摘要
目的探讨基于斯金纳强化理论的健康教育对胃癌根治术患者康复自我效能及呼吸功能训练依从性的影响。方法选择2017年7月—2018年6月南京医科大学附属淮安第一医院收治的择期胃癌根治术患者140例,按照随机数字表法分为对照组、干预组,各70例。对照组给予患者呼吸功能训练常规健康教育,干预组给予基于斯金纳强化理论的健康教育。随访6个月,比较两组康复自我效能、呼吸功能训练依从性、肺功能。结果随访6个月,干预组实际完成随访64例、对照组实际完成随访61例。两组康复训练自我效能评分显著高于同组教育前(P<0.01),干预组康复训练与技能培养、症状自我管理、应对治疗副作用、日常生活管理、康复信息获取与应用、自我效能总分显著高于对照组(P<0.01);两组呼吸功能训练依从性评分显著高于同组教育前(P<0.01),干预组呼吸功能锻炼依从性、呼吸功能锻炼注意事项依从性、主动寻求建议、呼吸功能锻炼依从性总分显著高于对照组(P<0.01);两组肺功能指标水平低于同组教育前(P<0.01),干预组肺活量、第1秒用力呼气容积(FEV1)、用力肺活量(FVC),FEV1/FVC高于对照组(P<0.01)。结论基于斯金纳强化理论的健康教育有助于促进胃癌根治术患者康复自我效能感的养成,提高呼吸功能训练依从行为,改善患者肺功能。
Objective To explore the effect of health education based on Skinner’s reinforcement theory on rehabilitation self-efficacy and compliance of respiratory function training in patients after radical resection of gastric cancer.Methods A total of 140 cases of elective radical gastric cancer patients who were admitted to the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University from July 2017 to June 2018 were selected.According to the random number table method,they were randomly divided into control group and treatment group,with 70 cases in each group.The control group was given regular health education for respiratory function training,and the treatment group was given health education based on Skinner’s reinforcement theory.After six months of follow-up,the two groups’rehabilitation self-efficacy,respiratory function training compliance,lung function were compared.Results After six months of follow-up,64 cases in the treatment group and 61 cases in the control group were completed.The rehabilitation training self-efficacy scores of the two groups were higher than those before the same group(P<0.01).The total scores of rehabilitation training and skill training,symptom self-management,coping with treatment side effects,daily life management,rehabilitation information acquisition and application,and self-efficacy of the treatment group were higher than those of the control group(P<0.01);the respiratory function training compliance scores of the two groups were higher than those before education(P<0.01),the total scores of respiratory function exercise compliance,respiratory function exercise precautions compliance,active seeking advice,and respiratory function exercise compliance in the treatment group were higher than those in the control group(P<0.01);the lung function indexes of the two groups were lower than those before education(P<0.01),vital capacity,forced expiratory volume in the 1 second(FEV1),forced vital capacity(FVC),and FEV1/FVC in the treatment group were higher than those in the control group(P<0.01).Conclusion Health education based on Skinner’s reinforcement theory is helpful to promote the development of self-efficacy in patients after radical resection of gastric cancer,improve respiratory function training compliance behavior,and improve patients’lung function.
作者
刘丽丽
孙颖
蒋慧晔
LIU Lili;SUN Ying;JIANG Huiye(Department of Colorectal Surgery,the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huai’an223300,China)
出处
《中国医药导报》
CAS
2021年第11期176-180,共5页
China Medical Herald
基金
江苏省卫生厅科研计划基金资助项目(H201258)。
关键词
胃癌根治术
健康教育
强化理论
康复自我效能
呼吸功能训练
Radical resection of gastric cancer
Health education
Reinforcement theory
Rehabilitation self-efficacy
Respiratory function training
