肺康复训练联合个体电脑故事版豁达干预在癌症晚期患者中的应用  

Application of pulmonary rehabilitation training combined with individual computer story version open-minded intervention in patients with advanced cancer

作　　者：范红菊[1] 居玲玲[1] 葛圆圆 朱红军[1] 钱湘云[2] Fan Hongju;Ju Lingling;Ge Yuanyuan;Zhu Hongjun;Qian Xiangyun(Oncology Nursing Department,the Third People's Hospital of Nantong,226000,China;Nursing Department,the Third People's Hospital of Nantong,226000,China)

机构地区：[1]南通市第三人民医院肿瘤科,226000 [2]南通市第三人民医院护理部,226000

出　　处：《国际护理学杂志》2022年第22期4109-4113,共5页international journal of nursing

基　　金：2019年度南通市卫生健康委员会科研立项课题(MB2019025)。

摘　　要：目的探究肺康复训练联合个体电脑故事版豁达干预对癌症晚期患者的影响。方法选取2019年4月至2020年12月期间南通市第三人民医院收治107例肺癌晚期患者作为研究对象,根据患者自主意愿将其分为两组,对照组行肺康复训练,观察组在此基础上联合实施个体电脑故事版豁达干预。观察两组患者干预前后肺功能、心理调节能力及生活质量。结果观察组干预后1 s用力呼气容积(FEV1)、1 s用力呼气容积与用力肺活量比值(FEV1/FVC)、最大通气量(MVV)及最大呼气中段量(MMF)均优于对照组(P<0.05);观察组干预后癌症患者心理调节量表(PASCP)各领域评分及总分均优于对照组(P<0.05);观察组干预后癌症病人生活功能指标量表(FLIC)各领域评分及总分均优于对照组(P<0.05)。结论肺癌晚期患者联合开展肺康复训练和个体故事版豁达干预,能有效改善肺功能,提高心理调节能力,对提高患者生活质量具有重要意义。Objective To explore the influence of pulmonary rehabilitation training combined with individual computer story version open-minded intervention in patients with advanced cancer.Methods A total of 107 patients with advanced lung cancer admitted to the Third People's Hospital of Nantong from April 2019 to December 2020 were selected as the research objects,and they were divided into two groups according to their voluntary wishes.The control group received pulmonary rehabilitation training,while the observation group was combined with individual computer story version open-minded intervention on this basis.The pulmonary function,psychological adjustment ability and quality of life of the two groups of patients before and after intervention were observed.Results After intervention,forced expiratory volume(FEV1)in 1 second,ratio of forced expiratory volume to forced vital capacity(FEV1/FVC)in 1 second,maximum volume of air(MVV)and maximum mid-expiratory volume(MMF)in the observation group were better than those in the control group(P<0.05).After intervention,the Psychological Adjustment Scale for Cancer Patients(PASCP)scores and total scores of the observation group were better than those of the control group(P<0.05).After intervention,the scores and total scores of the Functional Living Index-Cancer(FLIC)in all fields in the observation group were better than those in the control group(P<0.05).Conclusions The joint pulmonary rehabilitation training and open-minded intervention for patients with advanced lung cancer can effectively improve lung function and psychological adjustment ability,which is of great significance to improve the quality of life of patients.

关 键 词：肺癌晚期 肺康复训练 个体电脑故事版豁达干预 肺功能 心理调节能力 

分 类 号：R473.73[医药卫生—护理学]