摘要
目的 探究基于King达标理论的综合护理干预在肺癌中的应用价值。方法 选取100例围术期肺癌患者,按随机抽签法分为King组(n=50)和对照组(n=50)。对照组采取常规护理干预,King组在对照组基础上采取基于King达标理论的综合护理干预,2组均干预3个月。比较2组患者干预前后肺功能[最大通气量(MVV)、肺活量(VC)、用力肺活量(FVC)]及遵医行为(包括遵医用药、健康饮食、配合检查和适量活动4个方面)、自我护理能力测量量表(ESCA)、一般自我效能感表(GSES)、中文版自我超越量表(CSTS)和生活能力[Barthel指数(BI)]评分。结果 干预后King组患者MVV、VC和FVC水平均高于对照组(P<0.05或P<0.01);干预后King组患者遵医行为4个方面评分、GSES、CSTS、ESCA和BI评分均高于对照组(P<0.05或P<0.01或P<0.001)。结论基于King达标理论的综合护理干预应用于围术期肺癌患者中,能显著增强患者肺功能,改善患者遵医行为,提高患者自我管理能力和生活能力。
Objective To explore clinical value of comprehensive nursing intervention based on King's theory of goal attainment in lung cancer patients.Methods 100 perioperative patients with lung cancer were selected and randomly divided into the King group(n=50)and the control group(n=50):the control group was managed with routine nursing intervention,and the King group was further given comprehensive nursing intervention based on King's theory of goal attainment;both groups lasted for 3 months.Pulmonary functions[maximum ventilation volume(MVV),vital capacity(VC),forced vital capacity(FVC)]and compliance behaviors(medication compliance,healthy diet,cooperative examination,appropriate activities)were observed;the scores of Engagement in Self-care Ability Scale(ESCA),General Self-efficacy Scale(GSES),the Chinese version of Self-transcendence Scale(CSTS),and living ability[Barthel index(BI)]in the 2 groups were compared before and after intervention.Results After intervention,the levels of MVV,VC,and FVC were higher in the King group than in the control group(P<0.05 or P<0.01);the scores of compliance behaviors,GSES,CSTS,ESCA,and BI were higher in the King group than in the control group(P<0.05 or P<0.01 or P<0.001).Conclusion Comprehensive nursing intervention based on King's theory of goal attainment can positively improve lung functions,compliance behaviors,self-management ability and living ability in perioperative patients with lung cancer.
作者
王诗瑜
WANG Shi-yu(Department of Gastroenterology and Integrative Medical Oncology,the Third People's Hospital of Zhengzhou,Zhengzhou 450000,China)
出处
《实用临床医学（江西）》
CAS
2024年第3期87-90,93,共5页
Practical Clinical Medicine
关键词
肺癌
综合护理
KING达标理论
自我管理能力
生活能力
lung cancer
comprehensive nursing intervention
King's theory of goal attainment
self-management ability
living ability
