人文关怀理念联合呼吸功能锻炼在肺腺癌手术患者中的应用效果

Application effect of humanistic care concept combined with respiratory function exercise in patients with lung adenocarcinoma undergoing surgery

目的探讨人文关怀理念联合呼吸功能锻炼在肺腺癌手术患者中的应用效果。方法根据干预方式的不同将84例肺腺癌手术患者分为观察组(n=42)和对照组(n=42),对照组患者接受呼吸功能锻炼,观察组患者在对照组的基础上联合人文关怀理念干预。比较两组患者的肺功能指标[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)]、应激反应指标[丙二醛、还原型烟酰胺腺嘌呤二核苷酸磷酸氧化酶2(Nox2)、肺表面活性蛋白]、自我效能感、癌因性疲乏、治疗依从性及满意度。结果干预后,两组患者FEV1、FVC均大于本组干预前,丙二醛、Nox2、肺表面活性蛋白水平均高于本组干预前,正性态度、自我减压、自我决策评分均高于本组干预前,认知及情绪、感觉、行为及严重程度、情感评分均低于本组干预前,观察组患者FEV1、FVC均大于对照组,丙二醛、Nox2、肺表面活性蛋白水平均低于对照组,正性态度、自我减压、自我决策评分均高于对照组,认知及情绪、感觉、行为及严重程度、情感评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者的治疗总依从率、总满意度均高于对照组,差异均有统计学意义(P<0.05)。结论人文关怀理念联合呼吸功能锻炼应用于肺腺癌手术患者,可以改善患者的肺功能和应激反应,提高自我效能感、治疗依从性和满意度,减轻癌因性疲乏程度。

Objective To explore the application effect of humanistic care concept combined with respiratory function exercise in patients with lung adenocarcinoma undergoing surgery.Method According to the different intervention methods,84 patients with lung adenocarcinoma who underwent surgery were divided into observation group(n=42)and control group(n=42).The control group received respiratory function exercise,and the observation group received humanistic care concept intervention on the basis of the control group.The lung function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC)],stress response indexes[malondialdehyde,reduced nicotinamide adenine dinucleotide phosphate oxidase 2(Nox2),pulmonary surfactant protein],self-efficacy,cancer-related fatigue,treat-ment compliance and satisfaction of the two groups were compared.Result After intervention,The FEV1 and FVC in two groups were greater than those before intervention,the levels of malondialdehyde,Nox2 and pulmonary surfactant protein were higher than those before intervention,the scores of positive attitude,self-stress reduction and self-decision making were higher than those before intervention,the scores of cognition and emotion,sensation,behavior and severity,feeling were lower than those before intervention,the FEV1 and FVC in observation group were greater than those in con-trol group,the levels of malondialdehyde,Nox2 and pulmonary surfactant protein were lower than those in control group,the scores of positive attitude,self-stress reduction and self-decision making were higher than those in control group,the scores of cognition and emotion,sensation,behavior and severity,feeling were lower than those in control group,and the differences were statistically significant(P<0.05).The total treatment compliance rate and total satisfaction rate in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion The application of humanistic care concept combined with respiratory function exercise in patients with lung adenocarcinoma undergoing surgery can improve patients’lung function and stress response,improve self-efficacy,treatment compliance and satisfaction,reduce cancer-related fatigue degree.