WeChat check-in supervision and its effects on psychological resilience and self-efficacy in patients undergoing home pulmonary rehabilitation after lung cancer surgery
Wang Yupei
Cheng Xinghua
Zhang Zhengmin
Ma Jiajia
Li Jiantao
Chen Xiyan
Xu Xiaoyan
Jin Xianchun
Zhang Benyu
Abstract：Objective To evaluate the effects of WeChat check-in supervision on psychological resilience and self-efficacy in patients performing home pulmonary rehabilitation after lung cancer surgery,providing a reference for clinical practice.Methods A total of 145 patients discharged for postoperative rehabilitation after lung cancer surgery at Shanghai Chest Hospital from June 2022 to August 2023 were enrolled and assigned to an observation group(n=73)and a control group(n=72)using a random number table.The control group received routine home pulmonary rehabilitation care;the observa-tion group received routine care plus WeChat check-in supervision.Outcomes compared at discharge and at 6 months after discharge included the Psychological Resilience Scale,the Pulmonary Rehabilitation Training Self-Efficacy Scale,the Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30(EORTC QLQ-C30),and pulmonary function indices(forced expiratory volume in 1 second[FEV1],maximal voluntary ventilation[MVV],forced vital capacity[FVC],and FEV1/FVC).Results At discharge,there were no significant between-group differences in subscales(tenacity,self-strength,optimism)or total scores of Psychological Resilience Scale(P＞0.05).At 6 months after discharge,subscale and total scores were higher than at discharge in both groups and were significantly high-er in the observation group than in the control group(P＜0.05).There were no significant between-group differences at discharge in subscale of the Pulmonary Rehabilitation Training Self-Efficacy Scale such as acquisition and application of reha-bilitation information,or in the total score(P＞0.05);at 6 months,the subscale and the total scores were higher than at discharge in both groups and were significantly higher in the observation group than in the control group(P＜0.05).Pul-monary function indices(FVC,FEV1,MVV,FEV1/FVC)did not differ between groups at discharge(P＞0.05);at 6 months,FVC,FEV1,MVV,and FEV1/FVC increased in both groups compared with discharge and were significantly higher in the observation group than in the control group(P＜0.05).There were no significant pre-discharge differences be-tween groups in subscale(physical functioning,role functioning,cognitive functioning,emotional functioning,and social functioning)or in total score(P＞0.05);at 6 months,scores on these dimensions and the total score improved in both groups and were significantly better in the observation group than in the control group(P＜0.05).Conclusion WeChat check-in supervision applied to home pulmonary rehabilitation after lung cancer surgery can rebuild psychological resilience,promote self-efficacy,strengthen impaired pulmonary function,and raise quality of life,which merits wider clinical promo-tion and application.
Keywords：Robotic-assisted lung cancer surgeryHome pulmonary rehabilitationWeChat check-in supervisionPsychologi-cal resilienceSelf-efficacy
Publication Date：2025-09-20
Online Publishing Date：2026-01-06(First online date of this platform, not the publication date of the document)
Pages：7( 144-150 )