Objective To investigate patient reported outcomes of symptoms at home and management needs after lung cancer surgery, and to provide a reference for medical staff to carry out continuous intervention measures. Methods A total of 384 home-residing patients in the early period after surgery for early-stage lung cancer were surveyed by the Patient Reported Outcomes Scale After Early-stage Lung Cancer Surgery. Then semi-structured interviews on symptom management needs were conducted among 15 patients based on purposive sampling method. Results The scores of the Patient Reported Outcomes Scale After Early-stage Lung Cancer Surgery were as follows in descending order: physiological field (2.59±0.71), treatment field (2.54±0.46), social field (2.27±0.65), and psychological field (1.71±0.84). The top 3 scores in the 13 dimensions were independence (4.00±1.18), chest symptoms (3.02±0.52), and social adaptation (2.91±1.12). Four themes were identified in the qualitative research:physiological needs (diversified symptoms occurring at home, hoping to receive symptom management services); psychological needs (being anxious and worried, hoping for timely care and communication); social needs (hoping to receive understanding and care from family when feeling uncomfortable); treatment needs (continuous care and rehabilitation guidance from professional medical staff). Conclusion Postoperative symptoms of lung cancer patients at home were diverse, and they had a strong demand for symptom management. Such measures as building an information intelligence platform might provide symptom management support for patients.