三线放松法联合矛盾意向训练对肺叶切除术患者疗效的影响  

Influence of Three-line Relaxation Method Combined with Contradictory Intention Training on the Curative Effect of Pulmonary Lobectomy Patients

作　　者：赵晨[1] 张宏[1] 郑雅芬[1] 刘秀珠 ZHAO Chen;ZHANG Hong;ZHENG Yafen;LIU Xiuzhu(Fujian Cancer Hospital,Fuzhou 350012,China)

机构地区：[1]福建省肿瘤医院福建医科大学附属肿瘤医院,福建福州350012

出　　处：《中外医学研究》2021年第6期74-76,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨三线放松法联合矛盾意向训练对肺叶切除术患者疗效的影响。方法:选取本院2018年1月-2020年1月收治的80例行肺叶切除术患者进行研究,随机进行分组为对照组(n=40)和研究组(n=40)。对照组采用常规护理,研究组采用三线放松法联合矛盾意向训练。比较两组睡眠质量、生活质量、心理状态指标、呼吸频率、肺功能。结果:干预后,研究组的睡眠质量、入睡时间、睡眠时间、睡眠效率、安眠药物应用、日间功能评分均低于对照组,SAS、SDS评分低于对照组,差异有统计学意义(t=4.241、4.492、12.000、3.400、5.954、6.394、12.930、22.177,P<0.05)。研究组的呼吸频率明显慢于对照组,差异有统计学意义(t=7.093,P=0.000);两组FEV1、FVC比较差异无统计学意义(P>0.05);研究组的躯体功能、心理功能、社会功能、物质生活状态评分均高于对照组,比较差异有统计学意义(t=8.714、5.875、6.072、8.225,P=0.000)。结论:三线放松法联合矛盾意向训练在行肺叶切除术患者中的应用效果较好,可改善患者的睡眠质量和心理状态,从而有助于提高患者的生活质量,值得应用推广。Objective:To explore the effect of three-line relaxation method combined with contradictory intention training on the curative effect of pulmonary lobectomy patients.Method:A total of 80 patients underwent pulmonary lobectomy admitted to our hospital from January 2018 to January 2020 were selected for the study,and randomly divided into the control group(n=40)and the study group(n=40).The control group was given routine nursing,and the study group was given three line relaxation method combined with contradictory intention training.Sleep quality,quality of life,mental state indexes,respiratory rate and pulmonary function were compared between the two groups.Result:After the intervention,the scores of sleep quality,fall asleep time,sleep time,sleep efficiency,application of sleeping drugs and daytime function of the study group were lower than those of the control group,SAS and SDS scores were lower than those of the control group(t=4.241,4.492,12.000,3.400,5.954,6.394,12.930,22.177;P<0.05).The respiratory rate of the study group was significantly slower than that of the control group,the difference was statistically significant(t=7.093,P=0.000);there were no significant differences in FEV1 and FVC(P>0.05);the scores of physical function,mental function,social function and material life state of the study group were higher than those of the control group,the differences were statistically significant(t=8.714,5.875,6.072,8.225;P=0.000).Conclusion:The application effect of three line relaxation method combined with contradictory intention training in patients with pulmonary lobectomy is better,which can improve the sleep quality and psychological state of patients,and help to improve the quality of life of patients,which is worthy of application and promotion.

关 键 词：三线放松法 矛盾意向训练 肺切除术 睡眠质量 心理状态 

分 类 号：R473.6[医药卫生—护理学]