基于社会认知理论的老年肺癌患者术后运动管理方案构建

The construction of a postoperative exercise management program for elderly lung cancer patients based on social cognitive theory

目的基于社会认知理论构建老年肺癌患者术后运动管理方案, 为提高老年肺癌患者术后运动能力提供指导。方法系统检索UpToDate、PubMed、Web of Science、Cochrane Library、医脉通、万方、中国知网等数据库中有关老年肺癌患者术后康复运动的相关文献, 检索时间为建库至2023年2月13日。以社会认知理论为指导, 在文献研究的基础上初步拟订老年肺癌患者术后运动管理方案初稿, 通过专家会议法修订方案内容后形成终稿。结果专家会议法问卷回收率为12/12;专家权威系数为0.892;各个条目的重要性变异系数为0~0.150, Kendall协调系数为0.262(P<0.01), 最终形成的运动管理方案包含5个一级条目、18个二级条目、42个三级条目。结论老年肺癌术后运动管理方案构建的过程具有科学性和可靠性、内容具有合理性和全面性, 能为提高老年肺癌术后患者运动康复提供指导。

Objective To construct a postoperative exercise management program for elderly patients with lung cancer based on social cognitive theory,and to provide guidance for improving the postoperative exercise ability of elderly patients with lung cancer.Methods Systematically searched UpToDate,PubMed,Web of Science,Cochrane Library,Medlive,Wanfang,CNKI and other databases for relevant literature on postoperative rehabilitation exercise for elderly patients with lung cancer,with the search time from the establishment of the database to February 13,2023.Guided by social cognitive theory,a preliminary draft of the postoperative exercise management program for elderly patients with lung cancer was prepared based on the literature research,and the final draft was formed after revising the program content through expert meeting method.Results The questionnaire recovery rate of expert meeting method was 12/12;the expert authority coefficient was 0.892;the importance coefficient of variation of each item was 0-0.150;the Kendall coordination coefficient was 0.262(P<0.001);the final exercise management program included 5 first-level items,18 second-level items and 42 third-level items.Conclusions The process of constructing the postoperative exercise management program for elderly patients with lung cancer has scientificity and reliability,and the content has rationality and comprehensiveness,which can provide guidance for improving the postoperative exercise rehabilitation of elderly patients with lung cancer.