{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:21:48Z","timestamp":1787498508915,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["#72204271"],"award-info":[{"award-number":["#72204271"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004735","name":"Natural Science Foundation of Hunan Province","doi-asserted-by":"publisher","award":["#2026JJ30146"],"award-info":[{"award-number":["#2026JJ30146"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004735","name":"Natural Science Foundation of Hunan Province","doi-asserted-by":"publisher","award":["#2023JJ60412"],"award-info":[{"award-number":["#2023JJ60412"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore the trajectories of supportive care needs and identify influencing factors in lung cancer surgical patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 287 patients at a Chinese tertiary hospital were collected at admission (T0), 2\u2009weeks post\u2010surgery (T1), 3\u2009months (T2), 6\u2009months (T3) and 1\u2009year post\u2010surgery (T4). Latent class growth models were used to identify supportive care need trajectories, and logistic regression was used to analyse influencing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three trajectories emerged: Sustained High Needs Group (C1, 10.8%), Moderate Gradual Declining Group (C2, 56.4%), High\u2010Rapid Decline\u2010Rebound Group (C3, 32.8%). Compared with C2, C1 membership was positively associated with no regular exercise, severe baseline symptoms, and adjuvant therapy; C3 membership was positively associated with segmentectomy, no regular exercise, and high social support but inversely associated with civil servant or professional status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study identified heterogeneity in the trajectories of supportive care needs among lung cancer surgery patients. Regular exercise, symptom burden, adjuvant therapy, segmentectomy, social support and occupation were associated with these trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Nurses may incorporate dynamic, trajectory\u2010informed assessment into postoperative follow\u2010up. The associated factors identified in this study may provide practical cues for earlier recognition of patients who may benefit from closer monitoring and anticipatory supportive care planning. This approach may be particularly relevant for patients with factors associated with persistent high needs or late rebound trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>\n                      <jats:list>\n                        <jats:list-item>\n                          <jats:p>Provides longitudinal insights into the heterogeneous evolution of supportive care needs from preoperative to 1\u2010year post\u2010surgery.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Identifies three distinct supportive care needs trajectory patterns and their associated sociodemographic and clinical factors.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Offers practical cues for identifying patients who may benefit from closer follow\u2010up and for informing dynamic, trajectory\u2010informed supportive care planning.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study adhered to the STROBE checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>None.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70502","type":"journal-article","created":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:40:21Z","timestamp":1787496021000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal Trajectories and Predictors of Supportive Care Needs After Lung Cancer Surgery: A Prospective Cohort Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5245-8817","authenticated-orcid":false,"given":"Hui","family":"Yan","sequence":"first","affiliation":[{"name":"Clinical Nursing Teaching and Research Section The Second Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Xiangya Nursing School of Central South University  Changsha Hunan China"},{"name":"Department of Thoracic Surgery The Second Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2941-3319","authenticated-orcid":false,"given":"Jie","family":"Zhu","sequence":"additional","affiliation":[{"name":"Xiangya Nursing School of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2776-9560","authenticated-orcid":false,"given":"Xinyue","family":"Wu","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section The Second Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Xiangya Nursing School of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guihui","family":"Luo","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section The Second Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Xiangya Nursing School of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7842-9549","authenticated-orcid":false,"given":"Shurui","family":"Gao","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section The Second Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Xiangya Nursing School of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuting","family":"Li","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section The Second Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Department of Thoracic Surgery The Second Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Xu","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section The Second Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Xiangya Nursing School of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6264-072X","authenticated-orcid":false,"given":"Man","family":"Ye","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section The Second Xiangya Hospital of Central South