自我超越理论的干预策略在肺癌术后患者中的应用  

Application of intervention strategies based on self-transcendence theory in patients with lung cancer after surgery

作　　者：曲良柯 刘旗 候金莉 付景景 魏向东 QU Liang-ke;LIU Qi;HOU Jin-li;FU Jing-jing;WEI Xiang-dong(Department of Thoracic Surgery and Oncology,Yellow River Central Hospital of Yellow River Conservancy Commission,Zhengzhou 450003,Henan,CHINA;Department of Hematology and Oncology,Henan Provincial People's Hospital,Zhengzhou 450003,Henan,CHINA)

机构地区：[1]黄河水利委员会黄河中心医院胸外肿瘤科,河南郑州450003 [2]河南省人民医院血液肿瘤科,河南郑州450003

出　　处：《海南医学》2025年第7期1055-1060,共6页Hainan Medical Journal

基　　金：河南省科技攻关项目(编号:222102310736)。

摘　　要：目的探究自我超越理论的干预策略在肺癌术后患者中的应用效果。方法选取2021年6月至2024年2月就诊于黄河水利委员会黄河中心医院的82例肺癌术后患者作为研究对象,按随机数表法分为观察组和对照组各41例。对照组患者行常规护理,观察组患者于上述基础上行自我超越理论的干预策略,干预时间3个月。比较两组患者干预前后阈下抑郁[阈下抑郁初筛量表(CES-D)、汉密尔顿抑郁量表-17(HAMD-17)]、中文版疾病获益感量表(BFS-C)评分、肺功能锻炼依从性、肺功能[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、每分钟最大通气量(MVV)]及中文版癌症疲乏量表(FACT-F)评分。结果干预后,观察组患者的CES-D、HAMD-17评分分别为(12.15±2.76)分、(5.46±1.15)分,明显低于对照组的(19.62±3.86)分、(9.21±1.96)分,差异均有统计学意义(P<0.05);干预后,观察组患者BFS-C量表中接受、社会关系、健康行为、家庭关系、个人成长评分分别为(10.85±1.32)分、(16.41±2.18)分、(15.62±3.05)分、(23.24±3.41)分、(27.42±3.75)分,明显高于对照组的(8.74±1.26)分、(12.69±2.54)分、(12.26±2.78)分、(17.86±4.02)分、(20.11±4.23)分,差异均有统计学意义(P<0.05);干预后,观察组患者肺功能锻炼依从性明显优于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者FEV_(1)、FVC、MVV分别为(63.58±4.42)%、(79.50±5.38)%、(55.20±3.79)%,明显高于对照组的(51.10±5.79)%、(76.47±4.86)%、(52.68±4.20)%,差异均有统计学意义(P<0.05);干预后,观察组患者FACT-F量表中生理、社会家庭、情感、功能、疲乏评分分别为(14.22±2.75)分、(12.32±3.12)分、(11.05±2.75)分、(15.06±3.08)分、(27.65±4.75)分,明显低于对照组的(17.67±3.00)分、(15.86±4.62)分、(14.29±3.18)分、(18.49±3.25)分、(34.18±5.24)分,差异均有统计学意义(P<0.05)。结论基于自我超越理论的干预策略可通过调动肺癌术后患者内在力Objective To explore the application effect of intervention strategies based on self-transcendence theory in patients with lung cancer after surgery.Methods Eighty-two patients with lung cancer after surgery admitted to Yellow River Central Hospital of Yellow River Conservancy Commission from June 2021 to February 2024 were selected as subjects and divided into an observation group(n=41)and a control group(n=41)using the random number table method.Patients in the control group received routine nursing care,while those in the observation group additionally received intervention strategies based on self-transcendence theory for 3 months.Subthreshold depression(Center for Epidemiologic Studies Depression Scale[CES-D],Hamilton Depression Scale-17[HAMD-17]),scores on the Chinese version of the Benefit Finding Scale(BFS-C),compliance with pulmonary function exercises,pulmonary function indicators(forced expiratory volume in 1 second[FEV_(1)],forced vital capacity[FVC],maximum voluntary ventilation[MVV]),and scores on the Chinese version of the Functional Assessment of Cancer Therapy-Fatigue(FACT-F)were compared between the two groups before and after the intervention.Results After the intervention,the CES-D and HAMD-17 scores in the observation group were(12.15±2.76)points and(5.46±1.15)points,significantly lower than(19.62±3.86)points and(9.21±1.96)points in the control group,respectively(P<0.05).The BFS-C scores in the observation group for acceptance,social relationships,health behaviors,family relationships,and personal growth were(10.85±1.32)points,(16.41±2.18)points,(15.62±3.05)points,(23.24±3.41)points,and(27.42±3.75)points,respectively,significantly higher than(8.74±1.26)points,(12.69±2.54)points,(12.26±2.78)points,(17.86±4.02)points,and(20.11±4.23)points in the control group(P<0.05).The observation group demonstrated significantly better compliance with pulmonary function exercises than the control group(P<0.05).After intervention,FEV_(1),FVC,and MVV in the observation group were(63.58±4.42)%,(7

关 键 词：肺癌手术 自我超越理论 阈下抑郁 肺功能锻炼依从性 肺功能 

分 类 号：R734.2[医药卫生—肿瘤]