ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Associations of in-hospital recovery, cancer self-management self-efficacy, and perceived social support with early return to work in young and middle-aged patients undergoing lung cancer surgery: a prospective cohort study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRehabilitation nursing plays a critical role in supporting postoperative functional recovery and facilitating reintegration into daily life and work, yet evidence on factors associated with early return to work (RTW) among young and middle-aged patients with lung cancer remains limited. This study aimed to examine the associations of in-hospital recovery, cancer self-management self-efficacy, and perceived social support with early RTW at 1 month after surgery among young and middle-aged patients with lung cancer.
methodsThis prospective cohort study recruited 160 young and middle-aged adults who underwent minimally invasive lung cancer surgery at a tertiary hospital in Shanghai from June to December 2024. Before discharge, participants completed baseline assessments including the Quality of Recovery-15 scale, the Strategies Used by People to Promote Health, and the Perceived Social Support Scale. RTW status and RTW stage were assessed 1 month postoperatively. Binary logistic regression was used to examine factors associated with early RTW.
resultsAmong the 160 participants, 88 (55%) had returned to work 1 month after surgery, while 72 (45%) had not. Of those who returned to work, 53 were categorized into the "uncertain maintenance" stage and 35 into the "proactive maintenance" stage. Non-RTW participants were distributed across the "precontemplation" (n = 9), "contemplation" (n = 15), "prepared for action-self-evaluative" (n = 22), and "prepared for action-behavioural" (n = 26) stages. Higher levels of in-hospital recovery quality, self-efficacy, and perceived social support were significantly associated with an increased likelihood of early RTW.
conclusionMore than half of young and middle-aged lung cancer patients resumed work within 1 month after surgery; however, most remained in the "uncertain maintenance" stage. Better postoperative recovery, higher cancer self-management self-efficacy, and stronger perceived social support were associated with a greater likelihood of RTW at 1 month after surgery in this population. CLINICAL TRIAL NUMBER: Not applicable.
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