多形式健康教育模式联合简易呼吸功能锻炼对老年肺癌放疗病人癌因性疲乏及遵医行为的影响  

Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy

作　　者：蔡荟萃[1] 陈燕[1] 王燕[1] 叶劲军[1] 朱钰颖 CAI Huicui;CHEN Yan;WANG Yan;YE Jinjun;ZHU Yuying(Department of Radiotherapy,Cancer Prevention and Treatment Institute of Jiangsu Province,Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China)

机构地区：[1]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院放疗科,江苏省南京市210009

出　　处：《实用老年医学》2024年第9期968-972,共5页Practical Geriatrics

摘　　要：目的 探究老年肺癌放疗病人接受多形式健康教育模式联合简易呼吸功能锻炼的效果。方法 选取本院于2021年3月至2023年9月收治的60例肺癌放疗病人进行前瞻性研究,按照随机数表法分为研究组(30例)与对照组(30例),对照组接受常规护理干预,研究组接受多形式健康教育模式联合简易呼吸功能锻炼干预,比较2组干预前后癌因性疲乏[Piper疲乏量表(PFS)评分]、生活质量[生活质量核心问卷(QLQ-C30)评分]、呼吸功能[呼出气一氧化氮(FeNO)、呼吸频率及氧合指数]、遵医行为、护理满意度(病人护理需求及满意程度调查表)情况。结果 干预前,2组PFS、QLQ-C30评分,FeNO、呼吸频率、氧合指数水平比较,差异无统计学意义(P>0.05);干预后,2组上述指标均有改善,差异有统计学意义(P<0.05),且研究组PFS评分、FeNO水平和呼吸频率低于对照组,QLQ-C30评分和氧合指数高于对照组,差异有统计学意义(P<0.05);护理期间,研究组的遵医率及护理干预满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论 对老年肺癌放疗病人采取多形式健康教育模式联合简易呼吸功能锻炼干预,能够显著改善其癌因性疲乏,提高老年病人遵医性与生活质量,提升其对护理干预的满意度,具有较好的临床应用价值。Objective To explore the effects of diversified health education mode combined with simple respiratory function exercise for elderly patients with lung cancer undergoing radiotherapy.Methods A prospective study was conducted in 60 patients with lung cancer undergoing radiotherapy admitted to our hospital from March 2021 to September 2023.They were divided into the study group(30 cases)and the control group(30 cases)according to the random number table method.The control group received routine nursing intervention,and the study group received diversified health education model combined with simple respiratory function exercise intervention.The cancer-related fatigue[evaluated by Piper fatigue scale(PFS)],quality of life[evaluated by quality of life core questionnaire(QLQ-C30)],respiratory function[including exhaled nitric oxide(FeNO),respiratory rate and oxygenation index],compliance behavior and nursing intervention satisfaction score(evaluated by patient care needs and satisfaction questionnaire)were compared between the two groups before and after intervention.Results Before intervention,there were no significant differences in PFS,QLQ-C30 scores,and the levels of FeNO,respiratory rate,oxygenation index between the two groups(P>0.05).After 3 months of intervention,the above indexes in 2 groups were significantly improved(P<0.05),especially in the study group(P<0.05).During the nursing period,the compliance rate and satisfaction score of nursing intervention in the study group were significantly higher than those in the control group(P<0.05).Conclusions Diversified health education model combined with simple respiratory function exercise intervention can significantly improve cancer-related fatigue,improve elderly patients’compliance and quality of life,and enhance their satisfaction with nursing intervention,which has good application value.

关 键 词：多形式健康教育模式 简易呼吸功能锻炼 老年人 放疗 癌因性疲乏 

分 类 号：R473.56[医药卫生—护理学]