| 吕利杰,陈玉红,叶亮,吴林珂,林征.基于行为转变理论的肺康复运动方案在肺癌化疗患者中的应用效果[J].中国医药导报,2024,21(6):176-180 |
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| 基于行为转变理论的肺康复运动方案在肺癌化疗患者中的应用效果 |
| Application effect of pulmonary rehabilitation exercise program based on behavioral change theory in patients with lung cancer undergoing chemotherapy |
| 收稿日期： 修订日期：2023-05-26 |
| DOI：10.20047/j.issn1673-7210.2024.06.41 |
| 关键词: 依从性 化疗患者 肺康复 行为转变理论 |
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| 基金项目:江苏省南京市卫生科技发展重点项目（ZKX21041） |
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| 摘要:目的 探讨基于行为转变理论的肺康复运动方案在肺癌化疗患者中的应用效果。 方法 选取江苏省南京市第一医院呼吸内科2022年7月至2023年3月收治的肺癌化疗患者80例，按入院时间顺序将其分为对照组和试验组，各40例。对照组予常规肺康复运动指导，试验组予基于行为转变理论的肺康复运动指导。比较两组肺康复运动依从性评分、运动耐力及生活质量。 结果 干预第12周，两组运动依从性得分高于干预第4周，且试验组高于对照组，差异有统计学意义（P＜0.05）；整体分析发现：6分钟步行试验时间点及交互作用比较差异均有统计学意义（P＜0.05）；呼吸困难Borg评分时间点比较，差异有统计学意义（P＜0.05），组内比较：试验组干预第12周6分钟步行试验长于本组干预前及干预第4周；两组干预第12周呼吸困难Borg评分均低于本组干预前及干预第4周，干预第4周低于干预前（P＜0.05）；组间比较：两组6分钟步行试验、呼吸困难Borg评分比较，差异无统计学意义（P＞0.05）。干预后，两组生活质量评分高于干预前，且试验组高于对照组，差异有统计学意义（P＜0.05）。结论 基于行为转变理论的肺康复运动依从性干预方案，有利于提高患者运动依从性，增强运动耐力，改善患者生活质量。 |
| Abstract:Objective To explore application effect of pulmonary rehabilitation exercise program based on behavioral change theory in patients with lung cancer undergoing chemotherapy. Methods A total of 80 patients with lung cancer treated with chemotherapy from July 2022 to March 2023 in the Department of Respiratory Medicine Nanjing First Hospital were selected. According to the order of admission time they were divided into control group and experimental group, with 40 cases in each group. The control group received routine pulmonary rehabilitation exercise guidance, and the experimental group received pulmonary rehabilitation exercise program based on behavior change theory. The scores of exercise compliance, exercise endurance, and quality of life were compared between the two groups. Results At the 12th week of intervention, exercise compliance scores of both groups were higher than those at the 4th week of intervention, and experimental group was higher than control group, and the differences were statistically significant (P＜0.05). The overall analysis found that there were statistical significant differences in the time point comparison and interaction of six-minute walking test (P＜0.05). There was a statistical significant difference in Borg score of dyspnea at different time points (P＜0.05). Comparison within group: six-minute walking test of experiment group on the 12th week of intervention was longer than before intervention and at the 4th week of intervention; Borg score of dyspnea in both groups at the 12th week of intervention was lower than that before intervention and at the 4th week of intervention was lower than before intervention (P＜0.05); Comparison between groups: there was no statistical significant difference in six-minute walking test and Borg score of dyspnea between experimental group and control group (P＞0.05). After intervention, total scores of quality of life in both groups were higher than those before intervention, and experimental group was higher than control group, and the differences were statistically significant (P＜0.05). Conclusion The intervention program of pulmonary rehabilitation exercise program based on behavioral change theory is conducive to improving patients’ exercise compliance, enhancing exercise endurance and improving patients’ quality of life. |
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