Objective To explore the application of enhanced recovery after surgery (ERAS) combined with the active health concept in the nursing care of lung cancer patients, and its impact on patients’ compliance with rehabilitation exercises, hospitalization satisfaction, incidence of postoperative complications, and length of hospital stay. Methods A prospective study design was adopted. Lung cancer patients admitted to the Department of Thoracic Surgery, West China Tianfu Hospital of Sichuan University between April and July 2025 were enrolled. Using a non-concurrent control method in a quasi-experimental study, the patients were divided into two groups. The control group received routine ERAS nursing, while the intervention group received additional active health interventions on top of ERAS. These interventions included patient participation in personalized plan formulation, patient empowerment (self-evaluation and independent recording of exercise status), daily one-on-one bedside guidance with positive psychological encouragement from nurses, and optimized perioperative education protocols. Four indicators were compared between the two groups: daily exercise frequency from admission to one month after discharge, hospitalization satisfaction, incidence of postoperative complications, and length of hospital stay. Results The intervention group demonstrated significantly better outcomes than the control group in terms of average daily in-hospital exercise frequency (2.2±0.5 vs. 1.6±0.7; t=5.797, P<0.001), planned average daily out-of-hospital exercise frequency on the day of discharge (3.2±0.9 vs. 1.9±0.8; t=9.038, P<0.001), actual average daily out-of-hospital exercise frequency (3.6±1.5 vs. 2.4±1.4; t=4.932, P<0.001), and satisfaction score on the day of discharge (97.9±4.4 vs. 95.8±5.5; t=2.378, P=0.019). No statistically significant difference was observed between the two groups regarding the incidence of postoperative complications or length of hospital stay (P>0.05). Conclusions The nursing model combining ERAS with the active health concept can effectively increase the frequency of rehabilitation exercises and improve hospitalization satisfaction among lung cancer patients. This combined model is superior to ERAS nursing alone and is worthy of clinical promotion and application.
Objective To investigate the impact of shared decision-making (SDM) intervention on treatment expectations, decisional conflict, and satisfaction in patients with lung cancer and mediastinal tumors, aiming to provide a basis for optimizing personalized diagnosis and treatment models for oncology patients. MethodsPatients with lung cancer and mediastinal tumors who met the inclusion criteria, admitted by a single medical team in the Department of Thoracic Surgery, West China Hospital, Sichuan University, from November 2024 to May 2025, were randomly assigned to either a SDM group or a control group using a random number table method. The control group received conventional diagnostic and treatment interventions, while the SDM group received SDM-assisted interventions in addition to the conventional care. Baseline characteristics, treatment expectations, decisional conflict, and satisfaction were compared between the two groups. ResultsA total of 137 patients were included (69 patients in the SDM group, 68 patients in the control group). In the SDM group, there were 30 males and 39 females, with a mean age of (53.17±15.13) years. In the control group, there were 22 males and 46 females, with a mean age of (53.19±15.91) years. After intervention, the change score for treatment expectations in the SDM group was significantly lower than that in the control group [–9.0 (–9.0, –8.0) points vs. –2.0 (–3.0, –2.0) points, P<0.001]. The change score for decisional conflict in the SDM group was also significantly lower than that in the control group [–21.0 (–29.0, –12.0) points vs. –4.5 (–14.5, 1.0) points, P<0.001]. However, there was no statistically significant difference in satisfaction between the two groups [SDM group: 10.0 (10.0, 10.0) points vs. control group: 10.0 (10.0, 10.0) points, P=0.552]. ConclusionSDM intervention can effectively reduce the deviation in treatment expectations and decisional conflict in patients with lung cancer and mediastinal tumors. It holds important clinical value for enhancing patient engagement in care and optimizing personalized diagnosis and treatment processes.