基于互联网+肺康复全程健康教育在肺癌手术患者中的应用

doi:10.3761/j.issn.0254-1769.2023.15.003

摘要/Abstract

摘要：

目的探讨基于互联网+肺康复全程健康教育形式在肺癌手术患者中的应用效果，分析创新健康教育形式的可行性。方法便利选取2022年5月—11月在武汉市某三级甲等医院胸外科行胸腔镜下肺癌根治术的患者作为研究对象。采取前瞻性非同期对照研究，将2022年9月—11月手术的患者50例作为试验组，2022年5月—7月手术的患者50例作为对照组。试验组采用基于互联网+肺康复全程健康教育形式，对照组采用常规肺康复健康教育形式。干预后比较两组患者术后肺康复知信行调查问卷得分、术后胸腔引流管留置时间、6 min步行距离（6 minute walking distance，6MWD）、术后住院时间和患者满意度的差异。结果试验组肺康复知信行调查问卷得分为（107.76±5.05）分，高于对照组的（98.78±5.11）分，差异具有统计学意义（P<0.001）；试验组术后胸腔引流管留置时间为71.00（51.00，101.25） h，低于对照组的84.50（63.75，131.50） h，差异具有统计学意义（P=0.035）；试验组入院日与出院日6MWD差值为（141.80±29.93） m，低于对照组的（155.80±33.54） m，差异具有统计学意义（P=0.030）；试验组患者满意度得分为95.00（90.00，98.00）分，高于对照组的89.00（86.25，94.00）分，差异具有统计学意义（P<0.001）。结论基于互联网+肺康复全程健康教育形式能提高肺癌手术患者术后肺康复知识、态度及行为得分，提高患者肺康复行为依从性，缩短术后胸腔引流管留置时间，减缓术后运动能力下降，同时提高患者满意度，在临床工作中具有可行性。

关键词: 健康教育, 教育平台, 肺肿瘤, 康复护理, 围手术期护理

Abstract:

Objective To explore the application of internet based whole health education of pulmonary rehabilitation in patients undergoing lung cancer surgery，and to explore the practicability of such innovative health education in clinical settings. Methods Patients undergoing lung cancer surgery from the Department of Thoracic Surgery of a tertiary hospital from Wuhan in May to November 2022 were selected by convenience sampling and included as the study subjects. With a prospective non-concurrent control design，50 patients undergoing surgery in September to November 2022 were included as the experimental group，and 50 patients undergoing surgery in May to July 2022 were included as the control group. The experimental group received internet based whole health education of pulmonary rehabilitation，while the control group received routine pulmonary rehabilitation health education. The differences between the 2 groups in postoperative scores of the Knowledge-Attitude-Practice（KAP） questionnaire of pulmonary rehabilitation，postoperative chest tube indwelling time，Six-Minute Walk Distance（6MWD），hospital stay and patient satisfaction. Results The score of the KAP questionnaire of pulmonary rehabilitation in the experimental group was（107.76±5.05），which was significantly higher than that in the control group of（98.78±5.11）（P<0.001）. The postoperative chest tube indwelling time in the experimental group was 71.00（51.00，101.25） h，which was significantly lower than that in the control group of 84.50（63.75，131.50） h（P=0.035）. The △6MWD in the experimental group was （141.80±29.93） m，which was significantly lower than that in the control group of（155.80±33.54） m（P=0.030）. Again，the satisfaction survey score in the experimental group was 95.00（90.00，98.00），which was significantly higher than that in the control group of 89.00（86.25，94.00）（P<0.001）. Conclusion The internet based whole health education of pulmonary rehabilitation can improve the score of KAP questionnaire of pulmonary rehabilitation post lung cancer surgery，boost the compliance of pulmonary rehabilitation exercises，shorten the chest tube indwelling time，mitigate the decline of postoperative exercise capacity，and improve patient satisfaction. The innovative whole health education of pulmonary rehabilitation is practical in clinical settings.

Key words: Health Education, Education Platform, Lung Neoplasms, Rehabilitation Nursing, Perioperative Nursing

覃梦霞, 潜艳, 徐蓉, 董翠萍, 蔡纯. 基于互联网+肺康复全程健康教育在肺癌手术患者中的应用[J]. 中华护理杂志, 2023, 58(15): 1808-1814.

QIN Mengxia, QIAN Yan, XU Rong, DONG Cuiping, CAI Chun. The application of internet based whole health education of pulmonary rehabilitation in patients undergoing lung cancer surgery[J]. Chinese Journal of Nursing, 2023, 58(15): 1808-1814.

图/表 3

表1 两组一般资料的比较

Table 1 Comparison of general date between the 2 groups

表2 两组肺癌患者术后肺康复知信行调查问卷得分比较

Table 2 Comparison of the scores of the Questionnaire of Knowledge，Attitude and Practice of Pulmonary Rehabilitation between the 2 groups

表3 两组肺康复相关指标比较

Table 3 Comparison of pulmonary rehabilitation indexes between the 2 groups

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