L, Zheng E, Yang M, et al. Survey of symptoms in patients after video-assisted thoracoscopic lung cancer resection based on patient-reported outcomes. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(1): 84-88.
13.	史颖超. 基于多学科协作的精细化手术护理对肺癌胸腔镜手术患者心理应激及并发症风险的影响. 中国防痨杂志, 2024, 46(S2): 487-489.Shi YC. Impact of refined surgical nursing based on multidisciplinary collaboration on psychological stress and risk of complications in patients undergoing video-assisted thoracoscopic lung cancer surgery. Chin J Antituberc, 2024, 46(S2): 487-489.
14.	曾桂华, 何晓华, 柯熹, 等. 中青年癌痛患者智谋现状及影响因素分析. 天津护理, 2020, 28(4): 395-398.Zeng GH, He XH, Ke X, et al. Current status of wisdom and analysis of influencing factors in young and middle-aged cancer patients with pain. Tianjin J Nurs, 2020, 28(4): 395-398.
15.	窦丽君, 丁小容, 秦美容, 等. 炎症性肠病病人智谋水平现状及影响因素分析. 全科护理, 2024, 22(1): 179-181.Dou LJ, Ding XR, Qin MR, et al. Current status of wisdom level and analysis of influencing factors in patients with inflammatory bowel disease. Chin Gen Nurs, 2024, 22(1): 179-181.
16.	Huang LF, Gui SJ, Wan YP, et al. Effect of resourcefulness training on symptoms distress of patients with nasopharyngeal carcinoma. Med Sci Monit, 2018, 24: 5624-5634.
17.	张艳娣, 刘荣辉, 胡亚静. 中青年乳腺癌生存者自我超越现状及对工作投入的影响研究. 解放军护理杂志, 2021, 38(3): 27-30.Zhang YD, Liu RH, Hu YJ. Current status of self-transcendence and its impact on work engagement in young and middle-aged breast cancer survivors. J Nurs PLA, 2021, 38(3): 27-30.
18.	王雅楠, 宋静超, 张芳. Hogan 理论护理模式对胸腔镜部分肺叶切除术患者心理恐惧及术后康复锻炼依从性的影响. 临床医学研究与实践, 2025, 10(2): 117-120.Wang YN, Song JC, Zhang F. The impact of Hogan theoretical nursing model on psychological fear and compliance with postoperative rehabilitation exercises in patients undergoing video-assisted thoracoscopic partial lobectomy. J Clin Med Res Pract, 2025, 10(2): 117-120.
19.	Huang L, Pan X, Li J, et al. Perioperative real-life experiences and care needs of patients undergoing lung cancer ablation: A qualitative study. Technol Health Care, 2025, 33(2): 1056-1065.
20.	周汉京. 中青年冠心病 PCI 术后患者社会功能现状及影响因素分析. 广西中医药大学, 2020.Zhou HJ. Analysis of the current status of social function and its influencing factors in young and middle-aged patients with coronary heart disease after PCI. Guangxi University of Chinese Medicine, 2020.
21.	Kim YA, Yun YH, Chang YJ, et al. Employment status and work-related difficulties in lung cancer survivors compared with the general population. Ann Surg, 2014, 259(3): 569-575.
22.	Rongen A, Robroek SJ, Schaufeli W, et al. The contribution of work engagement to self-perceived health, work ability, and sickness absence beyond health behaviors and work-related factors. J Occup Environ Med, 2014, 56(8): 892-897.
23.	McCarthy GS, Truxillo DM, O’Shea DE, et al. The development and validation of a Multidimensional Perceived Work Ability Scale. J Occup Health Psychol, 2024, 29(2): 90-112.
24.	王少东, 隋锡朝, 李晓, 等. 胸腔镜肺癌根治术后肺部并发症对远期预后的影响. 中华胸心血管外科杂志, 2018, 34(1): 1-5.Wang SD, Sui XC, Li X, et al. Impact of pulmonary complications on long-term prognosis after video-assisted thoracoscopic radical resection of lung cancer. Chin J Thorac Cardiovasc Surg, 2018, 34(1): 1-5.
