首页|基于计划行为理论的健康教育结合正念癌症康复训练对肺癌患者术后化疗过程中心理弹性及癌因性疲乏的影响

基于计划行为理论的健康教育结合正念癌症康复训练对肺癌患者术后化疗过程中心理弹性及癌因性疲乏的影响

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目的:探究基于计划行为理论的健康教育结合正念癌症康复训练对肺癌患者术后化疗过程中心理弹性及癌因性疲乏的影响。方法:选择 2020年 10月—2022年 6月临沂市肿瘤医院收治的 96例肺癌患者,按随机数字表法分为对照组和研究组,各48例。对照组采用常规干预,研究组在对照组基础上采用基于计划行为理论的健康教育结合正念癌症康复训练干预,均护理 3个月。比较两组心理弹性、癌因性疲乏及生存质量。结果:干预后,研究组心理弹性量表中坚韧、自强、乐观评分均较对照组高,差异均有统计学意义(P<0。05)。干预后,研究组癌症疲乏量表中躯体疲乏、情感疲乏、认知疲乏评分均较对照组低,差异均有统计学意义(P<0。05)。干预后,两组肺癌治疗功能评价量表评分均较干预前升高,且研究组高于对照组,差异均有统计学意义(P<0。05)。结论:基于计划行为理论的健康教育结合正念癌症康复训练能够减轻肺癌术后化疗患者癌因性疲乏,提高心理弹性水平,改善生存质量。
Effects of Health Education Combined with Mindful Cancer Rehabilitation Training Based on Theory of Planned Behavior on Mental Resilience and Cancer-Related Fatigue in Patients with Lung Cancer During Postoperative Chemotherapy
Objective:To explore the effects of health education combined with mindful cancer rehabilitation training based on planned behavior theory of planned behavior on mental resilience and cancer-related fatigue in patients with lung cancer during postoperative chemotherapy.Methods:A total of 96 patients with lung cancer treated in Linyi Cancer Hospital from October 2020 to June 2022 were selected and divided into a control group and a study group according to random number table method,with 48 cases in each group.The control group received routine intervention,and the study group received health education based on planned behavior theory combined with mindful cancer rehabilitation training intervention on the basis of the control group,all patients were nursed for 3 months.Mental resilience,cancer-related fatigue and quality of life were compared between the two groups.Results:After intervention,the scores of toughness,self-improvement and optimism in the Connor-Davidson Resilience scale of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of physical fatigue,emotional fatigue and cognitive fatigue in the Cancer Fatigue Scale of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of Functional Assessment of Cancer Therapy-Ling scale in both groups were higher than before intervention,the study group was higher than the control group,with statistical significance(P<0.05).Conclusion:Health education combined with mindful cancer rehabilitation training based theory of planned behavior can alleviate cancer-related fatigue,improve mental resilience and improve life quality in patients with lung cancer after chemotherapy.

Lung cancerChemotherapyTheory of planned behaviorHealth educationMindful cancer rehabilitation trainingMental resilienceCancer-related fatigueQuality of Life

王晓燕、邢加强、公丽萍、尹秀芬

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山东省临沂市肿瘤医院胸外一科,山东 临沂 276000

山东省临沂市肿瘤医院健康管理中心,山东 临沂 276000

山东省临沂市肿瘤医院介入科,山东 临沂 276000

肺癌 化疗 计划行为理论 健康教育 正念癌症康复训练 心理弹性 癌因性疲乏 生存质量

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(14)