摘要
目的探讨基于Snyder希望理论的三维视听宣教在肺癌手术患者主动呼吸循环技术(ACBT)训练中的应用价值。方法选取2020年8月至2022年6月赣州市第五人民医院收治的120例肺癌手术患者为研究对象,采用随机数字表法分为对照组和试验组,各60例。两组均接受ACBT训练,对照组采用常规宣教模式,试验组采用基于Snyder希望理论的三维视听宣教模式。比较两组ACBT训练的依从性、准确性;于入院时、术后2个月采用Herth希望量表(HHI)评估,比较两组的希望水平、采用自我护能力测定量表(ESCA)评估自护能力;比较两组术前1 d、术后第3天的24 h排痰量,并记录肺部并发症的发生情况。结果试验组ACBT训练的依从性、准确性均高于对照组,并发症总发生率低于对照组,差异有统计学意义(P<0.05);试验组术后2个月的HHI、ESCA评分均高于对照组,差异有统计学意义(P<0.05);试验组术后第3天的排痰量多于对照组,差异有统计学意义(P<0.05)。结论基于Snyder希望理论的三维视听宣教应用于肺癌手术患者中,能够提高ACBT训练的依从性、准确性,提高患者希望水平、自护能力,促进排痰,降低并发症风险。
Objective To explore the application value of three-dimensional audio-visual education based on Snyder's hope theory in active respiratory and circulatory technology(ACBT)training for lung cancer patients undergoing surgery.Methods A total of 120 lung cancer patients admitted to Ganzhou Fifth People's Hospital from August 2020 to June 2022 were selected as the study objects,and they were divided into control group and experimental group by random number table method,with 60 cases in each group.Both groups received ACBT training.The control group adopted the conventional education model,and the experimental group adopted the three-dimensional audio-visual education model based on Snyder's hope theory.The compliance and accuracy of ACBT training were compared between the two groups.Herth hope index(HHI)was used to compare the hope level of the two groups at admission and 2 months after surgery,and self-care ability was assessed by exercise of self-care agency(ESCA).The sputum output of the two groups was compared 1 day before surgery and 24 h on the 3rd day after surgery,and the occurrence of pulmonary complications was recorded.Results The compliance and accuracy of ACBT training in the experimental group were higher than those in the control group,and the incidence of complications was lower than that in the control group,with statistically significant differences(P<0.05).The HHI and ESCA scores in the experimental group were higher than those in the control group 2 months after surgery,with statistically significant differences(P<0.05).The sputum output of the experimental group on the third day after surgery was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion The application of three-dimensional audio-visual education based on Snyder's hope theory in lung cancer surgery patients can improve the compliance and accuracy of ACBT training,improve patients'hope level and self-care ability,promote sputum excretion,and reduce the risk of complications.
作者
邱素萍
QIU Suping(Department of Respiratory and Critical Care Medicine,Ganzhou Fifth People's Hospital,Jiangxi Province,Ganzhou341000,China)
出处
《中国当代医药》
CAS
2023年第25期173-176,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202312095)。
关键词
肺癌
Snyder希望理论
三维视听宣教
主动呼吸循环技术训练
依从性
Lung cancer
Snyder hope theory
Three dimensional audio-visual education
Active respiratory and circulatory technique training
Compliance
