Application of shared decision-making concept based health education combined with personalized nutritional support in the rehabilitation of lung cancer patients after radical surgery
Objective To explore the application of shared decision-making concept based health education combined with personalized nutritional support in the rehabilitation of lung cancer patients after radical surgery.Method A total of 430 lung cancer patients who underwent postoperative rehabilitation treatment in Jiangsu Cancer Hospital from January 2022 to January 2023 were collected.They were randomly separated into a reference group and an observation group using a random number table method.After removing dropout cases,196 patients were included in the observation group and 204 patients in the reference group,totaling 400 patients.The reference group received personalized nutritional support,while the observation group received health education based on shared decision-making concept.The lung function indicators,nutritional status indicators,self-management efficiency,and quality of life of the two groups were compared.Result After 3 months of nursing care,the first second forced end expiratory volume(FEV1)and forced vital capacity(FVC)of both groups increased,but the increases in the reference group were not as obvious as those in the observation group(P<0.05);the levels of hemoglobin(Hb),albumin(ALB),and total protein(TP)in both groups increased after 3 months of care,and the observation group showed a more obvious increase(P<0.05);the scores of the Strategies Used by People to Promote Health(SUPPH)increased in both groups after nursing care,and the observation group showed a more obvious increase than reference group(P<0.05);the scores of the Quality of Life Scale(EROTC-QLQ-C30)for cancer patients in terms of emotion,cognition,role,body,and social function increased in both groups after 3 months of nursing care,and the observation group had obviously higher scores than the reference group(P<0.05).Conclusion Shared decision-making concept based health education combined with personalized nutritional support can effectively help lung cancer patients after radical surgery improve their postoperative self-management efficiency,improve lung function and nutritional status,and improve their quality of life.