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December 29, 2025Scientific Reports2 citationsOpen Access

Effectiveness of an educational intervention based on the common-sense model of self-regulation for lung cancer patients after thoracoscopic surgery

XGXiang GuLJLei JiangYDYin Dou

Key Result

An educational intervention based on the common-sense model of self-regulation significantly improved lung function exercise compliance compared to usual care (median score 44 vs 29, p < 0.001) in lung cancer patients following thoracoscopic surgery.

Structured PICO

Does an educational intervention based on the common-sense model of self-regulation improve pulmonary exercise compliance, frailty, and illness perception in lung cancer patients after thoracoscopic surgery?

P
Population
90 adult lung cancer patients (mean age 60.7 years, 62.2% female) who underwent initial thoracoscopic surgery, followed for 1 month to assess the effects of a self-regulation educational intervention.
I
Intervention
Educational nursing intervention based on the common-sense model of self-regulation, including face-to-face and telephone counselling for 4 weeks (4 sessions, 20-40 min each) starting on the third day after surgery, plus a health education manual.
C
Comparator
Usual care, including preoperative respiratory function exercise instructions, daily postoperative rounds, tips on a blackboard, video access for functional exercises, and discharge education.
O
Outcome
Pulmonary exercise compliance, frailty (assessed by Groningen Frailty Indicator), and illness perception (assessed by Brief Illness Perception Questionnaire) measured before and 1 month after the intervention.patient reported

An educational intervention based on the common-sense model of self-regulation significantly improves pulmonary exercise compliance and illness perception, but not frailty, in lung cancer patients recovering from thoracoscopic surgery.

Main Result

Absolute Event Rate: 44% vs 29%

p-value: p=<0.001

Limitations

  • Nonrandomized controlled study design makes results susceptible to potential confounding factors, limiting causal inference.
  • Lack of long-term follow-up data to verify the long-term effectiveness of the intervention.

Abstract

This study constructed an educational intervention based on the common-sense model of self-regulation for lung cancer patients after thoracoscopic surgery and evaluated the effects of the educational intervention. From July 2023 to January 2024, ninety patients with lung cancer after initial thoracoscopic surgery were divided into an intervention group (N = 45) and a control group (N = 45). Patients in the intervention group received a nursing intervention based on the common-sense model of self-regulation. Patients in the control group received usual care. The intervention group received face-to-face and telephone counselling for 4 weeks, and they had a manual. Pulmonary exercise compliance, frailty, and illness perception were assessed before and after the intervention. After the implementation of the nursing intervention based on the common-sense model of self-regulation, there were statistically significant differences in lung function exercise compliance scores and illness perception scores between the intervention group and the control group, but there was no statistically significant difference in frailty scores between the two groups after the intervention. This educational intervention is effective for the rehabilitation behaviour of lung cancer patients following thoracoscopic surgery. Clinical trial registration: This study has been registered in the Chinese Clinical Trial Registry through this website www.chictr.org.cn , and the registration number is ChiCTR2400087033. The first registration date was 17 July 2024.

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Cite This Study

Gu et al. (2025) studied Lung cancer after thoracoscopic surgery (n=90). Educational intervention based on the common-sense model of self-regulation vs. Usual care was evaluated on Lung function exercise compliance score (p=<0.001). An educational intervention based on the common-sense model of self-regulation significantly improved lung function exercise compliance compared to usual care (median score 44 vs 29, p < 0.001) in lung cancer patients following thoracoscopic surgery.

synapsesocial.com/papers/6a9e2cdb03926790d9368ac6https://doi.org/10.1038/s41598-025-29106-y
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