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.

1.	國家衛生健康委辦公廳. 原發性肺癌診療指南(2022年版). 協和醫學雜志, 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.	劉桂香, 蔣文娟, 申小平. 住院肺癌患者抑郁狀況危險因素及其對生活質量的影響. 臨床肺科雜志, 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.	常紅娟, 曾容, 張雨, 等. 臨床護士工作投入相關因素及與自我關懷的關系. 中國健康心理學雜志, 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, 吳美華, 劉雅清. 中文版智謀量表信效度分析. 中華現代護理雜志, 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.	張軼文, 甘怡群. 中文版 Utrecht 工作投入量表 (UWES) 的信效度檢驗. 中國臨床心理學雜志, 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.	陸嘉佳, 張云飛, 柯熹, 等. 智謀概念在我國護理領域的應用進展. 循證護理, 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.	姚麗, 鄭娥, 楊梅, 等. 基于患者報告結局的胸腔鏡肺癌切除術后患者癥狀調查. 中國胸心血管外科臨床雜志, 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.	史穎超. 基于多學科協作的精細化手術護理對肺癌胸腔鏡手術患者心理應激及并發癥風險的影響. 中國防癆雜志, 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.	曾桂華, 何曉華, 柯熹, 等. 中青年癌痛患者智謀現狀及影響因素分析. 天津護理, 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.	竇麗君, 丁小容, 秦美容, 等. 炎癥性腸病病人智謀水平現狀及影響因素分析. 全科護理, 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.	張艷娣, 劉榮輝, 胡亞靜. 中青年乳腺癌生存者自我超越現狀及對工作投入的影響研究. 解放軍護理雜志, 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, 宋靜超, 張芳. Hogan 理論護理模式對胸腔鏡部分肺葉切除術患者心理恐懼及術后康復鍛煉依從性的影響. 臨床醫學研究與實踐, 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.	周漢京. 中青年冠心病 PCI 術后患者社會功能現狀及影響因素分析. 廣西中醫藥大學, 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.	王少東, 隋錫朝, 李曉, 等. 胸腔鏡肺癌根治術后肺部并發癥對遠期預后的影響. 中華胸心血管外科雜志, 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, 林煒漪, 等. 重返工作乳腺癌生存者家庭彈性與工作投入的關系: 子女性別的調節作用. 中國健康心理學雜志, 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.	張靜雅, 曹麗華, 李少玲, 等. PCI 術后重返工作中青年患者智謀水平及對工作投入的影響. 護理學雜志, 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.	張藝琳. 慢性心衰患者智謀水平及其影響因素研究. 山東大學, 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, 陳曉莉. 智謀理論的心理干預在永久性腸造口患者中的應用價值. 中國健康心理學雜志, 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. 國家衛生健康委辦公廳. 原發性肺癌診療指南(2022年版). 協和醫學雜志, 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. 劉桂香, 蔣文娟, 申小平. 住院肺癌患者抑郁狀況危險因素及其對生活質量的影響. 臨床肺科雜志, 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. 常紅娟, 曾容, 張雨, 等. 臨床護士工作投入相關因素及與自我關懷的關系. 中國健康心理學雜志, 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, 吳美華, 劉雅清. 中文版智謀量表信效度分析. 中華現代護理雜志, 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. 張軼文, 甘怡群. 中文版 Utrecht 工作投入量表 (UWES) 的信效度檢驗. 中國臨床心理學雜志, 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. 陸嘉佳, 張云飛, 柯熹, 等. 智謀概念在我國護理領域的應用進展. 循證護理, 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. 姚麗, 鄭娥, 楊梅, 等. 基于患者報告結局的胸腔鏡肺癌切除術后患者癥狀調查. 中國胸心血管外科臨床雜志, 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. 史穎超. 基于多學科協作的精細化手術護理對肺癌胸腔鏡手術患者心理應激及并發癥風險的影響. 中國防癆雜志, 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. 曾桂華, 何曉華, 柯熹, 等. 中青年癌痛患者智謀現狀及影響因素分析. 天津護理, 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. 竇麗君, 丁小容, 秦美容, 等. 炎癥性腸病病人智謀水平現狀及影響因素分析. 全科護理, 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. 張艷娣, 劉榮輝, 胡亞靜. 中青年乳腺癌生存者自我超越現狀及對工作投入的影響研究. 解放軍護理雜志, 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, 宋靜超, 張芳. Hogan 理論護理模式對胸腔鏡部分肺葉切除術患者心理恐懼及術后康復鍛煉依從性的影響. 臨床醫學研究與實踐, 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. 周漢京. 中青年冠心病 PCI 術后患者社會功能現狀及影響因素分析. 廣西中醫藥大學, 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. 王少東, 隋錫朝, 李曉, 等. 胸腔鏡肺癌根治術后肺部并發癥對遠期預后的影響. 中華胸心血管外科雜志, 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, 林煒漪, 等. 重返工作乳腺癌生存者家庭彈性與工作投入的關系: 子女性別的調節作用. 中國健康心理學雜志, 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. 張靜雅, 曹麗華, 李少玲, 等. PCI 術后重返工作中青年患者智謀水平及對工作投入的影響. 護理學雜志, 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. 張藝琳. 慢性心衰患者智謀水平及其影響因素研究. 山東大學, 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, 陳曉莉. 智謀理論的心理干預在永久性腸造口患者中的應用價值. 中國健康心理學雜志, 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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