首页|思维导图健康教育在胸腔镜肺癌根治术后患者肺功能专项康复训练中的应用效果

思维导图健康教育在胸腔镜肺癌根治术后患者肺功能专项康复训练中的应用效果

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目的 探讨思维导图健康教育在胸腔镜肺癌根治术后患者肺功能专项康复训练中的应用效果.方法 前瞻性选择2023年9-10月上海市胸科医院收治的行胸腔镜肺癌根治术的患者85例为研究对象,采用随机数字表法将患者分为思维导图组43例和常规组42例,两组患者均接受常规护理与肺功能专项康复训练,此外,常规组患者接受常规健康教育,思维导图组患者接受思维导图健康教育.比较两组患者术前、术后1个月胸腔镜下行肺癌根治术病人术后肺康复知信行调查问卷评分、肺癌患者术后康复自我效能感量表评分、肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、最大通气量(MVV)]及干预期间并发症发生率.结果 术后1个月,两组知识、信念、行为维度得分及胸腔镜下行肺癌根治术病人术后肺康复知信行调查问卷总分较术前升高,且思维导图组高于常规组(P<0.05).术后1个月,两组康复信息获取与应用、症状自我管理、康复训练与技能培养、应对治疗副作用、日常生活管理、情绪管理维度得分及肺癌患者术后康复自我效能感量表总分较术前升高,且思维导图组康复信息获取与应用、症状自我管理、康复训练与技能培养、情绪管理维度得分及肺癌患者术后康复自我效能感量表总分高于常规组(P<0.05).术后1个月,两组FVC、FEV1、MVV较术前减小,但思维导图组大于常规组(P<0.05).思维导图组并发症总发生率低于常规组(P<0.05).结论 思维导图健康教育能够提高胸腔镜肺癌根治术后患者肺康复知信行水平、康复自我效能感,改善肺功能,并降低术后并发症发生率.
Application Effect of Mind Mapping Health Education in Specialized Rehabilitation Training of Lung Function in Patients after Thoracoscopic Radical Lung Cancer Surgery
Objective To investigate the application effect of mind mapping health education in specialized rehabilitation training of lung function in patients after thoracoscopic radical lung cancer surgery.Methods A total of 85 patients after thoracoscopic radical lung cancer surgery from September to October 2023 in Shanghai Chest Hospital were prospectively selected as the study subjects and divided into mind-map group(43 cases)and routine group(42 cases)by random number table method.Both groups received conventional care and specializaed rehabilitation training of lung function,in addition patients in the routine group received conventional health education,and patients in the mind-map group received mind map health education.Postoperative Lung Rehabilitation Knowledge,Beliefs and Practices of Patients Undergoing Tharacoscopic Radical Resection for Lung Cancer Questionnaire scores,Lung Cancer Patients Postoperative Rehabilitation Self-Efficacy Scale scores,pulmonary function indexes[forceful vital capacity(FVC),forced expiratory volume in one second(FEV1),and maximal voluntary ventilation(MVV)]before surgery and at one month after surgery,and complication rates during the intervention were compared between the two groups.Results At one month after surgery,the knowledge,belief and behavior dimension scores,and total score of Postoperative Lung Rehabilitation Knowledge,Beliefs and Practices of Patients Undergoing Tharacoscopic Radical Resection for Lung Cancer Questionnaire of the two groups were higher than those before surgery,and those of the mind-map group were higher than those of the routine group(P<0.05).At one month after surgery,rehabilitation information acquisition and application,symptom self-management,rehabilitation training and skill training,coping with treatment side effects,daily life management and emotion management dimension scores,and total score of Lung Cancer Patients Postoperative Rehabilitation Self-Efficacy Scale of the two groups were higher than those before surgery,and rehabilitation information acquisition and application,symptom self-management,rehabilitation training and skill training,and emotion management dimension scores,and total score of Lung Cancer Patients Postoperative Rehabilitation Self-Efficacy Scale of the mind-map group were higher than those of the routine group(P<0.05).At one month after surgery,FVC,FEV1,MVV of the two groups were lower than those before surgery,but those of the mind-map group were higher than those of the routine group(P<0.05).The total complication rate of the mind-map group was lower than that of the routine group(P<0.05).Conclusion Mind mapping health education can improve the level of knowledge,belief and practice of lung rehabilitation,rehabilitation self-efficacy of patients after thoracoscopic radical lung cancer surgery,improve lung function,and reduce postoperative complications rate.

Lung neoplasmsPneumonectomyMind mappingHealth educationSpecialized rehabilitation training of lung function

王玉佩、成兴华、张正敏、张本煜、马佳佳、金贤淳

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200030 上海市胸科医院上海交通大学医学院附属胸科医院肿瘤外科

200030 上海市胸科医院上海交通大学医学院附属胸科医院护理部

200025 上海市,上海交通大学护理学院

肺肿瘤 肺切除术 思维导图 健康教育 肺功能专项康复训练

2025

实用心脑肺血管病杂志
河北省心脑肺血管病防治研究办公室

实用心脑肺血管病杂志

影响因子:1.864
ISSN:1008-5971
年,卷(期):2025.33(1)