Clinical effects of the Collaborative Care Model on pulmonary function and quality of life in postoperative patients with lung cancer

Abstract

Objective: To evaluate the clinical efficacy of the Collaborative Care Model (CoCM) in improving pulmonary function and quality of life in patients following lung cancer surgery.

Methodology: This was a retrospective study. Eighty patients who underwent radical lung cancer resection at Affiliated Hospital of Hebei University’s Department of Thoracic Surgery between January 2022 to June 2025 were enrolled and randomly assigned to the observation group(n= 40, received CoCM in addition to the standard postoperative care based on the control group) and the control group(n= 40, received standard postoperative care) according to their choice of postoperative nursing approach. Pulmonary function parameters, arterial blood gas(ABG) parameters, activities of daily living(ADL) were compared between the two groups.

Results: At seven days, one month, and three months post-intervention, pulmonary function parameters showed progressive improvement in both groups. The observation group demonstrated significantly greater improvements at each time point compared with the control group(P< 0.05, respectively). ABG parameters also improved over time in both groups, with the observation group exhibiting superior outcomes at all assessed intervals(P< 0.05, respectively). Both groups showed marked enhancement in ADL scores, with significantly greater improvements in the observation group(P< 0.05); Quality of life scores also increased significantly in both groups after one and three months, with the observation group achieving significantly more pronounced improvements than the control group(P< 0.05).

Conclusion: The implementation of CoCM for patients recovering from lung cancer surgery can significantly enhance pulmonary function and ABG while also improving ADL and quality of life.