Patient Preference and Adherence (Sep 2024)
Investigation of Exercise Interventions on Postoperative Recovery in Lung Cancer Patients: A Qualitative Study Using Web Crawling Technology
Abstract
Xiaoqing Liu,1,2 Qiaoqiao Ma,1 Jianfei Li,1 Zijun Huang,3 Xin Tong,2 Ting Wang,2 Hualong Qin,2 Wenjie Sui,2 Jing Luo2 1School of Nursing, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China; 2Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, People’s Republic of China; 3School of Computer Science and Technology, Soochow University, Suzhou, People’s Republic of ChinaCorrespondence: Jing Luo, Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Gusu District, Suzhou, Jiangsu, 215006, People’s Republic of China, Email [email protected]: Rapid recovery after lung cancer surgery is challenging. Exercise is a low-cost, effective method to expedite recovery. Despite numerous exercise interventions, many fail to consider patient perspectives, leading to low adherence and short-term effects. Understanding lung cancer patients’ perspectives on postoperative exercise and exploring their exercise-related concerns and needs are crucial for enhancing the effectiveness of exercise-based rehabilitation programs.Objective: This study aims to analyze lung cancer patients’ perspectives on postoperative exercise in their daily lives, exploring their concerns and needs related to postoperative exercise to help healthcare professionals develop personalized exercise plans.Methods: An internet crawling technique collected online inquiries from Baidu webpages about postoperative physical activity in lung cancer patients, using “lung cancer”, “surgery”, and ”exercise” as keywords. The data was encoded, categorized, and analyzed using a large-scale semantic analysis platform in natural language processing and information retrieval to examine term frequency, sentiment tendencies, and attributes in the inquiry texts.Results: Initially, 2727 queries were retrieved; after screening, deduplication, and cleansing, 201 unique queries were identified. Queries related to “modes of exercise” constituted the largest proportion. The most frequently occurring words in the word frequency analysis were “lung”, “ cancer”, “should”, “can”, “long”, “early”, and “surgery”, “exercise”, “respiratory”. Postoperative lung cancer patients demonstrate significant interest in whether they should engage in exercise, as well as in the appropriate types and duration of such activities, indicating a strong need for detailed guidance and knowledge related to exercise. The sentiment analysis showed a positive score of 87.5% and a negative score of 12.5%, indicating that postoperative lung cancer patients view exercise positively and have an enthusiastic attitude towards it. Among the positive sentiment attributes, “good” was the most frequently mentioned term, whereas “bad” and “surprising” were the most prevalent terms within the negative sentiment attributes.Conclusion: Postoperative physical activity receives limited attention from lung cancer patients, who emphasize their preferences for exercise modalities. Their inquiries often reflect psychological concerns, such as fear and helplessness caused by symptoms. Understanding patients’ perspectives on postoperative physical activity within their real-life contexts can help integrate psychological support into exercise plans. This integration could guide healthcare professionals in developing more personalized postoperative exercise regimens for lung cancer patients.Keywords: lung cancer, surgery, exercise, web crawling technology, needs, concern
