Abstract:

Objective To explore fear of progression profiles and related factors at discharge in lung cancer day surgery patients，and guide individualized hierarchical psychological interventions. Methods Convenience sampling was used to select 225 patients undergoing day surgery for lung cancer，who were admitted to a tertiary-level A hospital in Zhejiang Province from October 2023 to February 2024. The survey adopted the general information questionnaire，the Postoperative Symptom Scale for lung cancer patients，and the Fear of Progression Questionnaire-Short Form. Latent profile analysis was used to identify categories，and multivariate Logistic regression was used to examine the associations between different profile groups，baseline characteristics and symptoms. Results There were three categories：“high fear-personal feelings group”（7.56%，n=17），“moderate fear-disease distress group”（43.55%，n=98），“low fear-disease adaptation group”（48.89%，n=110）. Influencing factors included dizziness，pain，nausea and vomiting，insomnia，and subcutaneous emphysema（P<0.05）. Conclusion Day surgery lung cancer patients show varying levels of concern about disease progression at discharge. Nursing staff should focus on individual characteristics，dynamically identify and manage related factors，strengthen discharge guidance and health management to improve the medical experience.

Key words: Day Surgery, Lung Neoplasms, Fear of Progression, Latent Profile Analysis, Influencing Factors, Nursing