Investigation on Home-Based Rehabilitation Exercise Compliance and Analysis of Influencing Factors in Patients with Non-Small Cell Lung Cancer after Thoracoscopic Radical Surgery

PAN Ruina; LIU Xiaocui; QIN Liwei

doi:10.16458/j.cnki.1007-0893.2025.16.004

Abstract：Objective To investigate the compliance of home-based rehabilitation exercises among patients with non-small cell lung cancer(NSCLC)after thoracoscopic radical surgery,analyze the related influencing factors,and propose targeted intervention strategies.Methods A total of 100 NSCLC patients who underwent thoracoscopic radical surgery at Kaifeng Central Hospital from January 2023 to October 2024 were included in the study.General information questionnaires,rehabilitation exercise compliance scales,social support assessment scales,disease perception scales,and self-efficacy scales were used to evaluate the patients'compliance with home-based rehabilitation exercises,social support levels,disease perception,and self-efficacy.Univariate analysis and multiple linear regression analysis were used to analyze the related influencing factors.Results The total score of postoperative rehabilitation exercise compliance was(41.47±5.47)points,the total score of social support was(37.23±3.07)points;the total score of disease perception was(42.47±4.56)points,and the total score of self-efficacy was(79.24±5.10)points.There was a statistically significant difference in the postoperative rehabilitation exercise compliance scores among NSCLC patients of different ages,educational levels,occupations,places of residence,average monthly family incomes,clinical stages,and whether they had other chronic diseases(P<0.05);Pearson correlation analysis showed that the postoperative rehabilitation exercise compliance of NSCLC patients was positively correlated with social support,disease perception,and self-efficacy(r=0.427,0.512,0.634,P<0.05);multiple linear regression analysis showed that age,presence of other chronic diseases,total score of social support,total score of disease perception,and total score of self-efficacy were the main influencing factors of postoperative rehabilitation exercise compliance in NSCLC patients(P<0.05),among which age,presence of other chronic diseases,and total score of disease perception were negatively correlated with postoperative rehabilitation exercise compliance;total score of social support and total score of self-efficacy were positively correlated with postoperative rehabilitation exercise compliance.Conclusion The compliance of home-based rehabilitation exercises after thoracoscopic radical surgery for NSCLC is influenced by multiple factors,among which self-efficacy is the most important influencing factor.Clinically,comprehensive intervention strategies should be focused on elderly patients and those with chronic diseases,including enhancing self-efficacy,strengthening social support,and improving disease perception,to effectively improve the compliance of rehabilitation exercises.