Home platform-guided nursing improves functional and psychological outcomes after lung cancer surgery in small trial
Photo by Vitaly Gariev / Unsplash
Key Takeaway
Consider HIM-guided home nursing as a potential adjunct for post-lung cancer surgery rehab, but evidence is from a small, single-center trial.
In a randomized controlled trial at Yichang Central People's Hospital, 50 patients after lung cancer surgery were assigned to receive either standard care or standard care plus Internet + nursing services via a home intelligent management platform (HIM)-guided personalized nursing. The intervention was delivered post-discharge, with outcomes assessed at follow-up. The primary outcome was not explicitly distinguished from secondary outcomes in the reported text.
The HIM group showed superior results compared to the control group for several outcomes, including 6-minute walk test (6MWT) distance, functional domains, overall health status, and greater reductions in Borg Scale, Visual Analog Scale (VAS), Self-Rating Anxiety/Depression Scales (SAS/SDS), pain, and dyspnea scores (all P < 0.05). Significant within-group improvements in these measures were also observed in both groups (P < 0.05). Exact numerical data, effect sizes, and absolute numbers for these comparisons were not reported.
Safety and tolerability data, including adverse events and discontinuations, were not reported. Key limitations include the small sample size (n=50), single-center setting, lack of reported safety data, and absence of detailed numerical results or effect sizes. Funding and conflicts of interest were also not reported. The study suggests a potential role for technology-facilitated home-based rehabilitation, but its findings are preliminary and require validation in larger, more rigorous trials with comprehensive safety monitoring and detailed outcome reporting before clinical application can be considered.
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View Original Abstract ↓
OBJECTIVE: To evaluate the effects of "Internet + " nursing services via a home intelligent management platform (HIM) on respiratory function, psychological status, and quality of life in post-discharge lung cancer surgery patients facing challenges such as rehabilitation knowledge gaps, poor compliance, psychological distress, and communication barriers.
METHODS: A randomized controlled trial enrolled 50 patients undergoing lung cancer surgery at Yichang Central People's Hospital (September 2023-July 2024). Participants were allocated to an intervention group (n = 25, receiving standard care plus HIM-guided personalized nursing) or a control group (n = 25, standard care only). Outcomes included 6-min walk test (6MWT) distance, Borg Scale, Visual Analog Scale (VAS), Self-Rating Anxiety/Depression Scales (SAS/SDS), and EORTC QLQ-C30 scores, assessed pre-discharge and post-intervention.
RESULTS: Both groups showed significant within-group improvements in 6MWT distance, functional domains, overall health status, and reductions in Borg, VAS, SAS/SDS, fatigue, and pain scores post-discharge (all P < 0.05). Compared to controls, the HIM group demonstrated superior 6MWT distance, functional domains, overall health (P < 0.05), and greater reductions in Borg, VAS, SAS/SDS, pain, and dyspnea scores (P < 0.05).
CONCLUSION: HIM-facilitated continuous nursing significantly enhances respiratory function, psychological well-being, and quality of life in postoperative lung cancer patients, demonstrating clinical value for home-based rehabilitation. Trial registration This trial was registered in the Chinese Clinical Trial Registry at ChiCTR2400093904 ( http://www.chictr.org.cn ) on 13 December 2024.
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