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Home platform-guided nursing improves functional and psychological outcomes after lung cancer surgery in small trialCan a smart home platform help lung cancer patients recover better after surgery?

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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.

Recovering from lung cancer surgery is hard work. Many patients worry about breathing, pain, and feeling anxious or depressed at home. This study looked at whether a specific type of nursing support, guided by a home intelligent management platform, could help. The platform connects patients with nurses who offer personalized care right from their living rooms.

Fifty patients who had lung cancer surgery were split into two groups. One group received this new platform-guided nursing, while the other got standard care only. The group using the platform showed significant improvements in walking distance, daily function, and overall health status. They also reported less pain, less shortness of breath, and lower scores for anxiety and depression.

Both groups saw some improvement on their own, but the platform group did better across the board. The study did not report any safety issues or side effects. However, because only 50 people participated, these results show potential but are not yet enough to prove the method works for everyone. More research is needed to confirm these benefits before hospitals widely adopt this approach.

What this means for you:
A home-based nursing platform helped post-surgery lung cancer patients recover faster with less pain and better mood.

Study Details

Study typeRct
Sample sizen = 50
EvidenceLevel 2
PublishedMar 2026
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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