摘要
Abstract
Objective:To evaluate the intervention effect of progressive rehabilitation nursing model under the guidance of protection motivation theory(PMT)in lung cancer patients with radiotherapy.Method:A total of 70 patients with lung cancer who received radiotherapy in the Radiotherapy Area of the Department of Oncology,Jiujiang Third People's Hospital from October 2019 to October 2022 were included in the prospective randomized controlled study,and they were divided into study group and control group according to random number table method,with 35 cases in each group.The control group was given routine nursing and exercise rehabilitation training intervention,and the study group was given progressive rehabilitation nursing model under the guidance of PMT on the basis of the control group,with initial intervention for 4 weeks.Pulmonary function,cancer-related fatigue,exercise self-efficacy and pulmonary complications were evaluated in both groups.Result:One case died in the study group and one case was lost to follow-up in the control group.Finally,34 patients in both groups entered the study.After 4 weeks of intervention,the percentages of measured values of forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and maximal voluntary ventilation(MVV)in predicted values of both groups were lower than those before intervention,but those in the study group were higher than those in the control group(P<0.05).After 4 weeks of intervention,each dimensions scores and total scores of cancer-related fatigue(CRF)scale were higher in both groups than those before intervention,but those in the study group were lower than those in the control group(P<0.05).After 4 weeks of intervention,the exercise self-efficacy of the study group was better than that of the control group(P<0.05).There was no significant difference in the incidence of pulmonary complications between the two groups(字2=0.183,P=0.669).Conclusion:Progressive rehabilitation nursing model under the guidance of PMT has positive significance in reducing pulmonary function injury,reducing the degree of cancer-related fatigue and improving exercise self-efficacy in lung cancer patients with radiotherapy.关键词
肺癌/放射治疗/保护动机理论/渐进性康复护理模式Key words
Lung cancer/Radiotherapy/Protection motivation theory/Progressive rehabilitation nursing model
