title: The voice of postsurgical lung cancer patients regarding supportive care needs.
abstract: OBJECTIVE
  Individuals with lung cancer present with multiple comorbid conditions and complex treatment plans. They are frequently vulnerable during critical transitions in the cancer survivorship trajectory. Limited research exists on the postsurgical non-small-cell lung cancer (NSCLC) population, relative to unmet supportive care needs. However, what is known is that the lung cancer population reports significantly more unmet supportive care needs than other cancer populations. The purpose of this study was to identify the postsurgical NSCLC patients' unmet supportive care needs during transition from hospital to home and through recovery after participating in a 16-week exercise intervention.
  
  
  METHODS
  Participants were 53-73 years of age with NSCLC (stage Ib-IIIa) and participated in a 16-week light-intensity exercise program after hospital discharge. For this study, participants were interviewed 12-18 months post-thoracotomy. A qualitative design was used, incorporating a semistructured guide with open-ended questions to support discussion regarding recovery experiences through 16 weeks after transitioning from hospital to home. The interview was transcribed verbatim, and data were analyzed using content analysis. Content themes were independently coded by investigators and later combined into a single report verified through participant verification of the report.
  
  
  RESULTS
  Participants reviewed and agreed with the focus group report. Dominant themes included: 1) unpreparedness for post-thoracotomy recovery; 2) significant unmet needs upon hospital discharge and throughout the cancer survivorship trajectory; 3) unexpected symptom burden after initial month of recovery; 4) the quality of information given when pain and fatigue were troublesome during recovery; and 5) the effectiveness of exercise during the recovery process.
  
  
  CONCLUSIONS
  Understanding the changing needs of this population during these transitions will assist in the development of targeted supportive care interventions, to preempt negative outcomes associated with breakdowns in care during critical transition periods of the cancer survivorship trajectory.
authors.affiliation: College of Nursing, Michigan State University, East Lansing, MI, USA.
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Hoffman
authors.affiliation: Kirkhof College of Nursing, Grand Valley State University, Grand Rapids, MI, USA.
authors.forename: Ruth Ann
authors.initials: RA
authors.lastname: Brintnall
authors.affiliation: Psychology Department, Michigan State University, East Lansing, MI, USA.
authors.forename: Alexander
authors.initials: A
authors.lastname: von Eye
authors.affiliation: Kirkhof College of Nursing, Grand Valley State University, Grand Rapids, MI, USA.
authors.forename: Julie
authors.initials: J
authors.lastname: Cooper
authors.affiliation: School of Nursing, State University of New York at Buffalo, Buffalo, NY, USA.
authors.forename: Jean K
authors.initials: JK
authors.lastname: Brown
keywords: exercise; qualitative research; quality of life; symptom