| Objective To explore the application effect of LEARNS empowerment education on early rehabilitation in patients undergoing thoracoscopic surgery for lung cancer. Methods A total of 100 patients with lung cancer treated with thoracoscopic surgery in Anhui Provincial Chest Hospital from January 2023 to December 2023 were selected as the study subjects, and the patients were divided into the control group and observation group, with 50 cases in each group. The control group received routine care and health education, while the observation group received additionally LEARNS model-based empowerment education. Postoperative complication rates, recovery time（hospital stay, time to first ambulation, first flatus, and removal of upper/lower chest tubes）, self-efficacy scores, quality of life（QoL） scores, and Beck Anxiety/Depression Inventory（BAI/BDI） scores were compared between the two groups. Results The observation group had a lower overall complication rate than the control group（P＜0.05）. Length of stay, time to first ambulation, time to first flatus, and times to removal of the upper and lower chest tubes were all shorter in the observation group（all P＜0.05）. The changes in self-efficacy score, quality of life（functional domain, symptom domain, overall health status domain） as well as BAI and BDI scores of patients in the observation group were superior to those in the control group, with statistically significant differences. Additionally, in both groups, the above-mentioned scores（self-efficacy, quality of life domains, BAI, BDI） showed statistically significant differences before and after intervention（P＜0.05）. Conclusion Perioperative empowerment education based on the LEARNS model accelerates postoperative recovery, reduces complications, mitigates negative emotions, and enhances self-efficacy and quality of life in thoracoscopic lung cancer patients. |
