O2O模式联合思维导图对食管癌放疗患者呼吸锻炼效果的影响  

The effect of O2O model combined with mind mapping on the effect of respiratory exercise in esophageal cancer radiotherapy patients

作　　者：熊倩 林钦榕 林宇[1] 邹爱芳 曾圣燕 XIONG Qian;LIN Qinrong;LIN Yu;ZOU Aifang;ZENG Shengyan(Oncology School of Fujian Medical University,Fuzhou 350000,China)

机构地区：[1]福建医科大学肿瘤临床医学院,福建省肿瘤医院,福建省福州市350000

出　　处：《护理实践与研究》2024年第5期675-680,共6页Nursing Practice and Research

基　　金：国家临床重点专科建设项目。

摘　　要：目的探讨O2O模式联合思维导图对食管癌放疗患者呼吸锻炼健康教育的影响。方法选取2021年12月—2022年11月在福建省肿瘤医院就诊的83例食管癌放疗患者作为研究对象,按照组间基线资料均衡可比原则分为观察组41例和对照组42例,观察组实施O2O模式下思维导图健康教育,对照组实施常规健康教育。比较两组患者干预第1周、干预第4周及干预第7周的呼吸锻炼准确性、呼吸锻炼依从性以及干预前后生存质量评分。结果两组患者呼吸锻炼准确性评分均随时间均呈上升趋势(P时间<0.05);干预第1周、干预第4周及干预第7周时观察组呼吸锻炼准确性评分均高于对照组(P组间<0.05),并且随观察时间延长,组间差异逐渐增大(P交互<0.05)。两组患者呼吸锻炼依从性评分结果显示随时间均呈上升趋势(P时间<0.05);干预第1周、干预第4周及干预第7周时观察组呼吸锻炼依从性评分均高于对照组(P组间<0.05),并且随观察时间延长,组间差异呈现出逐渐增大的趋势(P交互<0.05);干预前生存质量差异无统计学意义(P>0.05),干预后,观察组患者的全部功能领域及总体健康状况得分均高于对照组(P<0.05);观察组症状领域及6个单一领域得分中除食欲下降和腹泻2项外,其余各项得分均低于对照组(P<0.05)。结论O2O模式下思维导图应用于食管癌放疗患者呼吸锻炼健康宣教有助于提高患者呼吸功能锻炼的准确性及依从性,促进健康,提升患者生活质量。Objective To discuss the effect of O2O model combined with mind mapping on the health education of respiratory exercise for radiotherapy esophageal cancer patients.Methods 83 patients with esophageal cancer radiotherapy who visited Fujian Cancer Hospital from December 2021 to November 2022 were selected as the study subjects,they were divided into 41 cases in the observation group and 42 cases in the control group according to the principle of balanced and comparable baseline data between the groups,and the observation group implemented health education of Thinking Guiding Diagram in O2O mode.The control group implemented conventional health education.The accuracy of respiratory exercise,adherence to respiratory exercise,and quality of life scores before and after the intervention were compared between the two groups in week 1,week 4 and week 7 of the intervention.Results The breathing exercise accuracy scores of both groups showed an increasing trend with time(P<0.05),the breathing exercise accuracy scores of the observation group were higher than the control group at the week 1,week 4 and week 7 of intervention(P<0.05),the diff erence between the groups gradually increased with the prolongation of observation time(P<0.05).The results of respiratory exercise compliance scores of patients in both groups showed an increasing trend with time(P<0.05).The respiratory exercise compliance scores of the observation group were higher than those of the control group at the week 1,week 4 and the week 7 of the intervention(P<0.05),the difference between the groups showed the increase trend with the prolongation of the observation time(P<0.05),the diff erence in the quality of survival before the intervention was not statistically signifi cant(P>0.05).After the intervention,all the functional domains and general health scores of the patients in the observation group were higher than the control group(P<0.05).The scores of the symptom domains and the 6 single domain scores of the observation group were lower than the control

关 键 词：O2O模式 思维导图 食管癌 放射治疗 呼吸功能锻炼 健康教育 

分 类 号：R473.73[医药卫生—护理学]