动机性访谈联合回馈教学对肺癌患者主动呼吸循环技术训练的干预效果研究  

Impact of motivational interviewing combined with feedback teaching on the active cycle of breathing technique training among lung cancer patients

作　　者：钟就娣[1] 李传珍[1] 辛紫雅 黄玉霞 刘莉[1] Zhong Jiudi;Li Chuanzhen;Xin Ziya;Huang Yuxia;Liu Li(Department of Thorax Surgery,Sun Yat-sen University Cancer Center,Guangzhou 510060,China)

机构地区：[1]中山大学肿瘤防治中心胸科,广州510060

出　　处：《中国实用护理杂志》2021年第22期1688-1694,共7页Chinese Journal of Practical Nursing

基　　金：广东省医学科学技术研究基金(A2017210)。

摘　　要：目的探究动机性访谈联合回馈教学对肺癌患者主动呼吸循环技术(ACBT)训练效果的影响。方法将2017年9月至2019年3月中山大学肿瘤防治中心632例行肺癌根治术的肺癌患者按手术时间节点分为试验组和对照组,每组316例,对照组给予常规健康宣教,试验组在常规健康宣教的基础上辅以动机性访谈给予回馈教学教育,并随访2个月。比较2组患者排痰量、肺部并发症发生率、ACBT训练的依从性及准确性、自我护理能力。结果术后第1、2、3天对照组的痰液量分别为(6.25±2.44)、(9.28±2.63)、(10.33±3.15)g,试验组的痰液量分别为(8.74±4.17)、(13.87±3.19)、(14.18±4.16)g,2组排痰量比较差异有统计学意义(t值为-1.149、-2.316、-4.124,P<0.01或0.05)。对照组肺部并发症为56例占17.72%,试验组为33例占10.44%,2组比较差异有统计学意义(χ^(2)值为4.743,P<0.01)。术后2个月试验组患者的ACBT训练依从性和准确性均优于对照组,差异有统计学意义(χ^(2)值为-4.57、-2.15,P<0.01)。干预后在自我护理能力4个维度上的改善情况试验组均优于对照组,差异有统计学意义(t值为8.314~19.719,P<0.01)。结论动机性访谈联合回馈教学有利于提高肺癌患者术后ACBT训练的依从性及准确性,提高患者的自我护理能力水平,促进患者及早有效排痰和减少肺部并发症的发生率,有利于肺功能恢复,是一种有效的健康教育方法。Objective To explore the effect of motivational interview combined with feedback teaching on active cycle of breathing technique(ACBT)training in lung cancer patients.Methods A total of 632 patients with lung cancer undergoing radical resection from September 2017 to March 2019 in Sun Yat-sen University Cancer Center were selected and divided into the experimental group and the control group with 316 cases in each group by operation time.The experimental group received motivational interview combined with feedback teaching education,while the control group received routine education.The patients were followed up for 2 months.The compliance and accuracy of ACBT training,self-care ability,sputum discharge and incidence of pulmonary complications were compared between the two groups.Results The sputum volume in the control group was(6.25±2.44),(9.28±2.63),(10.33±3.15)g in the control group and(8.74±4.17),(13.87±3.19),(14.18±4.16)g in the experimental group at 1,2,3 days after operation,and the differences between the two groups were statistically significant(t values were-1.149,-2.316,-4.124,P<0.01 or 0.05).There were 56 cases(17.72%)of pulmonary complications in the control group and 33 cases(10.44%)in the experimental group.The difference in the incidence of pulmonary complications between the two groups was statistically significant(χ^(2)value was 4.743,P<0.01).Two months after operation,the compliance and accuracy of ACBT training in the experimental group were better than those in the control group(χ^(2)values were-4.57,-2.15,P<0.01).The improvement in the four dimensions after intervention in the experimental group were better than those in the control group,and the differences were statistically significant(t values were 8.314-19.719,P<0.01).Conclusions The motivational interview combined with feedback teaching is an effective method of health education,which is conducive to improving lung cancer patients'compliance and accuracy of postoperative ACBT training,improving patients'self-care ability,promo

关 键 词：健康教育 动机性访谈 回馈教学 肺肿瘤 主动呼吸循环技术 

分 类 号：R473.73[医药卫生—护理学]