基于健康参与模型的运动康复干预在肺癌手术患者中的应用  

Application effect of exercise rehabilitation intervention based on Health Participation Model in patients with lung cancer surgery

作　　者：陈亚群 毛玉琴[1] 赵格非 谢曼 杨言 Chen Yaqun;Mao Yuqin;Zhao Gefei;Xie Man;Yang Yan(Department of Cardiovascular Surgery,Nanjing Drum Tower Hospital,Nanjing University,Nanjing,210003,China)

机构地区：[1]南京大学医学院附属鼓楼医院心胸外科,江苏南京210003

出　　处：《现代临床护理》2023年第12期50-55,共6页Modern Clinical Nursing

基　　金：江苏省“双创博士”项目,项目编号为JSSCBS20211534。

摘　　要：目的探讨基于健康参与模型的运动康复干预在肺癌手术患者中的应用效果。方法选取2022年1月至12月南京市某三级甲等综合医院收治的肺癌手术患者122例,采用随机数字表法分为对照组和干预组,每组61例。对照组实施常规运动康复干预,干预组实施基于健康参与模型的运动康复干预,比较两组患者干预后各项肺功能指标及术后恢复质量。结果患者出院1个月后,干预组第1秒最大呼气容积(forced expiratory volume in one second,FEV1)、用力肺活量(forced vital capacity,FVC)、最大自主通气(maximum ventilatory volume,MVV)、FEV1/FVC均高于对照组(均P<0.001);干预组术后恢复质量总分及除心理支持维度外的其他维度评分均高于对照组,两组比较,差异具有统计学意义(均P<0.001)。结论对肺癌手术患者实施基于健康参与模型的运动康复干预可改善肺功能指标,提升术后恢复质量,促进术后恢复。Objective To explore the application effect of exercise rehabilitation based on the Health Participation Model in patients with lung cancer surgery.Methods A total of 108 patients with lung cancer hospitalised in our hospital between January and December 2022 were randomly divided into two groups:a control group and a intervention group,with 54 patients per group.The control group was offered with routine exercise rehabilitation,while patients in the research group underwent exercise rehabilitation based on the Health Participation Model.Results One month after discharge,the research group showed higher levels in the first second maximum expiratory volume(FEV1),forced vital capacity(FVC),maximum ventilatory volume(MVV)and FEV1/FVC ratio in comparison with those in the control group(all P<0.001).The total score of postoperative rehabilitation quality and the scores of its dimensions were all higher in the research group than those in the control group one month after discharge(all P<0.001),except the dimension of psychological support.Conclusion Incorporation of the Health Participation Model into the postoperative rehabilitation program for lung cancer patients can improve lung function and promote the postoperative rehabilitation.

关 键 词：肺癌 运动康复 健康参与模型 肺功能 术后恢复质量 

分 类 号：R473.73[医药卫生—护理学]