Analysis of the current situation and influencing factors of exercise prehabilitation adherence in cancer patients

Liu Shunhua; Ban Huabei; Meng Jusi

doi:10.26939/j.cnki.CN11-9353/R.2025.10.007

Abstract：Objective To explore the current situation of exercise prehabilitation adherence and its influencing factors in elderly patients with lung cancer,and to provide a basis for optimizing perioperative rehabilitation intervention strategies.Methods A single-center cross-sectional study was conducted,enrolling 123 lung cancer patients who underwent radical surgery from June 2023 to March 2025.Patients were divided into two groups based on exercise prehabilitation adherence:the high-adherence group(adherence rate≥75%)and the low-adherence group(adherence rate<75%).A multidisciplinary team developed personalized exercise programs,which were implemented in combination with supervision measures and psychological interventions.The patients'functional status,psychological characteristics,and postoperative clinical outcomes were evaluated.Univariate analysis and multivariate logistic regression analysis were used to explore the influencing factors of adherence.Results The overall exercise prehabilitation adherence rate of the patients was 82.45%,in which the adherence rate to breathing training was the highest(98.05%),and to aerobic exercise was the lowest(69.25%).Advanced age,frailty,preoperative anxiety,long prehabilitation period,and family support level were independent risk factors for reduced adherence(P<0.05).The postoperative hospital stay in the high-adherence group was significantly shorter than that in the low-adherence group(P=0.002),but there were no significant differences in other clinical outcome indicators such as complication rate between the two groups(all P>0.05).Conclusion The exercise prehabilitation adherence of lung cancer patients is affected by multiple factors including age,frailty,anxiety,and rehabilitation period.Individualized intervention strategies should be developed for elderly,frail and anxious patients,the prehabilitation period design should be optimized,and psychological support should be strengthened,so as to improve rehabilitation participation and surgical prognosis.