基于自我效能理论的护理干预对肺癌患者术后康复的影响

Effect of nursing intervention based on self-efficacy theory on recovery of lung cancer patients after surgery

目的:探讨基于自我效能理论的护理干预在肺癌患者术后快速康复中的应用。方法:选取在某医院胸外科行胸腔镜肺叶切除术的72例肺癌患者,按入院时间分为对照组和干预组,各36例,对照组给予肺癌术后常规护理,观察组在术后护理的基础上增加自我效能干预。分析两组患者术后临床指标恢复情况和干预前后自我效能水平。结果:观察组患者术后早期活动量多于对照组,肛门首次排气时间早于对照组,差异均有统计学意义(P<0.05);其胸腔闭式引流管留置时间和术后住院天数短于对照组,差异均有统计学意义(P<0.05);两组患者干预前自我效能水平差异无统计学意义(P>0.05);干预后观察组患者自我效能水平明显优于对照组,且观察组患者自我效能水平较干预前明显提升,差异有统计学意义(P<0.05)。结论:基于自我效能理论的护理干预在肺癌患者术后快速康复中取得明显成效,在提高患者自我效能水平的同时促进了术后快速康复。

Objective:To explore the application of nursing intervention based on self-efficacy theory in postoperative rehabilitation of patients with lung cancer.Methods:A total of 72 patients with lung cancer who underwent thoracoscopic lobectomy in Department of Thoracic Surgery,the Hospital were selected and divided into the control group and the intervention group,36 cases in each group,according to the admission time.The control group was given lung cancer postoperative nursing,and the observation group was given self-efficacy intervention on the basis of postoperative nursing.The recovery of clinical indicators and the level of self-efficacy before and after intervention were analyzed.Results:The early postoperative activity of the observation group was more than that of the control group,and the first anal exhaust time was earlier than that of the control group,and the difference was statistically significant(P<0.05).The indwelling time of closed thoracic drainage tube and postoperative hospital stay were shorter than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in self-efficacy between the two groups before intervention(P>0.05).After the intervention,the self-efficacy level of the observation group was significantly better than that of the control group,and the self-efficacy level of the observation group was significantly improved compared with that before the intervention,and the difference was statistically significant(P<0.05).Conclusion:Nursing intervention based on self-efficacy theory has achieved obvious results in the rapid recovery of lung cancer patients after surgery,which can improve the level of patients’self-efficacy and promote the rapid recovery after surgery.