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ORIGINAL RESEARCH article

Front. Physiol.

Sec. Biophysics

This article is part of the Research TopicEnhancing Rehabilitation Outcomes Through Integrated Assessment of Pain, Stress, and FatigueView all articles

Attitudes Knowledge of operative lung cancer patients toward pulmonary rehabilitation

Provisionally accepted
Xiaowei  MaoXiaowei Mao1Fang  HuFang Hu2Jin  PengJin Peng3Feng  PanFeng Pan3Jinjin  YanJinjin Yan4Liyan  JiangLiyan Jiang3*
  • 1Sir Run Run Shaw Hospital, School of Medicine, Graduate School, Zhejiang University, Hangzhou, China
  • 2Cancer Center, Zhejiang Province, Hangzhou, China
  • 3Shanghai Chest Hospital of Shanghai Jiao Tong University School of Medicine, Shanghai, China
  • 4Hebei Petrochina Central Hospital, Langfang, China

The final, formatted version of the article will be published soon.

Introduction: We conducted this survey to explore the attitudes knowledge of operative lung cancer patients toward pulmonary rehabilitation and the influencing factors. Methods: Between Jan 1st, 2018 and Dec 31th, 2020, patients who received thoracic surgery were enrolled in this study. We used a questionnaire, which consisted of three parts, to collect the clinical features and attitudesknowledge toward pulmonary rehabilitation. Result: Finally, ninety-three patients were enrolled in this study. Most patients are female,≤60 years old, had normal pulmonary function and diagnosed to non-small cell lung cancer. Univariate analysis revealed that patients with abnormal pulmonary ventilatory function, higher preoperative CAT scores, higher CAT differences, and higher mMRC differences showed a higher percentage of awareness of pulmonary rehabilitation (p=0.051, 0.029, 0.178, 0.003 respectively). Multivariate analysis suggested that preoperative CAT score (p=0.01) and mMRC difference (p=0.001) were the strongest associated factorspredictors of awareness of pulmonary rehabilitation. Conclusion: Many factors may influence the patients' knowledgeattitudes toward pulmonary rehabilitation. We found that a higher preoperative CAT score and a larger mMRC difference were the associated factorsstrongest predictors of awareness of pulmonary rehabilitation. Besides, more attention should be given to the other patients.

Keywords: Influence factors, knowledgeattitudes, lung cancer, Pulmonary Rehabilitation, Surgery, Survey

Received: 17 Sep 2025; Accepted: 13 Jan 2026.

Copyright: © 2026 Mao, Hu, Peng, Pan, Yan and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Liyan Jiang

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