改良健康教育方法在肺癌介入手术术后康复、并发症预防中的应用效果分析

Analysis of application effect of modified health education method in post operative rehabilitation and complication prevention after interventional surgery for lung cancer

目的研究改良健康教育方法在肺癌介入手术术后康复、并发症预防中的应用效果。方法将110例接受肺癌介入手术治疗的患者按随机数字表法随机分为对照组和观察组,每组55例。对照组采用常规护理辅以传统健康教育干预,观察组在对照组基础上应用改良健康教育方法干预,两组均干预1个月。比较两组患者术后康复情况;干预前后采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、自我管理效能量表(SUPPH)比较两组患者负性情绪和自我管理效能水平;干预前后比较两组患者肺功能变化;比较两组患者术后并发症发生情况。结果观察组患者吸氧时间、首次下床时间、拔管时间和住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SDS、SAS评分均降低(P﹤0.05),且观察组患者SDS、SAS评分均明显低于对照组(P﹤0.01)。干预后,两组患者SUPPH各维度评分及总分均升高(P﹤0.05),且观察组患者SUPPH各维度评分及总分均明显高于对照组(P﹤0.01)。干预后,两组患者第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)均升高(P﹤0.05),且观察组患者FEV_(1)、FVC均明显高于对照组(P﹤0.01)。干预后,观察组患者并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论采用改良健康教育方法对行肺癌介入手术患者预后康复效果较好,可调节患者负性情绪,提高自我管理效能,有效改善患者肺功能,减少术后并发症发生。

Objective To study the application effect of modified health education methods in postoperative rehabili-tation and complication prevention after interventional surgery for lung cancer.Method A total of 110 patients who re-ceived interventional surgery for lung cancer were randomly divided into the control group and the observation group ac-cording to the random number table method,with 55 cases in each group.The control group was given routine nursing supplemented with normal health education intervention,and the observation group was given modified health education intervention based on the routine nursing progress.The duration of the intervention in both groups was 1 month.The post-operative rehabilitation of the two groups of patients was compared.Among them,the self-rating depression scale(SDS),self-rating anxiety scale(SAS),and the stratedies used by people to promote health(SUPPH)were used to compare the levels of negative emotions and self-management efficacy between the two groups before and after the intervention.The pulmonary function changes before and after the intervention and the postoperative complications were also compared be-tween the two groups.Result The oxygen inhalation time,first getting out of bed,extubation time,and hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically sig-nificant(P<0.01).After the intervention,the SDS and SAS scores of the two groups were decreased(P<0.05),and the SDS and SAS scores of the observation group were significantly lower than those of the control group(P<0.01).After the intervention,the scores of each dimension and total score of SUPPH in the two groups were increased(P<0.05),and these scores in the observation group were significantly higher than those in the control group(P<0.01).After the intervention,the forced expiratory volume in one second(FEV1)and forced vital capacity(FVC)of the two groups were increased(P<0.05),and the FEV1 and FVC of the observation group were significantly better than those of the control group(P<0.01).After the intervention,the total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The modified health education model could realize a better prognosis and faster rehabilitation on patients undergoing interventional surgery for lung cancer.The edu-cation could regulate patients’negative emotions,improve self-management efficiency,effectively improve patients’pulmonary function,and reduce postoperative complications.