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

ObjectiveTo 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.MethodsLiterature 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.ResultsThe 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