延续性护理联合呼吸锻炼对肺癌患者出院后呼吸功能和自我效能及睡眠障碍的影响

Effect of continuous nursing combined with breathing exercise on respiratory system,self-efficacy and sleep disorders in patients with prehospital lung cancer

目的探讨延续性护理联合呼吸锻炼对肺癌患者出院后呼吸功能、自我效能及睡眠障碍的影响。方法选取2017年6月至2019年6月间山东省立第三医院收治的84例肺癌患者,随机分为研究组和对照组,每组42例。对照组患者出院后采用呼吸锻炼,研究组患者出院后在对照组基础上采用延续性护理,比较两组患者呼气前后呼吸功能、睡眠质量、生活质量及护理满意度。结果护理后,研究组患者第1秒用力呼气容积(FEV1)、用力肺活量(FVC)和FEV1/FVC均优于对照组,差异均有统计学意义(均P<0.05)。研究组患者护理满意度为97.6%,高于对照组的85.7%,差异有统计学意义(P<0.05)。护理后,研究组患者睡眠质量评分均高于对照组,差异均有统计学意义(均P<0.05)。研究组患者生活质量各项评分均高于对照组,差异均有统计学意义(均P<0.05)。结论外肺癌患者出院后采用延续性护理联合呼吸锻炼,可改善患者呼吸功能,提高睡眠质量、生活质量及护理满意度,应进一步推广应用。

Objective To investigate the effect of continuous nursing combined with breathing exercise on respiratory system,self-efficacy and sleep disorders in patients with prehospital lung cancer.Methods A total of 84 patients with prehospital lung cancer treated at Shandong Provincial Third Hospital from June 2017 to June 2019 were selected and were randomly divided into a study group and a control group with 42 patients in each group.The research group received continuous nursing besides breathing exercise and the control group only received continuous nursing.Respiratory system function,sleep quality and life quality before and patient nursing satisfaction were compared between the two groups.Results After nursing,forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and FEV1/FVC were better in the study group than in the control group(all P<0.05).Patient satisfaction was 97.6%in the study group,which was higher than 85.7%of the control group(P<0.05).Score of sleep quality was higher in the study group than in the control group(P<0.05).The scores of quality of life were higher in the study group than in the control group(all P<0.05).Conclusion Continuous nursing combined with breathing exercise can improve respiratory system function,sleep quality,quality of life,and patient satisfaction in patients with prehospital lung cancer.It deserves the clinical expansion.