皮格马利翁效应干预对食管癌手术患者呼吸功能锻炼依从性的影响

Effect of Pygmalion effect intervention on respiratory function exercise compliance in patients with esophagealcancer

目的:分析皮格马利翁效应干预对食管癌手术患者呼吸功能锻炼依从性的影响。方法:选取2020年1-12月本院收治的拟行胸腹腔镜联合食管癌根治术患者500例作为研究对象,其中2020年1-6月的250例作为对照组,予以常规呼吸功能训练指导,2020年7-12月的250例作为观察组,在对照组基础上联合皮格马利翁效应干预模式。两组患者均自入院干预至术后2周,记录干预后呼吸功能锻炼依从性及干预前后肺功能指标水平,并采用心理弹性量表(CD-RISC)、自我效能感量表(GSES)、简易应对方式量表(SCSQ)在干预前后评价两组患者的心理弹性、自我效能及应对方式,进行对比分析。结果:观察组患者呼吸功能锻炼总体依从率86.40%明显高于对照组76.80%(χ^(2)=7.673,P<0.01);干预后观察组第1s用力呼气容积占预计值的百分比(FEV1%)、用力肺活量占预计值的百分比(FVC%)、最大通气量占预计值的百分比(MVV%)水平均明显高于对照组(t=5.231,6.915,7.974;P<0.001);干预后观察组CD-RISC坚韧、自强、乐观各维度及总评分均明显高于对照组(t=12.857,13.185,17.073,22.722;P<0.001);干预后观察组GSES评分及SCSQ积极应对维度评分均明显高于对照组(t=11.499,9.130;P<0.001),SCSQ消极应对维度评分明显低于对照组(t=-10.668,P<0.001)。结论:皮格马利翁效应干预可有效提高食管癌手术患者呼吸功能锻炼依从性及肺功能水平,增强患者心理弹性及自我效能感,倾向以积极态度及方式面对并处理问题。

Objective:To analyze the effect of Pygmalion effect intervention on respiratory function exercise compliance in patients with esophageal cancer.Methods:A total of 500 patients admitted to our hospital from January 2020 to December 2020 scheduled for thoracolaparoscopic combined with radical esophagectomy for esophageal cancer were selected as the research objects, of which 250 cases from January 2020 to June 2010 were selected as the control group and 250 cases from July 2020 to December 2020 were selected as the observation group.The control group was treated with the guidance of routine respiratory function training.The study group was treated with Pygmalion effect intervention mode on the basis of the control group.The compliance of respiratory function exercise and the level of pulmonary function index before and after intervention were recorded in both groups from admission to 2 weeks after operation.Psychological resilience scale(CD-RISC),self-efficacy scale(GSES)and simplified coping style scale(SCSQ)were used to evaluate the psychological elasticity, self-efficacy and coping style of the two groups before and after intervention.Results:The overall compliance rate of respiratory function exercise in the observation group was significantly higher than that in the control group(86.40%vs76.80%,χ^(2)=7.673,P<0.006).After intervention, the percentage of forced expiratory volume in the first second to the predicted value(FEV1%),the percentage of forced vitalcapacity to the predicted value(FVC%)and the percentage of maximal ventilation to the predicted value(MVV%)in the observation group were significantly higher than those in the control group(t=5.231,6.915,7.974;P<0.01).After intervention, the dimensions and total scores of CD-RISC tenacity, self-improvement and optimism in the observation group were significantly higher than those in the control group(t=12.857,13.185,17.073,22.722;P<0.01).After intervention, the scores of GSES and SCSQ positive coping dimension in the observation group were significantly higher than those in the control group(t=11.499,9.130;P<0.01),SCSQ negative coping dimension scores were significantly lower than those in the control group(t=-10.668;P<0.01).Conclusion:Pygmalion effect intervention can effectively improve the compliance of respiratory function exercise and the level of pulmonary function in patients with esophageal cancer, enhance their mental flexibility and sense of self-efficacy, and patients tend to face and deal with problems in a positive attitude and way.