基于保护动机理论的健康教育对肺癌病人出院后康复锻炼依从性的影响  

Effect of the health education based on protection motivation theory on the compliance of rehabilitation exercise in lung cancer patients after discharge

作　　者：李晓青[1] 巨亚丽 王秀娟[1] 曹倩[1] LI Xiao-qing;JU Ya-li;WANG Xiu-juan;CAO Qian;CAO Qian(Department of Thoracic Surgery,Shanxi Baoji Central Hospital,Baoji Shanxi 721008,China)

机构地区：[1]陕西省宝鸡市中心医院胸外科,721008

出　　处：《蚌埠医学院学报》2017年第12期1683-1686,共4页Journal of Bengbu Medical College

基　　金：陕西省社会发展科技攻关计划项目(2013K12-07-13)

摘　　要：目的:探讨基于保护动机理论的健康教育对肺癌病人出院后康复锻炼依从性的影响。方法:选取124例肺癌病人,根据抽签法将病人分为观察组及对照组,各62例,对照组应用常规性护理,观察组应用保护动机干预模式实施护理,干预时间从病人出院至出院后6个月,对比分析2组病人出院后康复锻炼依从性、疾病知晓情况、肺功能改善情况及生活质量情况。结果:观察组出院后康复锻炼依从性、疾病知晓率均高于对照组(P<0.05)。观察组干预后第1 s呼气容积和呼气峰值流速水平均明显高于对照组(P<0.01)。观察组干预后总体健康、心理功能、生理职能、社会功能、健康精神、情感职能等方面评分均明显高于对照组(P<0.01)。结论:基于保护动机理论的健康教育有助于提高肺癌病人疾病知晓率及出院后康复锻炼依从性,有助于改善病人肺功能,提高病人生活质量。Objective:To explore the effects of the health education based on protection motivation theory on the compliance of rehabilitation exercise in lung cancer patients after discharge.Methods:One hundred and twenty-four lung cancer patients were divided into the observation group(n=62)and control group(n=62).The control group was nursed with routine care,and the observation group was nursed with protect intervention model from discharge to after 6 months of discharge.The compliance of rehabilitation exercise,disease awareness,lung function and quality of life between two groups after discharge were compared.Results:The compliance of rehabilitation exercise and disease awareness rate in observation group were higher than those in control group(P<0.05).After intervention,the expiratory volume in the first second and peak expiratory flow rate in observation group were significantly higher than those in control group(P<0.01),and the scores of the overall health,psychological function,physical function,social function,mental health and emotional function were significantly higher than those in control group(P<0.01).Conclusions:The health education based on protection motivation theory can improve the disease awareness,compliance of rehabilitation exercise,lung function and quality of life in lung cancer patient after discharge.

关 键 词：肺肿瘤 保护动机理论 健康教育 依从性 肺功能 

分 类 号：R734.2[医药卫生—肿瘤]