基于健康信念模式的护理干预对肺癌患者呼吸功能锻炼依从性的影响

目的探讨基于健康信念模式的护理干预对肺癌患者呼吸功能锻炼依从性和呼吸功能的影响。方法采用便利抽样法,选取郑州大学第一附属医院2017年9月—2018年8月收治的肺癌拟手术治疗的患者84例为研究对象。按照入院时间分为两组,2017年9月—2018年2月入院的患者为对照组,共40例;2018年3—8月入院的患者为试验组,共44例。对照组给予常规护理和健康教育,试验组在此基础上给予基于健康信念模式的护理干预。比较两组患者术后第1秒用力呼气容积占预计值的百分比(FEV1%)、用力肺活量占预计值的百分比(FVC%)等呼吸功能指标,采用呼吸功能锻炼依从性量表比较两组患者术后呼吸功能锻炼依从性。结果术后1周,试验组患者呼吸功能锻炼依从性得分(42.1±8.4)分,对照组(36.8±10.2)分,两组比较差异有统计学意义(t=-2.609,P<0.05)。术后1周,试验组患者FEV1%(63.8±12.1)、FVC%(57.5±11.3),均高于对照组,差异有统计学意义(t值分别为-2.167、-2.617;P<0.05)。结论基于健康信念模式的护理干预能够提高肺癌患者呼吸功能锻炼的依从性,改善患者的呼吸功能,值得临床推广。

Effects of nursing based on health belief model on respiratory function exercise compliance among lung cancer patients

Objective To explore the effects of nursing based on health belief model on respiratory function exercise compliance and respiratory function among lung cancer patients.Methods From September 2017 to August 2018,we selected 84 lung cancer patients planed surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling.All of patients were divided into two groups according to admission time,40 cases in control group(from September 2017 to February 2018)and 44 in experimental group(from March to August 2018).Control group carried out routine nursing and health education.On the basis of that,experimental group implemented nursing care based on health belief model.Respiratory function of patients between two groups after surgery was compared with the percentage of predicted value of forced expiratory volume in one second shared by forced vital capacity(FEV1%)and percentage of predicted value of forced vital capacity(FVC%);respiratory function exercise compliance after surgery was compared with the Breathing Exercise Compliance Questionnaire.Results One week after surgery,the scores of respiratory function exercise compliance of patients in experimental group and control group were(42.1±8.4)and(36.8±10.2)with a statistical difference(t=-2.609,P<0.05);the FEV1%and FVC%of patients in experimental group were(63.8±12.1)and(57.5±11.3),higher than those in control group with statistical differences(t=-2.167,-2.617;P<0.05).Conclusions Nursing based on health belief model can improve respiratory function exercise compliance and respiratory function among lung cancer patients,which is worthy of clinical popularization.