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Semi-structured in-depth interviews were conducted with patients pre- and post-surgery and their caregivers at a tertiary hospital in Chengdu, followed by thematic analysis. Five major themes with thirteen sub-themes emerged, highlighting psychological burden and the need for culturally tailored, patient-centered PR programs addressing both physical and psychological recovery.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/living-with-knowledge-gap-and-psychological-burdens-understanding-the-attitudes-barriers-and-support-needs-for-pulmonary-rehabilitation-among-oral-and-maxillofacial-cancer-patients-in-china/352345/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/living-with-knowledge-gap-and-psychological-burdens-understanding-the-attitudes-barriers-and-support-needs-for-pulmonary-rehabilitation-among-oral-and-maxillofacial-cancer-patients-in-china/352345.png","ImageObject",300,407,{"name":92,"@type":93},"Noah","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the purpose of the study on pulmonary rehabilitation?","Question",{"text":112,"@type":113},"The study aimed to explore attitudes, challenges, and support needs related to pulmonary rehabilitation among patients with oral and maxillofacial cancers and their caregivers in China.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were participants recruited and interviews analyzed?",{"text":117,"@type":113},"Semi-structured, in-depth interviews were conducted with a purposive sample of patients pre- and post-surgery and their caregivers at a tertiary hospital in Chengdu, and the data were analyzed using thematic analysis.",{"name":119,"@type":110,"acceptedAnswer":120},"What main themes emerged from the interviews?",{"text":121,"@type":113},"The analysis identified five key themes: perceptions and attitudes toward PR, multifactorial influences on participation, preferences for PR education formats, challenges engaging in PR, and psychological burden with a need for information support.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},352345,1790295641,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},8796095462418,"https://ap-avatar.wpscdn.com/avatar/80000253c1241d02b47?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778826106357471780","Supportive Care in Cancer (2026) 34:170  \n[https://doi.org/10.1007/s00520-025-10301-6](https://doi.org/10.1007/s00520-025-10301-6)  \nLiving with knowledge gap and psychological burdens: understanding the attitudes, barriers, and support needs for pulmonary rehabilitation among oral and maxillofacial cancer patients in China  \nJingya Yu1,2 · Lixia Kuang3 · Xie Yu4 · Yu Zhang5 · Xuemei Yang1,2 · Lu Bai6 · Liyan Mao1,2 · Xiaoqin Bi1  \nReceived: 28 August 2025 / Accepted: 26 December 2025 / Published online: 6 February 2026 © The Author(s) 2026  \nAbstract  \nPurpose This study aimed to explore the attitudes, challenges, and support needs related to pulmonary rehabilitation (PR) among patients with oral and maxillofacial cancers and their caregivers in China.  \nMethods We conducted semi-structured, in-depth interviews with a purposive sample of patients, both pre-and post-surgery, and their caregivers at a tertiary hospital in Chengdu, China. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.  \nResults A total of 14 participants (7 patients and 7 caregivers) were interviewed. Five key themes and thirteen sub-themes emerged: (1) perceptions and attitudes toward PR,(2) multifactorial influences on participation,(3) preferences for PR education formats,(4) challenges in engaging with PR, and (5) psychological burden and the need for information support. Conclusion This study offers critical insights into the barriers and facilitators of PR for oral and maxillofacial cancer patients in China. Findings underscore the need for culturally tailored, patient-centered PR programs that address both physical and psychological recovery. Improved PR initiatives could enhance pulmonary function, quality of life, and overall outcomes for this vulnerable population, offering valuable implications for healthcare stakeholders and policymakers in China and similar settings worldwide.  \nKeywords Head and neck cancers · Qualitative study · Pulmonary rehabilitation · Caregiver · Experience · Rehabilitation  \n* Xiaoqin Bi[hxbxq@163.com](hxbxq@163.com)  \n1 State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dep. Of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China  \n2 West China School of Nursing, Sichuan University, Chengdu 610041, China  \n3 Department of Hepatobiliary, Chongqing Fuling Hospital, School of Medicine, Chongqing University, Chongqing 408000, China  \n4 Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China  \n5 Division of Head & Neck Tumor Multimodality Treatment, West China Hospital, Sichuan University, Cancer Center, Chengdu 610041, China  \n6 Department of Stomatology, Longhua People’s Hospital of Shenzhen, Shenzhen, Guangdong 518109, China  \nIntroduction  \nOral and maxillofacial cancers, primarily classified under the ICD-10 code range C00–C14 (malignant neoplasms of lip, oral cavity, and pharynx), are a significant global health concern. While globally ranked as approximately the 16th most common malignancy and contributing substantially to the overall burden of head and neck cancers, their incidence and prevalence vary markedly across geographic regions, influenced by heterogeneous environmental exposures, lifestyle patterns, and population-specific risk factors [1–3] . The standard treatment approach typically involves multimodal therapies, including surgery, radiotherapy, and chemotherapy. Among these, complex surgical techniques such as microvascular free flap reconstruction play a critical role in restoring both function and aesthetics following tumor resection [4] . However, these surgeries are often associated with significant postoperative complications, particularly postoperative pulmonary complications (PPCs), which frequently emerge within the first 7 days after surgery and encompass  \na spectrum ","cbCaio6JQDNXYu46","https://ap.wps.com/l/cbCaio6JQDNXYu46","pdf",827214,13,"English","# Abstract\n## Purpose\n## Methods\n## Results\n## Conclusion\n# Introduction","[{\"question\":\"What was the purpose of the study on pulmonary rehabilitation?\",\"answer\":\"The study aimed to explore attitudes, challenges, and support needs related to pulmonary rehabilitation among patients with oral and maxillofacial cancers and their caregivers in China.\"},{\"question\":\"How were participants recruited and interviews analyzed?\",\"answer\":\"Semi-structured, in-depth interviews were conducted with a purposive sample of patients pre- and post-surgery and their caregivers at a tertiary hospital in Chengdu, and the data were analyzed using thematic analysis.\"},{\"question\":\"What main themes emerged from the interviews?\",\"answer\":\"The analysis identified five key themes: perceptions and attitudes toward PR, multifactorial influences on participation, preferences for PR education formats, challenges engaging in PR, and psychological burden with a need for information support.\"}]","Living with knowledge gap and psychological burdens - understanding the attitudes, barriers, and support needs for pulmonary rehabilitation among oral and maxillofacial cancer patients in China | PDF",1790099084,33]