计划行为干预联合三阶梯止痛法对肺癌术后恐动症患者康复进程的影响  

Effect of Planned Behavioral Intervention Combined with Three-step Pain Relief Method on the Rehabilitation Process of Patients with Kinesophobia after Lung Cancer Surgery

作　　者：王序 WANG Xu(ICU,Sun Yat-sen University Cancer Center,Guangzhou 510000,China)

机构地区：[1]中山大学肿瘤防治中心(中山大学附属肿瘤医院)ICU,广东广州510000

出　　处：《中国医学创新》2025年第9期96-100,共5页Medical Innovation of China

摘　　要：目的:探讨计划行为干预联合三阶梯止痛法对肺癌术后恐动症患者康复进程的影响。方法:选取2022年12月—2024年12月中山大学肿瘤防治中心收治的78例肺癌术后恐动症患者,根据随机数字表法分为两组,各39例。对照组术后给予常规护理,观察组术后给予计划行为干预联合三阶梯止痛法干预,比较两组术后疼痛程度、恐动症水平、运动自我效能及康复进程。结果:术后6、24、48、72 h,观察组疼痛评分均低于对照组,差异均有统计学意义(P<0.05);干预后,观察组恐动症评估简表(TSK-11)各项评分均低于对照组,肺癌患者运动自我效能量表评分均高于对照组,差异均有统计学意义(P<0.05)。观察组首次下床活动时间、肛门排气时间、排便时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。结论:计划行为干预联合三阶梯止痛法能够减轻肺癌术后恐动症患者疼痛感知,降低其恐动症水平,提高其运动自我效能,加快其术后康复进程。Objective:To explore the effect of planned behavioral intervention combined with three-step pain relief method on the recovery process of patients with kinesophobia after lung cancer surgery.Method:A total of 78 patients with kinesophobia after lung cancer surgery admitted to Sun Yat-sen University Cancer Center from December 2022 to December 2024 were selected and divided into two groups according to random number table method,with 39 patients in each group.The control group was given routine nursing after surgery,and the observation group was given planned behavioral intervention combined with three-step pain relief method intervention after surgery.The degree of postoperative pain,the level of kinesophobia,exercise self-efficacy and rehabilitation process between the two groups were compared.Result:After 6,24,48,72 h,the pain scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,all scores of Tampa scale of kinesiophobia(TSK-11)scale in the observation group were lower than those in the control group,exercise self-efficacy scale scores of lung cancer patients in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The first time of getting out of bed,the time of anal exhaust,the time of defecation and the time of hospitalization in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Planned behavioral intervention combined with three-step pain relief method can reduce the pain perception,reduce the level of kinesophobia,improve the exercise self-efficacy and accelerate the postoperative rehabilitation process of patients with lung cancer.

关 键 词：计划行为干预 三阶梯止痛法 肺癌 恐动症 运动自我效能 康复进程 

分 类 号：R47[医药卫生—护理学]