Watson关怀理论在肺癌根治术患者术后恢复中的应用效果及其对疾病感知水平及主观幸福感的影响

Application effect of Watson care theory in postoperative recovery of patients undergoing radical lung cancer surgery and its influence on disease perception level and subjective well-being

目的:探究Watson关怀理论应用于肺癌根治术患者术后恢复效果及疾病感知水平及主观幸福感的影响。方法:选取我科2019年2月至2021年2月接收的90例肺癌根治术患者作为研究对象,用抽签法将其分为对照组与观察组,各45例,对照组给予常规术后护理,观察组给予基于Watson关怀理论干预模式,一个月后采用幸福度量表(Memorial university of Newfoundland scale of happiness,MUNSH)各维度评分对比两组患者的主观幸福感,采用简易疾病感知问卷(The Brief lIness Perception Questinnaire,BIPQ)评分了解疾病感知水平,采用6 min步行距离(6 minute walk test,6MWT)研究呼吸运动能力,统计其用力肺活量(Forced vital capacity,FVC)和最大呼气第1秒呼出气量容积(Forced expiratory volume in the frst second,FEV1)。结果:干预后观察组MUNSH量表中正性情感、负性情感、正性体验、负性体验和BIPQ量表中后果、持续时间、个人控制、关注、情绪、治疗控制、症状、对疾病的感知各项评分、6MWT、FVC、FEV1水平均高于对照组,有统计学意义(P<0.05)。结论:肺癌根治术患者应用Watson关怀理论相关干预方案的临床效果佳,患者呼吸运动功能、主观幸福感和疾病感知水平均得到了改善。

Objective:To explore the effect of Watson care theory on postoperative recovery,disease perception level and subjective well-being of patients undergoing radical operation for lung cancer.Method:A total of 90 patients receiving radical resection of lung cancer in our department from February 2019 to February 2021 were selected as research objects,and divided by lottery into control group(45 cases in each group).The control group was given routine postoperative care,while the observation group was given intervention mode based on Watson care theory.One month later,the score of each dimension of Memorial university of Newfoundland scale of happiness(MUNSH)was used to compare the subjective well-being of patients in the two groups.Understanding disease Perception level using The Brief Perception Questinnaire(BIPQ)score,studying respiratory motor capacity using 6minute walk test(6MWT),Forced vital capacity(FVC)and maximum expiratory volume in the frst second(FEV1)were measured.Results:After intervention,the MUNSH scale of positive emotion,negative emotion,positive experience,negative experience and BIPQ scale of consequences,duration,personal control,concern,emotion,treatment control,symptoms,disease perception scores,6MWT,FVC,FEV1 levels in the observation group were higher than those in the control group,with statistical significance(P<0.05).Conclusion:Patients undergoing radical resection of lung cancer have good clinical effect by using Watson care theory related intervention program,and the respiratory motor function,subjective well-being and disease perception level of patients have been improved.