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Exploring the Perspectives of Lung Cancer Chemotherapy Patients on Self-Management: A Qualitative Interview Study
Ruimei Jia1, Nina Xie1, Yue Li2
1School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, People's Republic of China.
Patient Preference and Adherence
|July 18, 2025
Summary
Lung cancer patients undergoing chemotherapy struggle with self-management, particularly treatment-related aspects. Interventions should target competency, motivation, and opportunity barriers to improve patient outcomes.
Area of Science:
- Oncology
- Behavioral Science
- Health Psychology
Background:
- Lung cancer chemotherapy patients exhibit suboptimal self-management behaviors.
- Treatment-related self-management is a particular area of concern, scoring lower than other management aspects.
Purpose of the Study:
- To explore patient perspectives on self-management during lung cancer chemotherapy.
- To apply the capability, opportunity, and motivation-behavior (COM-B) model to understand self-management challenges.
Main Methods:
- Semi-structured interviews were conducted with 15 lung cancer chemotherapy patients.
- The COM-B model guided interview theme development and content analysis.
Main Results:
- Identified competency factors: poor symptom/side effect management, low self-management awareness.
- Identified motivational factors: complex regimens, low confidence, insufficient support, lack of meaning.
- Identified opportunity factors: financial burden, limited access to knowledge, few practice opportunities.
Conclusions:
- Proposes targeted interventions: enhanced symptom management, health education, peer support, and improved access to information.
- Recommends establishing support networks and authoritative health platforms to alleviate financial burdens.
- Aims to foster comprehensive self-management for lung cancer chemotherapy patients.
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