基于微信平台的家庭肺康复在老年肺癌术后患者的应用  

Application of family pulmonary rehabilitation based on WeChat platform in elderly patients after lung cancer surgery

作　　者：刘燕[1] 魏鹤群[1] 余娇[2] 黄思雅 李霞[1] LIU Yan;WEI Hequn;YU Jiao;HUANG Siya;LI Xia(Department of Thoracic Plastic Surgery,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330000,China;Department of Nursing,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330000,China)

机构地区：[1]南昌大学第二附属医院胸外整形美容科,江西南昌330000 [2]南昌大学第二附属医院护理部,江西南昌330000

出　　处：《中国当代医药》2023年第14期176-179,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202210535)。

摘　　要：目的观察基于微信平台的家庭肺康复训练在老年肺癌术后患者的应用。方法选取2021年6月至2022年6月于江西省南昌大学第二附属医院就诊的80例肺癌术后患者作为研究对象,按随机数字表法分为干预组和对照组,每组40例。对照组给予常规出院护理及延续性护理干预,干预组在对照组基础上采用基于微信平台的家庭肺康复训练护理,观察比较两组患者护理结束后6 min步行试验(6MWT)距离、焦虑评分量表(SAS)、抑郁评分量表(SDS)、圣乔治呼吸问卷(SGRQ)与健康调查量表36(SF-36)评分。结果护理前,两组患者6MWT距离比较,差异无统计学意义(P>0.05);对照组护理后6MWT距离与本组护理前比较,差异无统计学意义(P>0.05);干预组护理后6MWT距离远于本组护理前,差异有统计学意义(P<0.05);干预组护理后6MWT距离远于对照组,差异有统计学意义(P<0.05)。心理状态方面,护理前,两组患者SAS、SDS评分比较,差异无统计学意义(P>0.05);护理后,两组患者SAS、SDS评分均低于本组护理前,干预组SAS与SDS评分均低于对照组,差异有统计学意义(P<0.05)。生活质量方面,护理前,两组患者SGRQ与SF-36评分比较,差异无统计学意义(P>0.05);护理后,两组患者SGRQ评分低于本组护理前,SF-36评分高于本组护理前,干预组SGRQ评分低于对照组,干预组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论基于微信平台的家庭肺康复训练可有效改善老年肺癌术后患者运动能力、心理状况及生活质量,具有良好的临床应用前景。Objective To observe the application of family pulmonary rehabilitation training based on WeChat platform in elderly patients after lung cancer surgery.Methods A total of 80 patients who had undergone lung cancer surgery in the Second Affiliated Hospital of Nanchang University,Jiangxi Province from June 2021 to June 2022 were selected as research objects,and divided into an intervention group and a control group according to the random number table method,with 40 cases in each group.All patients received routine discharge nursing and continuous nursing intervention,and patients in the intervention group additionally received family pulmonary rehabilitation training based on WeChat platform.The 6 min walk test(6MWT),self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,St George's respiratory questionnaire(SGRQ)scores and the MOS item short form health survey(SF-36)scores were compared between the two groups.Results Before nursing,there was no statistically significant difference in the 6MWT distance between the two groups(P>0.05).There was no significant difference in the 6MWT distance in the control group before and after nursing(P>0.05).The distance of 6MWT after nursing in the intervention group was longer than that before nursing,the difference was statistically significant(P<0.05).The 6MWT distance of the intervention group after nursing was longer than that of the control group,the difference was statistically significant(P<0.05).In terms of psychological status,there were no significant differences in SAS and SDS scores between the two groups before nursing(P>0.05).After nursing,the SAS and SDS scores of patients in the two groups were lower than those before nursing,and the SAS and SDS scores in the intervention group were lower than those in the control group,with statistically significant differences (P<0.05). In terms of quality of life, there were no significant differences in SGRQ and SF-36 scores of the two groups before nursing (P>0.05). After nursing, the SGRQ score of patie

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分 类 号：R473.73[医药卫生—护理学]