25.	宋逍, 常莉霞, 林炜漪, 等. 重返工作乳腺癌生存者家庭弹性与工作投入的关系: 子女性别的调节作用. 中国健康心理学杂志, 2025. Epub ahead of print.Song X, Chang LX, Lin WY, et al. The relationship between family resilience and work engagement in breast cancer survivors returning to work: the moderating role of child’s gender. China J Health Psychol, 2025. Epub ahead of print.
26.	张静雅, 曹丽华, 李少玲, 等. PCI 术后重返工作中青年患者智谋水平及对工作投入的影响. 护理学杂志, 2022, 37(2): 15-17.Zhang JY, Cao LH, Li SL, et al. Wisdom level and its impact on work engagement in young and middle-aged patients returning to work after PCI. J Nurs Sci, 2022, 37(2): 15-17.
27.	Liu S, Han X, Du L, et al. How does empowering leadership relate to work engagement? The roles of organisational identification and workplace well-being. Psychol Rep, 2024: 332941241259370.
28.	Xu L, Lin L, Guan A, et al. Factors associated with work engagement among specialist nurses in China: A cross-sectional study. BMC Nurs. 2024 May 28;23(1): 356.
29.	Yang Y, Hatanaka K, Takahashi K, et al. Relationship among the nursing practice environment, occupational career, and work engagement of Chinese nurses employed in Japan: A cross-sectional study. Int J Nurs Stud Adv, 2023, 5: 100166.
30.	Hult M, Terkamo-Moisio A. Mental well-being, work engagement, and work-related and personal resources among nurse managers: A structural equation model. Int J Nurs Stud Adv, 2023, 5: 100140.
31.	张艺琳. 慢性心衰患者智谋水平及其影响因素研究. 山东大学, 2023.Zhang YL. Study on wisdom level and its influencing factors in patients with chronic heart failure. Shandong University, 2023.
32.	文妍, 蔡生菊, 陈晓莉. 智谋理论的心理干预在永久性肠造口患者中的应用价值. 中国健康心理学杂志, 2022, 30(8): 1169-1175.Wen Y, Cai SJ, Chen XL. Application value of psychological intervention based on wisdom theory in patients with permanent intestinal stoma. China J Health Psychol, 2022, 30(8): 1169-1175.

1. 国家卫生健康委办公厅. 原发性肺癌诊疗指南(2022年版). 协和医学杂志, 2022, 13(4): 549-570.General Office of the National Health Commission. Guideline for the diagnosis and treatment of primary lung cancer (2022 edition). Med J Peking Union Med Coll Hosp, 2022, 13(4): 549-570.
2. Wang Y, Che G. Ground glass opacity (GGO) predicts improved survival of pathologic stage Ⅰ lung adenocarcinoma patients. Ann Surg Oncol, 2021, 28(Suppl 3): 841-842.
3. Mao J, Tang Z, Mi Y, et al. Robotic and video-assisted lobectomy/segmentectomy for non-small cell lung cancer have similar perioperative outcomes: A systematic review and meta-analysis. Transl Cancer Res. 2021, 10(9): 3883-3893.
4. 刘桂香, 蒋文娟, 申小平. 住院肺癌患者抑郁状况危险因素及其对生活质量的影响. 临床肺科杂志, 2020, 25(7): 990-993.Liu GX, Jiang WJ, Shen XP. Risk factors for depression and their impact on quality of life in hospitalized lung cancer patients. J Clin Pulm Med, 2020, 25(7): 990-993.
5. Zauszniewski JA, Sweetko JS, She HY, et al. Documenting the need for teaching resourcefulness skills to family caregivers. Appl Nurs Res, 2022, 67: 151627.
6. Tomietto M, Paro E, Sartori R, et al. Work engagement and perceived work ability: An evidence-based model to enhance nurses’ well-being. J Adv Nurs, 2019, 75(9): 1933-1942.
