基于叙事医学指导的心理干预联合呼吸专项训练在肺癌胸腔镜手术患者中的应用
Application of Narrative Medicine Guided Psychological Intervention Combined with Respiratory Specialized Training in Patients Undergoing Thoracoscopic Surgery for Lung Cancer
张海燕1
作者信息
- 1. 273500 山东 济宁,邹城市人民医院胸心外科
- 折叠
摘要
目的 探讨基于叙事医学指导的心理干预联合呼吸专项训练在肺癌胸腔镜手术患者中的应用效果.方法 选择2021年5月—2023年8月在邹城市人民医院接受肺癌胸腔镜手术治疗的78例患者,按照随机数表法分为对照组和研究组各39例.对照组接受常规干预;研究组39例在对照组基础上接受基于叙事医学指导的心理干预联合呼吸专项训练.比较两组围术期相关指标、情绪状态、自我效能和肺功能.结果 研究组术后首次进食时间、首次下床时间、引流管拔除时间及住院时间均短于对照组,差异有统计学意义(P＜0.05);研究组正性负性情绪量表和中文版癌症自我管理效能感量表评分高于对照组,差异有统计学意义(P＜0.05);研究组肺活量、第一秒用力呼气量和最大通气量高于对照组,差异有统计学意义(P＜0.05).结论 基于叙事医学指导的心理干预联合呼吸专项训练,可有效缩短肺癌胸腔镜手术患者的康复时间,改善情绪状态及自我效能,并提升肺功能.
Abstract
Objective To explore the application effect of narrative medicine guided psychological intervention combined with respiratory specialized training in patients undergoing thoracoscopic surgery for lung cancer.Methods Seventy-eight patients who underwent thoracoscopic surgery for lung cancer at Zoucheng People's Hospital from May 2021 to August 2023 were randomly divided into a control group and a study group,with 39 patients in each group.The control group received routine intervention,while the research group of 39 cases received psychological intervention based on narrative medicine guidance combined with respiratory specialized training on the basis of the control group.The perioperative related indicators,emotional state,self-efficacy,and lung function between two groups were copared.Results The postoperative first meal intake time,first time getting out of bed,drainage tube removal time,and hospitalization time of the study group were shorter than those of the control group(P<0.05).The scores of the positive negative emotion scale and the Chinese version of the cancer self-management efficacy scale in the study group were higher than those in the control group(P<0.05).The lung capacity,forced expiratory volume in the first second,and maximum ventilation of the study group were higher than those of the control group(P<0.05).Conclusion Based on narrative medicine guidance,psychological intervention combined with respiratory specialized training can effectively shorten the recovery time of lung cancer patients undergoing thoracoscopic surgery,improve emotional state and self-efficacy,and enhance lung function.
关键词
肺癌/胸腔镜手术/叙事医学/心理干预/呼吸专项训练Key words
Lung Cancer/Thoracoscopic Aurgery/Narrative Medicine/Psychological Intervention/Respiratory Specialized Training引用本文复制引用
出版年
2024
NETL
NSTL
万方数据