To verify and compare whether the digital stories could effectively improve the resilience, self-efficacy and quality of life of postoperative NSCLC patients. A total of 90 participants at baseline were randomly assigned to two groups, 45 patients per group. The intervention group received the digital storytelling intervention which includes 4 videos on different topics: positive psychological quality, cultivating healthy living habits, establishing good social support, and insisting on scientific exercise, whereas the control group received only routine care. The resilience, self-efficacy, and quality of life were assessed at baseline (T0) (within 3 days before surgery), immediately after intervention (T1), one month after intervention (T2), and three months after intervention (T3). A linear mixed effects model was used to test the effects of the digital storytelling interventions on resilience, self-efficacy, and quality of life. The intervention group reported significantly greater improvements in resilience, self-efficacy, and quality of life (all P < 0.001) at follow-ups than the control group after controlling for age, gender, and education level as covariates. Moreover, the sensitivity analysis results are consistent with the per-protocol, that overall time × group interactions effects were significantly different in resilience, self-efficacy, and quality of life (all P < 0.001). The digital storytelling intervention based on lung cancer survivors’ experience can effectively improve resilience, self-efficacy and quality of life in postoperative lung cancer patients. More comprehensive researches are needed to evaluate the longer-term impacts of the DST and its feasibility for those with more advanced cancer.

中文翻译：

---

数字讲故事干预对非小细胞肺癌 (NSCLC) 患者的复原力、自我效能和生活质量的影响：一项随机对照试验

验证和比较数字故事是否能够有效提高NSCLC患者术后的复原力、自我效能和生活质量。基线时共有 90 名参与者被随机分配到两组，每组 45 名患者。干预组接受数字讲故事干预，包括4个不同主题的视频：积极的心理品质、培养健康的生活习惯、建立良好的社会支持、坚持科学锻炼，而对照组仅接受常规护理。在基线（T0）（手术前 3 天内）、干预后立即（T1）、干预后 1 个月（T2）和干预后 3 个月（T3）评估复原力、自我效能和生活质量。使用线性混合效应模型来测试数字讲故事干预措施对复原力、自我效能和生活质量的影响。在控制年龄、性别和教育水平作为协变量后，干预组在随访中报告称，与对照组相比，干预组在复原力、自我效能和生活质量方面有显着改善（均 P < 0.001）。此外，敏感性分析结果与符合方案一致，即总时间×组互动效应在心理弹性、自我效能和生活质量方面存在显着差异（均P < 0.001）。基于肺癌幸存者经历的数字化叙事干预可以有效提高肺癌术后患者的心理弹性、自我效能感和生活质量。需要更全面的研究来评估药敏试验的长期影响及其对晚期癌症患者的可行性。