基于动机行为转化的渐进性康复护理对肺癌化疗患者的影响  

Effects of progressive rehabilitation nursing based on motivation and behavior transformation on quality of life and mental state in lung cancer patients undergoing chemotherapy

作　　者：田君[1] 沈卓婴[1] 李玲[1] TIAN Jun;SHEN Zhuo-ying;LI Ling(Department of Respiratory,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院呼吸科,上海201203

出　　处：《中国肿瘤临床与康复》2022年第4期452-455,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的 探讨基于动机行为转化的渐进性康复护理对肺癌化疗患者的影响。方法 选取2019年4月至2021年4月间上海中医药大学附属曙光医院收治的60例肺癌化疗患者,采用随机数表法分为观察组和对照组,每组30例。观察组患者采用基于动机行为转化的渐进性康复护理,对照组患者采用常规康复护理,比较两组患者护理前后的生活质量、心理状态及护理满意度。结果 护理后,观察组患者生理能力、心理状况、社会能力和环境适应能力评分均高于对照组,差异均有统计学意义(均P<0.05)。护理后,观察组患者焦虑和抑郁评分均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者护理满意度为93.3%,高于对照组的73.3%,差异有统计学意义(P<0.05)。结论 基于动机行为转化的渐进性康复护理可改善肺癌化疗患者的生活质量和心理状态,患者满意度较高,值得临床应用推广。Objective To study the effects of progressive rehabilitation nursing based on motivation and behavior transformation on quality of life and psychological state in lung cancer patients undergoing chemotherapy. Methods Sixty patients undergoing chemotherapy for lung cancer were selected at Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from April 2019 to April 2021. Using the random number table method, the patients were equally divided into a control group and an observation group with 30 patients each. The observation group was given gradual rehabilitation care based on motivational and behavior transformation theory and the control group was given conventional rehabilitation care. Quality of life, mental state, and nursing satisfaction were compared between the two groups before and after nursing. Results After nursing, physical ability, psychological status, social ability and environmental adaptability scores were significantly higher in the observation group than in the control group(all P<0.05). After nursing, anxiety and depression scores were significantly lower in the observation group than in the control group(all P<0.05). Patient satisfaction was 93.3% in the observation group which was significantly higher than 73.3% of the control group(P<0.05). Conclusion Progressive rehabilitation nursing based on the theory of motivation and behavior transformation can improve quality of life and psychological state in patients with lung cancer on chemotherapy, and patient satisfaction is high. It is worthy of clinical application and promotion.

关 键 词：肺肿瘤 药物疗法 动机行为 渐进性康复护理 生活质量 心理状态 

分 类 号：R734.2[医药卫生—肿瘤]