个案管理结合多元化健康教育对行肺癌根治术后患者康复情况的影响OA
Effect of case management combined with diversified health education on the recovery of patients after radical surgery of lung cancer
目的 考察个案管理结合多元化健康教育对行肺癌根治术后患者康复情况的影响.方法 选取于华中科技大学同济医学院附属同济医院胸外科行肺癌根治术的90 例患者作为研究对象,入组时间为2021 年12 月至2022 年12 月.根据干预方式的差异分为对照组(常规术后干预)和观察组(个案管理结合多元化健康教育),各 45 例.比较2 组患者的术后康复情况.结果 术后1 个月和2 个月,观察组的第1 秒用力呼气量、一秒率、心理弹性量表和一般自我效能感量表评分与同一时间对照组比较均更高(P均<0.05),且2 组均比术后 1d更高(P均<0.05);2 组在术后2 个月的以上指标和评分与术后1 个月比较均更高(P均<0.05).术后1 个月和2 个月,观察组的改良版英国医学研究委员会呼吸困难量表和生活质量评估问卷评分与同一时间对照组比较均更低(P均<0.05),且 2 组均比术后1d更低(P均<0.05);2 组在术后2 个月的以上评分与术后1 个月比较均更低(P均<0.05).比较2 组并发症发生情况,观察组的总发生率更低(P<0.05).结论 个案管理结合多元化健康教育可改善行肺癌根治术患者术后的肺功能和呼吸困难程度,提高患者的心理弹性和自我效能,并降低术后并发症发生风险.
Objective To investigate the effect of case management combined with diversified health education on the recovery of patients after radical surgery of lung cancer.Methods Ninety patients who underwent radical surgery of lung cancer at the Department of Thoracic Surgery of Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology were selected as the study subjects,and their enrollment time was from December 2021 to December 2022.According to the differences in intervention methods,they were allocated into a control group(conventional postoperative intervention)and an observation group(case management combined with diversified health education),with 45 cases in each group.The postoperative recovery was compared between the two groups.Results At 1 and 2 months after surgery,the forced expiratory volume in 1 second,the forced expiratory volume in 1 second/forced vital capacity,the Connor-Davidson Resilience Scale score,and the General Self-Efficacy Scale score of the observation group were higher than those of the control group(all P<0.05),and both groups performed better compared with those at 1 day after surgery(all P<0.05).The above indicators and scores at 2 months after surgery were higher than those at 1 month after surgery in both groups(all P<0.05).At 1 and 2 months after surgery,the scores of the modified Medical Research Council and COPD assessment test in the observation group were lower compared with the control group(all P<0.05),and the scores of both groups were decreased compared with those at 1 day after surgery(all P<0.05).The above scores at 2 months after surgery were lower than those at 1 month after surgery in both groups(all P<0.05).The total incidence of complications was compared between the two groups,and the observation group had a lower incidence(P<0.05).Conclusion Case management combined with diversified health education can improve the pulmonary function and dyspnea of patients after radical surgery of lung cancer,enhance their psychological resilience and self-efficacy,and reduce the risk of postoperative complications.
董方求;李先萍;董翠萍
华中科技大学同济医学院附属同济医院,湖北 武汉,430030
临床医学
肺癌根治术多元化健康教育个案管理肺功能生活质量
radical surgery of lung cancerdiversified health educationcase managementpulmonary functionquality of life
《中西医结合护理（中英文）》 2024 (004)
21-24 / 4
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