University  Changsha Hunan China"},{"name":"Xiangya Nursing School of Central South University  Changsha Hunan China"},{"name":"Department of Thoracic Surgery The Second Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1851"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202210-1963ST"},{"issue":"1","key":"e_1_2_11_4_1","first-page":"1","article-title":"Lung Cancer Screening Guideline of China (T\/CPMA 013\u20102020)","volume":"29","author":"Chinese Preventive Medicine Association","year":"2021","journal-title":"Zhong Liu Fang Zhi Za Zhi"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol31100458"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10946-7"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/19345747.2022.2118197"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.5737\/1181912x181614"},{"issue":"1","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"44833","DOI":"10.1038\/s41598-025-29106-y","article-title":"Effectiveness of an Educational Intervention Based on the Common\u2010Sense Model of Self\u2010Regulation for Lung Cancer Patients After Thoracoscopic Surgery","volume":"15","author":"Gu X.","year":"2025","journal-title":"Scientific Reports"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000510696"},{"key":"e_1_2_11_11_1","first-page":"131","article-title":"Perceived Social Support Scale (PSSS)","volume":"13","author":"Jiang Q.","year":"1999","journal-title":"Chinese Mental Health Journal Press"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2024.102161"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2025.100738"},{"issue":"17","key":"e_1_2_11_14_1","first-page":"1321","article-title":"Longitudinal Study on the Track of Postoperative Supportive Care Needs and Influencing Factors in Patients With Non\u2010Small Cell Lung Cancer","volume":"39","author":"Liu J.","year":"2023","journal-title":"Chinese Journal of Practical Nursing"},{"issue":"1","key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1186\/s12957-026-04230-9","article-title":"Days Alive and Out of Hospital After Video\u2010Assisted Thoracoscopic Lobectomy or Segmentectomy for Lung Cancer: A Prospective Chinese Cohort Study","volume":"24","author":"Liu W.","year":"2026","journal-title":"World Journal of Surgical Oncology"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcell.2021.719643"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01746-x"},{"issue":"9","key":"e_1_2_11_18_1","first-page":"769","article-title":"Chinese Medical Association Guideline for Clinical Diagnosis and Treatment of Lung Cancer (2025 Edition)","volume":"47","author":"Oncology Society of Chinese Medical Association","year":"2025","journal-title":"Zhonghua Zhong Liu Za Zhi"},{"issue":"14","key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.3390\/healthcare11142012","article-title":"Unmet Supportive Care Needs After Non\u2010Small Cell Lung Cancer Resection at a Tertiary Hospital in Seoul, South Korea","volume":"11","author":"Park J.","year":"2023","journal-title":"Health"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2023.0026"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02333-3"},{"key":"e_1_2_11_22_1","volume-title":"Illness as Metaphor","author":"Sontag S.","year":"1991"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-022-13065-z"},{"issue":"17","key":"e_1_2_11_24_1","first-page":"2068","article-title":"An Investigation of Developmental Trajectory of Unmet Needs in Lung Cancer Patients Undergoing Chemotherapy","volume":"57","author":"Wang T.","year":"2022","journal-title":"Zhonghua Hu Li Za Zhi"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20448"},{"issue":"1","key":"e_1_2_11_26_1","doi-asserted-by":"crossref","DOI":"10.1186\/s12874-024-02326-y","article-title":"Modelling Wound Area in Studies of Wound Healing Interventions","volume":"24","author":"Watson S. I.","year":"2024","journal-title":"BMC Medical Research Methodology"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-09981-1"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06506-0"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-025-18834-0"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/1759-7714.15505"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.71256"},{"issue":"11","key":"e_1_2_11_32_1","article-title":"Exercise Rehabilitation on Patients With Non\u2010Small Cell Lung Cancer: A Meta\u2010Analysis of Randomized Controlled Trials","volume":"13","author":"Xu S. H.","year":"2025","journal-title":"World Journal of Clinical Cases"},{"issue":"4","key":"e_1_2_11_33_1","first-page":"1","article-title":"Tiajectories of Supportive Care Needs of Patients Having an Enterostomy in Place After Surgical Treatment of Lowlying Rectal Cancer","volume":"39","author":"Zhang Y.","year":"2024","journal-title":"Journal of Nursing Science"},{"issue":"3","key":"e_1_2_11_34_1","first-page":"221","article-title":"Cancer Incidence and Mortality in China, 2022","volume":"46","author":"Zheng R. S.","year":"2024","journal-title":"Zhonghua Zhong Liu Za Zhi"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17426"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70502","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.70502","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:40:29Z","timestamp":1787496029000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.70502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,23]]},"references-count":34,"alternative-id":["10.1111\/jocn.70502"],"URL":"https:\/\/doi.org\/10.1111\/jocn.70502","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,23]]},"assertion":[{"value":"2026-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jocn.70502"}}