健康教育和阻力呼吸器训练对肺癌放疗患者肺功能及生活质量的影响

Effects of health education combined with resistance respiratory training on pulmonary function and quality of life in lung cancer patients on radiotherapy

目的探讨健康教育和阻力呼吸器训练对肺癌放疗患者肺功能及生活质量的影响。方法选取2018年1月至2020年8月间青岛市中心医院收治的92例肺癌患者,根据护理方案不同分为观察组和对照组,每组46例。观察组患者采用健康教育联合阻力呼吸器训练干预,对照组患者采用健康教育干预,比较两组患者的遵医行为、肺功能和生活质量水平。结果观察组患者按时服药、康复训练、应对状态、心理情绪、满意度及总分均高于对照组,差异均有统计学意义(均P <0.05)。干预后,观察组患者的肺功能各项指标水平均高于对照组,差异均有统计学意义(均P <0.05)。护理干预后,观察组患者躯体功能、角色功能、认知功能、情感功能、社会功能各项得分及总分均高于对照组,差异均有统计学意义(均P <0.05)。结论肺癌放疗患者采用健康教育联合阻力呼吸器训练,临床应用效果较好,可有效提升患者的遵医行为,改善肺功能,提高生活质量,值得临床推广应用。

Objective To discuss the effects of health education combined with resistance respiratory training on pulmonary function and quality of life in lung cancer patients undergoing radiotherapy.Methods Ninety-two patients with lung cancer were retrospectively selected at Qingdao Central Hospital from January 2018 to August 2020. According to the different nursing schemes received by the patients,the patients were divided into an observation group and a control group with 46 patients each. The observation group was given health education combined with resistance respiratory training and the control group was given health education only. The compliance behavior,pulmonary function and quality of life were compared between the two groups. Results After the intervention,the scores of timely medication administration,rehabilitation training,coping status,psychological state and emotions,satisfaction and the overall score were higher in the observation group than in the control group( all P < 0. 05). After the intervention,the levels of vital capacity,forced vital capacity( FVC),forced expiratory volume in 1 second( FEV1),peak expiratory flow( PEF) and FEV1/FVC were significantly higher in the observation group than in the control group( all P < 0. 05). Statistics showed that after nursing intervention,the overall score of quality of life and the scores of physical function,role function,cognitive function,emotional function and social function were higher in the observation group than in the control group( all P < 0. 05). Conclusion The clinical efficacy of health education combined with resistance respiratory training is significant in lung cancer patients undergoing radiotherapy. It can effectively improve patient compliance,pulmonary function and quality of life. It is worthy of clinical application.