摘要
目的:评价保护动机理论(PMT)指导下的渐进性康复护理模式在肺癌放疗患者中的干预效果。方法:纳入2019年10月—2022年10月在九江市第三人民医院肿瘤科放疗区接受放疗的70例肺癌患者进行前瞻性随机对照研究。按照随机数字表法分为研究组与对照组,各35例。对照组给予常规护理及运动康复训练干预,研究组在对照组基础上给予PMT指导下的渐进性康复护理模式干预,均初步干预4周。评估两组肺功能、癌因性疲乏、运动自我效能及肺部并发症情况。结果:研究组1例死亡,对照组1例失访,最终两组均34例患者进入本次研究。干预4周后,两组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)及最大通气量(MVV)实测值占预计值百分比均低于干预前,但研究组均高于对照组(P<0.05);干预4周后,两组癌因性疲乏(CRF)量表各维度及总分均高于干预前,但研究组均低于对照组(P<0.05);干预4周后,研究组运动自我效能整体情况优于对照组(P<0.05);两组肺部并发症发生率比较,差异无统计学意义(χ^(2)=0.183,P=0.669)。结论:PMT指导下的渐进性康复护理模式在降低肺癌放疗患者肺功能损伤、减轻癌因性疲乏程度及改善运动自我效能上均具有积极的意义。
Objective:To evaluate the intervention effect of progressive rehabilitation nursing model under the guidance of protection motivation theory(PMT)in lung cancer patients with radiotherapy.Method:A total of 70 patients with lung cancer who received radiotherapy in the Radiotherapy Area of the Department of Oncology,Jiujiang Third People's Hospital from October 2019 to October 2022 were included in the prospective randomized controlled study,and they were divided into study group and control group according to random number table method,with 35 cases in each group.The control group was given routine nursing and exercise rehabilitation training intervention,and the study group was given progressive rehabilitation nursing model under the guidance of PMT on the basis of the control group,with initial intervention for 4 weeks.Pulmonary function,cancer-related fatigue,exercise self-efficacy and pulmonary complications were evaluated in both groups.Result:One case died in the study group and one case was lost to follow-up in the control group.Finally,34 patients in both groups entered the study.After 4 weeks of intervention,the percentages of measured values of forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and maximal voluntary ventilation(MVV)in predicted values of both groups were lower than those before intervention,but those in the study group were higher than those in the control group(P<0.05).After 4 weeks of intervention,each dimensions scores and total scores of cancer-related fatigue(CRF)scale were higher in both groups than those before intervention,but those in the study group were lower than those in the control group(P<0.05).After 4 weeks of intervention,the exercise self-efficacy of the study group was better than that of the control group(P<0.05).There was no significant difference in the incidence of pulmonary complications between the two groups(X^(2)=0.183,P=0.669).Conclusion:Progressive rehabilitation nursing model under the guidance of PMT has positive significance in reducing pulmonary function injury,reducing the degree of cancer-related fatigue and improving exercise self-efficacy in lung cancer patients with radiotherapy.
作者
向萍萍
XIANG Pingping(Jiujiang Third People's Hospital,Jiangxi Province,Jiujiang 332000,China)
出处
《中国医学创新》
CAS
2023年第34期110-115,共6页
Medical Innovation of China
关键词
肺癌
放射治疗
保护动机理论
渐进性康复护理模式
Lung cancer
Radiotherapy
Protection motivation theory
Progressive rehabilitation nursing model
作者简介
通信作者:向萍萍。
