自信心培养联合家庭协同护理对肺癌根治术患者希望水平、耻辱感及运动耐量的影响
Impacts of self-confidence cultivation combined with family collaborative nursing on the hope level, stigma and exercise tolerance in patients undergoing radical resection of pulmonary carcinoma.
作者信息
Ye Fei, Wu YouHong
机构信息
Department of Cardiothoracic Surgery, Lishui Central Hospital, Lishui, China.
出版信息
Front Surg. 2023 May 24;10:1095647. doi: 10.3389/fsurg.2023.1095647. eCollection 2023.
OBJECTIVE
To analyze the impacts of self-confidence cultivation combined with family collaborative nursing on the hope level, stigma and exercise tolerance in patients undergoing radical resection of pulmonary carcinoma.
METHODS
In this expeirment, 79 patients who underwent radical resection of pulmonary carcinoma in our hospital from January 2018 to December 2021, were selected as research objects, and they were divided into two groups according to the date of admission. The control group ( = 39) was given routine care, while the study group ( = 40) was given self-confidence cultivation combined with family collaborative nursing on the basis of the control group. The hope level, stigma, exercise tolerance, and cancer-related fatigue of the two groups were comparatively analyzed.
RESULTS
The scores of T, P, I dimensions in Herth Hope Inventory (HHI) as well as the total score in the two groups were higher after intervention than before intervention (all < 0.05).The scores of T, P, I dimensions and total scores of the HHI in the study group were higher as compared with the control group (all < 0.05). After intervention, the scores of each dimension of the Chinese version of the Lung Cancer Stigma Scale (CLCSS), the modified British Medical Research Council Dyspnea Scale (mMRC), and the scores of each dimension of the Cancer Fatigue Scale (CFS) were lower than before intervention ( < 0.05); the 6-min walk test (6 MWT) result was longer than before intervention ( < 0.05); the scores of each dimension of CLCSS scale, mMRC score, and each dimension of CFS scale in the study group were lower as compared with the control group ( < 0.05) ( < 0.05).
CONCLUSION
Self-confidence cultivation combined with family collaborative nursing can promote the hope level of patients undergoing radical resection of pulmonary carcinoma, reduce stigma, enhance exercise endurance, and relieve cancer-related fatigue.
目的
分析自信心培养联合家庭协同护理对肺癌根治术患者希望水平、耻辱感及运动耐力的影响。
方法
选取2018年1月至2021年12月在我院行肺癌根治术的79例患者作为研究对象，按入院日期分为两组。对照组（n = 39）给予常规护理，研究组（n = 40）在对照组基础上给予自信心培养联合家庭协同护理。比较两组患者的希望水平、耻辱感、运动耐力及癌症相关疲劳情况。
结果
干预后两组患者的赫氏希望量表（HHI）中T、P、I维度得分及总分均高于干预前（均P < 0.05）。研究组HHI的T、P、I维度得分及总分均高于对照组（均P < 0.05）。干预后，中文版肺癌耻辱感量表（CLCSS）各维度得分、改良英国医学研究委员会呼吸困难量表（mMRC）得分及癌症疲劳量表（CFS）各维度得分均低于干预前（P < 0.05）；6分钟步行试验（6MWT）结果长于干预前（P < 0.05）；研究组CLCSS量表各维度得分、mMRC得分及CFS量表各维度得分均低于对照组（P < 0.05）。
结论
自信心培养联合家庭协同护理可提高肺癌根治术患者的希望水平，降低耻辱感，增强运动耐力，缓解癌症相关疲劳。
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