7. 常红娟, 曾容, 张雨, 等. 临床护士工作投入相关因素及与自我关怀的关系. 中国健康心理学杂志, 2024, 32(5): 769-774.Chang HJ, Zeng R, Zhang Y, et al. Factors related to work engagement of clinical nurses and their relationship with self-care. China J Health Psychol, 2024, 32(5): 769-774.
8. Zauszniewski JA, Chien YI, Tithiphontumrong S. Development and testing of the resourcefulness scale for older adults. J Nurs Meas, 2006, 14(1): 57-58.
9. 柯熹, 吴美华, 刘雅清. 中文版智谋量表信效度分析. 中华现代护理杂志, 2015, 21(15): 1737-1740.Ke X, Wu MH, Liu YQ. Reliability and validity analysis of the Chinese version of the Wisdom Scale. Chin J Mod Nurs, 2015, 21(15): 1737-1740.
10. 张轶文, 甘怡群. 中文版 Utrecht 工作投入量表 (UWES) 的信效度检验. 中国临床心理学杂志, 2005, 13(3): 268-270.Zhang YW, Gan YQ. Reliability and validity test of the Chinese version of the Utrecht Work Engagement Scale (UWES). Chin J Clin Psychol, 2005, 13(3): 268-270.
11. 陆嘉佳, 张云飞, 柯熹, 等. 智谋概念在我国护理领域的应用进展. 循证护理, 2022, 8(15): 2041-2045.Lu JJ, Zhang YF, Ke X, et al. Application progress of the concept of wisdom in China’s nursing field. Evid Based Nurs, 2022, 8(15): 2041-2045.
12. 姚丽, 郑娥, 杨梅, 等. 基于患者报告结局的胸腔镜肺癌切除术后患者症状调查. 中国胸心血管外科临床杂志, 2023, 30(1): 84-88.Yao L, Zheng E, Yang M, et al. Survey of symptoms in patients after video-assisted thoracoscopic lung cancer resection based on patient-reported outcomes. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(1): 84-88.
13. 史颖超. 基于多学科协作的精细化手术护理对肺癌胸腔镜手术患者心理应激及并发症风险的影响. 中国防痨杂志, 2024, 46(S2): 487-489.Shi YC. Impact of refined surgical nursing based on multidisciplinary collaboration on psychological stress and risk of complications in patients undergoing video-assisted thoracoscopic lung cancer surgery. Chin J Antituberc, 2024, 46(S2): 487-489.
14. 曾桂华, 何晓华, 柯熹, 等. 中青年癌痛患者智谋现状及影响因素分析. 天津护理, 2020, 28(4): 395-398.Zeng GH, He XH, Ke X, et al. Current status of wisdom and analysis of influencing factors in young and middle-aged cancer patients with pain. Tianjin J Nurs, 2020, 28(4): 395-398.
15. 窦丽君, 丁小容, 秦美容, 等. 炎症性肠病病人智谋水平现状及影响因素分析. 全科护理, 2024, 22(1): 179-181.Dou LJ, Ding XR, Qin MR, et al. Current status of wisdom level and analysis of influencing factors in patients with inflammatory bowel disease. Chin Gen Nurs, 2024, 22(1): 179-181.
16. Huang LF, Gui SJ, Wan YP, et al. Effect of resourcefulness training on symptoms distress of patients with nasopharyngeal carcinoma. Med Sci Monit, 2018, 24: 5624-5634.
17. 张艳娣, 刘荣辉, 胡亚静. 中青年乳腺癌生存者自我超越现状及对工作投入的影响研究. 解放军护理杂志, 2021, 38(3): 27-30.Zhang YD, Liu RH, Hu YJ. Current status of self-transcendence and its impact on work engagement in young and middle-aged breast cancer survivors. J Nurs PLA, 2021, 38(3): 27-30.
18. 王雅楠, 宋静超, 张芳. Hogan 理论护理模式对胸腔镜部分肺叶切除术患者心理恐惧及术后康复锻炼依从性的影响. 临床医学研究与实践, 2025, 10(2): 117-120.Wang YN, Song JC, Zhang F. The impact of Hogan theoretical nursing model on psychological fear and compliance with postoperative rehabilitation exercises in patients undergoing video-assisted thoracoscopic partial lobectomy. J Clin Med Res Pract, 2025, 10(2): 117-120.
