多形式健康教育模式联合简易呼吸功能锻炼对老年肺癌放疗病人癌因性疲乏及遵医行为的影响

doi:10.3969/j.issn.1003-9198.2024.09.024

Abstract

Abstract: Objective To explore the effects of diversified health education mode combined with simple respiratory function exercise for elderly patients with lung cancer undergoing radiotherapy. Methods A prospective study was conducted in 60 patients with lung cancer undergoing radiotherapy admitted to our hospital from March 2021 to September 2023. They were divided into the study group (30 cases) and the control group (30 cases) according to the random number table method. The control group received routine nursing intervention, and the study group received diversified health education model combined with simple respiratory function exercise intervention. The cancer-related fatigue [evaluated by Piper fatigue scale (PFS)], quality of life [evaluated by quality of life core questionnaire (QLQ-C30)], respiratory function [including exhaled nitric oxide (FeNO), respiratory rate and oxygenation index], compliance behavior and nursing intervention satisfaction score (evaluated by patient care needs and satisfaction questionnaire) were compared between the two groups before and after intervention. Results Before intervention, there were no significant differences in PFS, QLQ-C30 scores, and the levels of FeNO, respiratory rate, oxygenation index between the two groups (P>0.05). After 3 months of intervention, the above indexes in 2 groups were significantly improved(P<0.05), especially in the study group(P<0.05).During the nursing period, the compliance rate and satisfaction score of nursing intervention in the study group were significantly higher than those in the control group (P<0.05). Conclusions Diversified health education model combined with simple respiratory function exercise intervention can significantly improve cancer-related fatigue, improve elderly patients’ compliance and quality of life, and enhance their satisfaction with nursing intervention, which has good application value.

Key words: diversified health education model, simple respiratory function exercise, aged, radiotherapy, cancerous fatigue

CLC Number:

R473.56

CAI Huicui, CHEN Yan, WANG Yan, YE Jinjun, ZHU Yuying. Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy[J]. Practical Geriatrics, 2024, 38(9): 968-972.

References

[1] 伍泳欣,刘晓华,吴莹嘉,等.非小细胞肺癌免疫检查点抑制剂治疗病人症状评估量表的构建[J]. 护理研究,2023,37(5):826-832.
[2] 何宜生,鲍亮亮,余嘉文,等.大分割放疗联合EP方案化疗治疗局限期小细胞肺癌的临床疗效及安全性[J]. 肿瘤防治研究,2023,50(2):170-174.
[3] 孙晨楠,毛海燕,魏本飞,等.4D-CT联合呼吸门控技术应用于肺癌立体定向体部放疗的临床研究[J]. 实用临床医药杂志,2022,26(15):15-18,25.
[4] 张茜.多元化健康指导在胸腔镜肺癌根治术患者中的护理价值分析[J]. 现代诊断与治疗,2022,33(10):1572-1574.
[5] 中华医学会肿瘤学分会,中华医学会杂志社.中华医学会肺癌临床诊疗指南(2022版)[J]. 中华肿瘤杂志,2022,44(6):457-490.
[6] 薛秀娟.癌因性疲乏自评量表的研制及其信效度研究[D]. 泰安:泰山医学院,2013.
[7] 黄子寅,培尔顿·米吉提,凯比努尔·艾尔肯.EORTC QLQ-C30量表汇总评分在中国结直肠癌患者中的验证[J]. 中华肿瘤防治杂志,2022,29(16):1171-1176.
[8] 罗志芹,成思颖,刘家浩,等.量表EORTC IN-PATSAT32在中国晚期癌症住院患者中的验证[J]. 中国实用护理杂志,2014,30(22):61-64.
[9] 吕艺,张馨予,聂慧芳,等.2011～2018年沈阳市城区居民肺癌发病及死亡趋势分析[J]. 肿瘤预防与治疗,2023,36(2):117-124.
[10] 贾燕华,陈日新,李竟长,等.放疗同步EGFR-TKI治疗与先放疗后EGFR-TKI治疗在EGFR基因突变型非小细胞肺癌脑转移中的应用效果对比[J]. 广西医学,2022,44(6):585-589.
[11] 任丽华,钟敏,郭素萍.ACT心理干预对肺癌放疗患者癌因性疲乏、疾病感知控制及生活质量的影响[J]. 齐鲁护理杂志,2021,27(17):10-13.
[12] 洪燕玲,张丽珍,吕魏潇,等.有氧运动对晚期肺癌伴癌症相关性乏力患者睡眠质量的影响[J]. 中国现代医生,2022,60(7):174-177.
[13] 李丹,胥丰恺,徐萍,等.阻力呼吸器训练改善肺癌术后患者癌因性疲乏和生命质量[J]. 中华保健医学杂志,2024,26(1):67-70.
[14] 张丽,冯敏.一核多元团队干预模式结合有氧运动在免疫治疗肺癌患者中的应用[J]. 护理实践与研究,2023,20(1):85-89.
[15] 杜心美.渐进式肌肉放松训练联合健康教育对肺癌化疗患者消极心理状态、遵医行为及护理满意度的影响[J]. 西部中医药,2020,33(3):130-133.
[16] 刘东岩,王真,陈旭,等.多形式的健康教育模式对慢性呼吸衰竭患者康复的效果评价[J]. 中国健康教育,2022,38(1):85-88.
[17] 江巧敏,郭净,郑珍慧.有氧运动联合呼吸锻炼干预改善肺结核患者肺功能及运动耐力的作用[J]. 中国现代医生,2021,59(3):9-12.

Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10

[1]	LI Jiang, QIU Yan, WANG Ting, WANG Dan, YU Yifan, PU Lingli, BU Ling. Correlation between preoperative SII/ALB and clinicopathologic features in elderly patients with lung adenocarcinoma [J]. Practical Geriatrics, 2024, 38(9): 893-896.
[2]	DAI Jing, CUI Yan. Correlation between glycosylated hemoglobin variability and cognitive dysfunction in elderly patients with type 2 diabetes mellitus [J]. Practical Geriatrics, 2024, 38(9): 931-935.
[3]	ZHENG Hong, QI Zhenbo, XU Peng, XU Jie, YU Xinyu, ZANG Yanan, ZHANG Zhaoyan. Effects of hypnotics on cognition function and daytime sleepiness in the elderly [J]. Practical Geriatrics, 2024, 38(9): 936-939.
[4]	ZHANG Xingxing, ZHANG Haiyang, HE Xiaojing, LU Xiang. Investigation on the relationship between different physical indexes and the risk of diabetes mellitus in the elderly [J]. Practical Geriatrics, 2024, 38(9): 940-943.
[5]	NI Hongyan, CHEN Yun, ZHANG Qibing, MA Yiming, XIE Chenglan. Effects of electroacupuncture on cognitive function and inflammatory factors in elderly patients undergoing lower limb orthopedic surgery during the perioperative period [J]. Practical Geriatrics, 2024, 38(9): 944-947.
[6]	LI Xiaomin, LI Xiaolin, LI Jie, WU Lei, HAO Ranran. Efficiency influencing factors of transanal double-balloon enteroscopy in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 958-961.
[7]	WANG Xiaojiao, WANG Ning, CUI Hong, YE Tong, WANG Xiaoming. Influence of exercise rehabilitation in elderly patients with mild to moderate chronic heart failure [J]. Practical Geriatrics, 2024, 38(8): 775-778.
[8]	SHEN Chenjun, WANG Xiaoqing, TANG Degang, NING Ping. Correlation between standardized uric acid and renal function in elderly patients with chronic kidney disease aged 90 and over [J]. Practical Geriatrics, 2024, 38(8): 779-782.
[9]	HAO Shijie, ZOU Jianpeng, WEI Chen, LIU Qingjiang. Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease [J]. Practical Geriatrics, 2024, 38(8): 783-787.
[10]	XIANG Chao, LUO Caidong. Analysis of the diagnostic value of T wave change of avL lead for the degree of coronary artery stenosis in elderly patients with coronary heart disease [J]. Practical Geriatrics, 2024, 38(8): 788-791.
[11]	LI Huiying, CAI Lili, ZHU Qiwei. Predictive value of plasma N-terminal pro-brain natriuretic peptide for prognosis in patients aged ≥80 years old with left ventricular hypertrophy [J]. Practical Geriatrics, 2024, 38(8): 797-801.
[12]	WANG Xinping, XIE Baimei, WEI Guo, YE Xiaoli, ZHAO Yayun, TAN Xiaotian. Expression levels and clinical significance of serum S100A9 and sCD163 in elderly patients with idiopathic interstitial pneumonia [J]. Practical Geriatrics, 2024, 38(8): 802-807.
[13]	LIU Meijuan, WANG Ning, WANG Dong, LU Fangzhou, LIU Juan. Effect of low-dose lidocaine combined with propofol on motor evoked potential in elderly patients undergoing intracranial tumor resection [J]. Practical Geriatrics, 2024, 38(8): 808-811.
[14]	LI Jingbing, WANG Huijun, WANG Shaoying, ZHAO Can, WANG Lidi, CAO Yujiao. Impacts of pentoxifylline combined with lipoic acid intervention on physical function and quality of life in elderly patients with frailty syndrome [J]. Practical Geriatrics, 2024, 38(8): 812-815.
[15]	ZHAO Yuling, HUANG Jing, YE Wenchun. Interaction effects of serum levels of γ-aminobutyric acid and insulin-like growth factor-1 on cardiovascular event risk in elderly patients with prediabetes [J]. Practical Geriatrics, 2024, 38(8): 816-820.