Application of patient participation in decision-making to long-term management of exercise rehabilitation for lung cancer patients with surgical treatment

ZHU Min; WEI Xinqi; WANG Miaomiao

doi:10.3969/j.issn.1002-7386.2026.02.013

Abstract：Objective To investigate the application effect of patient participation in decision-making schemes in the long-term management of exercise rehabilitation for lung cancer patients with surgical treatment.Methods A total of 120 lung cancer patients admitted from June 2022 to December 2023 were included as the study subjects.They were randomly divided into the study group and control group by drawing lots.The control group of 60 cases received a routine management plan,while the study group of 60 cases implemented a long-term management plan for exercise rehabilitation with patient participation in decision-making.Lung function indicators(forced vital capacity[FVC],forced expiratory volume in one second[FEV1],peak expiratory flow[PEF]),fatigue symptoms(Eastern Cooperative Oncology Group Performance Status[ECOG-PS],Cancer Fatigue Scale[CFS),6-minute walk test[6MWT]),self-efficacy(exercise compliance rate,General Self-Efficacy Scale[GSES]),and quality of life indicators between two groups of patients under different management plans.Results There were no significant differences in FVC,FEV1,and PEF indicators between the two groups before interventions(P>0.05).After interventions,the levels of various lung function indicators in both groups significantly increased compared to pre-intervention values,which were significantly better in the study group than the control group(P<0.05).Before interventions,there were no significant differences in ECOG-PS,CFS,and 6MWT between the two groups(P>0.05).After interventions,the ECOG-PS and CFS scores of both groups significantly decreased compared to pre-intervention values,which were significantly lower in the study group than the control group.The 6MWT significantly increased compared to pre-intervention values,which was significantly longer in the study group than the control group(P<0.05).There were no significant differences in exercise compliance rate and GSES score between the two groups before interventions(P>0.05).After interventions,they significantly increased compared to pre-intervention values,which were significantly better in the study group than the control group(P<0.05).There were no significant differences in the scores of various dimensions of quality of life between the two groups before interventions(P>0.05).After interventions,the scores of both groups significantly increased compared to pre-intervention values,which were significantly higher in the study group than the control group(P<0.05).Conclusion Long-term exercise rehabilitation management with patient participation in decision-making can improve exercise rehabilitation compliance and self-efficacy in lung cancer patients,enhance lung function and exercise endurance,and improve fatigue symptoms and quality of life.