19. Huang L, Pan X, Li J, et al. Perioperative real-life experiences and care needs of patients undergoing lung cancer ablation: A qualitative study. Technol Health Care, 2025, 33(2): 1056-1065.
20. 周汉京. 中青年冠心病 PCI 术后患者社会功能现状及影响因素分析. 广西中医药大学, 2020.Zhou HJ. Analysis of the current status of social function and its influencing factors in young and middle-aged patients with coronary heart disease after PCI. Guangxi University of Chinese Medicine, 2020.
21. Kim YA, Yun YH, Chang YJ, et al. Employment status and work-related difficulties in lung cancer survivors compared with the general population. Ann Surg, 2014, 259(3): 569-575.
22. Rongen A, Robroek SJ, Schaufeli W, et al. The contribution of work engagement to self-perceived health, work ability, and sickness absence beyond health behaviors and work-related factors. J Occup Environ Med, 2014, 56(8): 892-897.
23. McCarthy GS, Truxillo DM, O’Shea DE, et al. The development and validation of a Multidimensional Perceived Work Ability Scale. J Occup Health Psychol, 2024, 29(2): 90-112.
24. 王少东, 隋锡朝, 李晓, 等. 胸腔镜肺癌根治术后肺部并发症对远期预后的影响. 中华胸心血管外科杂志, 2018, 34(1): 1-5.Wang SD, Sui XC, Li X, et al. Impact of pulmonary complications on long-term prognosis after video-assisted thoracoscopic radical resection of lung cancer. Chin J Thorac Cardiovasc Surg, 2018, 34(1): 1-5.
25. 宋逍, 常莉霞, 林炜漪, 等. 重返工作乳腺癌生存者家庭弹性与工作投入的关系: 子女性别的调节作用. 中国健康心理学杂志, 2025. Epub ahead of print.Song X, Chang LX, Lin WY, et al. The relationship between family resilience and work engagement in breast cancer survivors returning to work: the moderating role of child’s gender. China J Health Psychol, 2025. Epub ahead of print.
26. 张静雅, 曹丽华, 李少玲, 等. PCI 术后重返工作中青年患者智谋水平及对工作投入的影响. 护理学杂志, 2022, 37(2): 15-17.Zhang JY, Cao LH, Li SL, et al. Wisdom level and its impact on work engagement in young and middle-aged patients returning to work after PCI. J Nurs Sci, 2022, 37(2): 15-17.
27. Liu S, Han X, Du L, et al. How does empowering leadership relate to work engagement? The roles of organisational identification and workplace well-being. Psychol Rep, 2024: 332941241259370.
28. Xu L, Lin L, Guan A, et al. Factors associated with work engagement among specialist nurses in China: A cross-sectional study. BMC Nurs. 2024 May 28;23(1): 356.
29. Yang Y, Hatanaka K, Takahashi K, et al. Relationship among the nursing practice environment, occupational career, and work engagement of Chinese nurses employed in Japan: A cross-sectional study. Int J Nurs Stud Adv, 2023, 5: 100166.
30. Hult M, Terkamo-Moisio A. Mental well-being, work engagement, and work-related and personal resources among nurse managers: A structural equation model. Int J Nurs Stud Adv, 2023, 5: 100140.
31. 张艺琳. 慢性心衰患者智谋水平及其影响因素研究. 山东大学, 2023.Zhang YL. Study on wisdom level and its influencing factors in patients with chronic heart failure. Shandong University, 2023.
32. 文妍, 蔡生菊, 陈晓莉. 智谋理论的心理干预在永久性肠造口患者中的应用价值. 中国健康心理学杂志, 2022, 30(8): 1169-1175.Wen Y, Cai SJ, Chen XL. Application value of psychological intervention based on wisdom theory in patients with permanent intestinal stoma. China J Health Psychol, 2022, 30(8): 1169-1175.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Latest ArticlesThe impact of thoracoscopic lung cancer resection on patients’ work-related resourcefulness level and job engagement upon returning to work

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