肺癌患者术后呼吸功能锻炼依从性及动画宣教需求调查

Research on compliance of breathing exercise and demands of animation education in patients with lung cancer after sugery

目的了解肺癌患者术后呼吸功能锻炼依从性及对动画宣教的需求情况。方法选取2015年9月-2016年3月中南大学湘雅二医院胸外科收治的99例肺癌术后患者，采用呼吸功能锻炼依从性问卷和自制动画宣教需求调查表进行问卷调查。结果99例肺癌患者术后呼吸功能锻炼依从性评分（37．23±11．58）分。单因素分析结果显示，受教育程度、术前是否接受相关宣教影响肺癌患者术后呼吸锻炼依从性（t值分别为25．641，6．327；P〈0．05）。58．6％的患者非常希望播放宣教动画片，61．8％选择生活故事动画片，34．3％喜欢Q版可爱人物形象，48．5％选择动画时长在10min以内，超过50％患者选择床旁每天播放。结论肺癌患者术后呼吸功能锻炼依从性差，医护人员应结合患者个体需求制作和播放宣教动画，以满足患者呼吸功能锻炼宣教需求，提高患者呼吸锻炼的依从性。

Objective To investigate the compliance of breathing exercise and demands of animation education in postoperative patients with lung cancer. Methods Totally 99 postoperative hospitalized patients with lung cancer in the department of thoracic surgery were enrolled in this study from September 2015 to March 2016. The survey was conducted by postoperative breathing exercise compliance questionnaire and animation education demands questionnaire. Results The average score of breathing exercise compliance in patients with lung cancer was （37.23±11.58）. Single factor analysis showed that the compliance was significantly affected by the education level and the preoperative health education （ t = 25. 641,6. 327 ; P〈 0.05 ）. On the demand of animation education with breathing exercise, 58.6% of patients extremely intended to watch education cartoons ; 61.8% of patients preferred type of life story animation; 34.3% of patients preferred cartoon characters; 48% of the patients were likely to choose cattoons within 10 min; and 50% of the patients preferred the daily cartoon within besides their beds. Conclusions The compliance of postoperative pulmonary function exercise in patients with lung cancer is negative, and medical staff can choose the education animation according to patients＇ individual preferences to improve the patients compliance of the breathing exercise maximally, so as to improve the quality of life of postoperative patients with lung cancer.