基于PMT的肺癌患者术后居家肺康复方案的构建和应用  

Construction and application of home pulmonary rehabilitation program for lung cancer patients after surgery based on the protective motivation theory

作　　者：阎勋会 提运山 YAN Xunhui;TI Yunshan(Linyi Cancer Hospital Thoracic Surgery Ward 1,Linyi 276034,China)

机构地区：[1]临沂市肿瘤医院胸外科一病区,山东临沂276034

出　　处：《心理月刊》2025年第1期159-162,共4页

摘　　要：目的基于PMT构建肺癌患者术后居家肺康复方案,并探讨该方案对患者的肺功能、运动耐力、自我效能和心理状态的影响。方法采用便利抽样法选取2023年8月~2024年1月在临沂市某三甲医院胸外科住院的94例肺癌术后患者,并将其分配至对照组(仅接受常规护理)和干预组(常规护理联合基于PMT的居家肺康复方案),两组各47例患者。于患者干预前和干预后3个月进行肺功能、六分钟步行距离(6MWD)、自我效能(GSES)和心理状态(SAS、SDS)的测定,评价该方案对居家肺康复患者的肺功能、运动耐力、自我效能和心理状态的干预效果。结果最终纳入88例患者,包括对照组45例和干预组43例,干预后3个月对照组肺功能指标(FVC、FEV1)低于干预组(P<0.05),对照组六分钟步行距离(6MWD)低于干预组(P<0.05),对照组自我效能(GSES)低于干预组(P<0.05),对照组心理状态(SAS、SDS)高于干预组(P<0.05)。结论基于PMT构建的肺癌患者术后居家肺康复方案,可有效改善患者的肺功能、运动耐力、自我效能和心理状态。Objective Based on the PMT,the patients were given a family pulmonary rehabilitation program to establish the effect of exercise on lung function,the patient's endurance self-efficacy and mental state after lung cancer surgery.Methods A total of 94 patients with lung cancer who were hospitalized from August 2023 to January 2024 in the in the department of thoracic surgery of a tertiary hospital in Linyi were selected and randomly divided into control group and intervention group by convenient sampling method.The control group received routine nursing only,and the intervention group received routine nursing and family pulmonary rehabilitation program based on PMT,with 47 patients in each group.Pulmonary function,6-minute walking distance(6MWD),self-efficacy(GSES)and mental state(SAS,SDS)were measured before intervention and 3 months after intervention to evaluate the intervention effect of this program on lung function,exercise endurance,self-efficacy and mental state of patients with home pulmonary rehabilitation.Results Finally,88 patients were included,including 45 cases in the control group and 43 cases in the intervention group.Three months after intervention,the pulmonary function index(FVC,FEV1)in the control group was lower than that in the intervention group(P<0.05),and the sixminute walking distance(6MWD)in the control group was lower than that in the intervention group(P<0.05).The self-efficacy(GSES)of the control group was lower than that of the intervention group(P<0.05),and the psychological state(SAS,SDS)of the control group was lower than that of the intervention group(P<0.05).Conclusion The home-based pulmonary rehabilitation program for lung cancer patients after operation based on PMT can effectively improve lung function,exercise endurance,self-efficacy and psychological state of patients.

关 键 词：PMT 肺癌 术后 居家肺康复 

分 类 号：R47[医药卫生—护理学]