为了开发NSCLC手术前可行的术前康复计划，本研究旨在了解以下方面的信念、促进因素和障碍：（1）医疗专业人员将患者转介到术前康复计划，（2）患者参与和坚持术前康复计划，（3）非专业护理人员支持他们所爱的人。我们进行了半结构化访谈，对象包括医疗专业人员、接受NSCLC手术的患者及其非专业护理人员。行为能力、机会和动机模型（COM-B）指导了访谈问题的开发。研究结果以主题方式进行了分析。我们共进行了12次医疗专业人员的访谈，17次患者的访谈和16次非专业护理人员的访谈。我们确定了四个主要主题：（1）术前康复和转诊的内容，（2）组织因素，（3）参与的个人因素，以及（4）环境因素。医疗专业人员提到多个专业人员应该在初级和二级医疗保健中促进患者转诊到术前康复中，考虑到短暂的术前期。患者不知道更好的术前体能和营养状况会对术后并发症的风险产生影响。患者表示他们希望获得有关术前康复目的和可能性的信息。大多数患者倾向于在他们的常住环境中的初级护理中组织的以集体为基础的体育运动训练课程。非专业护理人员可以通过与其所爱的人一起进行锻炼来支持他们的所爱之人参与术前康复。术前康复计划应该在肺癌诊断后尽早开始。在与医生的会诊中了解术前康复的目的和效果对于患者和非专业护理人员参与术前康复至关重要。在患者自己的居住环境中获得亲人的支持对于坚持术前康复计划是至关重要的。© 2023. 作者。

In order to develop a feasible prehabilitation program before surgery of NSCLC, this study aimed to gain insight into beliefs, facilitators, and barriers of (1) healthcare professionals to refer patients to a prehabilitation program, (2) patients to participate in and adhere to a prehabilitation program, and (3) informal caregivers to support their loved ones.Semi-structured interviews were conducted with healthcare professionals, patients who underwent surgery for NSCLC, and their informal caregivers. The capability, opportunity, and motivation for behavior-model (COM-B) guided the development of the interview questions. Results were analyzed thematically.The interviews were conducted with twelve healthcare professionals, seventeen patients, and sixteen informal caregivers. Four main themes were identified: (1) content of prehabilitation and referral, (2) organizational factors, (3) personal factors for participation, and (4) environmental factors. Healthcare professionals mentioned that multiple professionals should facilitate the referral of patients to prehabilitation within primary and secondary healthcare involved in prehabilitation, considering the short preoperative period. Patients did not know that a better preoperative physical fitness and nutritional status would make a difference in the risk of postoperative complications. Patients indicated that they want to receive information about the aim and possibilities of prehabilitation. Most patients preferred a group-based physical exercise training program organized in their living context in primary care. Informal caregivers could support their loved one when prehabilitation takes place by doing exercises together.A prehabilitation program should be started as soon as possible after the diagnosis of lung cancer. Receiving information about the purpose and effects of prehabilitation in a consult with a physician seems crucial to patients and informal caregivers to be involved in prehabilitation. Support of loved ones in the patient's own living context is essential for adherence to a prehabilitation program.© 2023. The Author(s).