护理研究2026，Vol.40Issue(1)：9-20,12.DOI:10.12102/j.issn.1009-6493.2026.01.002
中青年早期肺癌术后病人居家康复期体力活动方案的构建与初步应用
Construction and preliminary application of a physical activity program for young and middle-aged patients during home-based rehabilitation after early-stage lung cancer surgery
摘要
Abstract
Objective:To construct a physical activity program for young and middle-aged patients during home-based rehabilitation after early-stage lung cancer surgery and to evaluate its application effects.Methods:Literature related to physical activity during home-based rehabilitation after lung cancer surgery was extracted and analyzed.Focus group interviews were conducted to understand the physical activity intervention needs of young and middle-aged patients after early-stage lung cancer surgery.A preliminary version of the physical activity program was developed and reported using the TIDieR intervention template.The preliminary program was revised through two rounds of Delphi expert consultations.The final version of the physical activity program for young and middle-aged patients during home-based rehabilitation after early-stage lung cancer surgery was formed.Totally 50 young and middle-aged patients with early-stage lung cancer who were hospitalized in the thoracic surgery department of a grade A tertiary hospital in Suzhou from September to October 2023 and scheduled for lung cancer resection were recruited and randomly divided into control group and intervention group.The control group received routine discharge guidance,while the intervention group additionally received the developed physical activity program.The physical activity levels and physical function of the two groups were compared before the intervention and after 8 weeks of intervention.Intervention compliance,incidence of adverse events,and patient acceptance of the intervention program were also collected.Results:The effective response rates for both rounds of the Delphi survey were 100%.The expert authority coefficient in the second round was 0.86,The Kendall's coefficient of concordance was 0.337(all P<0.001).The coefficient of variation ranged from 0.00 to 0.11.The final program included 12 modules and 25 items.A total of 50 middle-aged and young patients with early-stage lung cancer were recruited in this study.After excluding 12 cases,38 patients were finally included,with 19 cases in the control group and 19 cases in the intervention group respectively.Application results showed that after 8 weeks of intervention,the physical activity levels and physical function of the intervention group were higher than those of the control group(P<0.05).No adverse events occurred in either group during the intervention.The intervention group demonstrated good compliance and high acceptance of the program.Conclusions:The constructed program is scientific and practical.It could help to improve the physical activity levels and physical function of young and middle-aged patients during home-based rehabilitation after early-stage lung cancer surgery.The program is well-accepted by patients.It has demonstrated good applicability.关键词
中青年/肺癌/居家康复/体力活动/干预方案/不良事件/依从性Key words
young and middle-aged/lung cancer/home-based rehabilitation/physical activity/intervention program/adverse events/compliance引用本文复制引用
CHEN Daoming,SU Yubin,YANG Liqin,NIU Mei'e,QIAN Hongying,ZHAO Qian,WU Zhenyun,SUN Jinting,QIN Chunlan,QIAN Jiahui..中青年早期肺癌术后病人居家康复期体力活动方案的构建与初步应用[J].护理研究,2026,40(1):9-20,12.基金项目
国家自然科学基金项目,编号:82272648 （）
徐州市社会科学研究项目,编号:25XSZ-258 （）
