摘要
目的研究患者参与决策方案在肺癌手术运动康复远期管理中的应用效果。方法选取2022年6月至2023年12月收治的肺癌患者120例为研究对象,按照随机抽签法分为研究组与对照组,每组60例。对照组接受常规管理方案,研究组实施患者参与决策的运动康复远期管理方案。对比不同管理方案下2组患者的肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、呼气峰流量(PEF)]、疲乏症状[美国东部肿瘤协作组体力状况(ECOG-PS)、癌症疲乏量表(CFS)、6分钟步行试验(6MWT)]、自我效能[运动依从率及一般自我效能感量表(GSES)]、生活质量指标差异。结果干预前2组FVC、FEV_(1)与PEF指标差异无统计学意义(P>0.05),干预后2组各肺功能指标水平均较前增高,且研究组高于对照组(P<0.05);干预前2组ECOG-PS、CFS与6MWT距离均差异无统计学意义(P>0.05),干预后2组的ECOG-PS、CFS评分均较前下降,且研究组低于对照组,6MWT距离均较前增加,且研究组高于对照组(P<0.05);干预前2组运动依从率与GSES评分差异无统计学意义(P>0.05),干预后2组各2项指标结果均较前增高,且研究组高于对照组(P<0.05);干预前2组生活质量各维度得分差异无统计学意义(P>0.05),干预后2组得分均较前增高,且研究组高于对照组(P<0.05)。结论患者参与决策的远期运动康复管理能改善肺癌患者的运动康复依从性及自我效能,提高肺功能与运动耐力,改善患者的疲乏症状与生活质量。
Objective To investigate the application effect of patient participation in decision-making schemes in the long-term management of exercise rehabilitation for lung cancer patients with surgical treatment.Methods A total of 120 lung cancer patients admitted from June 2022 to December 2023 were included as the study subjects.They were randomly divided into the study group and control group by drawing lots.The control group of 60 cases received a routine management plan,while the study group of 60 cases implemented a long-term management plan for exercise rehabilitation with patient participation in decision-making.Lung function indicators(forced vital capacity[FVC],forced expiratory volume in one second[FEV_(1)],peak expiratory flow[PEF]),fatigue symptoms(Eastern Cooperative Oncology Group Performance Status[ECOG-PS],Cancer Fatigue Scale[CFS),6-minute walk test[6MWT]),self-efficacy(exercise compliance rate,General Self-Efficacy Scale[GSES]),and quality of life indicators between two groups of patients under different management plans.Results There were no significant differences in FVC,FEV_(1),and PEF indicators between the two groups before interventions(P>0.05).After interventions,the levels of various lung function indicators in both groups significantly increased compared to pre-intervention values,which were significantly better in the study group than the control group(P<0.05).Before interventions,there were no significant differences in ECOG-PS,CFS,and 6MWT between the two groups(P>0.05).After interventions,the ECOG-PS and CFS scores of both groups significantly decreased compared to pre-i ntervention values,which were significantly lower in the study group than the control group.The 6MWT significantly increased compared to pre-intervention values,which was significantly longer in the study group than the control group(P<0.05).There were no significant differences in exercise compliance rate and GSES score between the two groups before interventions(P>0.05).After interventions,they significantly increased compared to pre-intervention values,which were significantly better in the study group than the control group(P<0.05).There were no significant differences in the scores of various dimensions of quality of life between the two groups before interventions(P>0.05).After interventions,the scores of both groups significantly increased compared to pre-intervention values,which were significantly higher in the study group than the control group(P<0.05).Conclusion Long-term exercise rehabilitation management with patient participation in decision-making can improve exercise rehabilitation compliance and self-efficacy in lung cancer patients,enhance lung function and exercise endurance,and improve fatigue symptoms and quality of life.
作者
朱敏
韦欣琪
王苗苗
陈炜
ZHU Min;WEI Xinqi;WANG Miaomiao(Department of Thoracic Surgery,the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University,Jiangsu,Huai'an 223300,China)
出处
《河北医药》
2026年第2期242-246,共5页
Hebei Medical Journal
基金
淮安市科技项目(编号:HAB201928)。
关键词
肺癌
胸外科
肺康复
运动康复
共享决策
生活质量
癌因性疲乏
lung cancer
thoracic surgery
pulmonary rehabilitation
sports rehabilitation
shared decision-making
quality of life
cancer-related fatigue
