基于IKAP理论的呼吸专项训练对老年肺癌患者肺康复依从性、希望水平和肺功能的影响

Effects of specific respiratory training based on IKAP theory on lung rehabilitation compliance,hope level and lung function in elderly patients with lung cancer

中文关键词: 老年, 肺癌, 信息-知识-信念-行为理论, 康复依从性, 肺功能, 希望水平

英文关键词: elderly  lung cancer  information-knowledge-attitude-practice theory  rehabilitation compliance  lung func-tion  hope level

中文摘要:

      目的 探讨基于信息-知识-信念-行为(Information-Knowledge-Attitude-Practice,IKAP)理论的呼吸专项训练对老年肺癌患者肺康复依从性、希望水平和肺功能的影响.方法 回顾性选取2022年4月-2024年4月由南京医科大学附属肿瘤医院收治的80例老年肺癌患者为研究对象,按照干预方法的不同分为观察组(42例,基于IKAP理论的呼吸专项训练)和对照组(38例,常规呼吸训练).对比2组康复依从性、希望水平、肺功能、并发症发生率、护理满意率.结果 干预后,观察组患者康复依从率高于对照组(90.48％vs 71.05％,P＜0.05);观察组中文版Herth希望量表各维度评分均高于对照组,差异均有统计学意义(P＜0.05);观察组患者MVV、FEV1、FVC值均高于对照组,差异均有统计学意义(P＜0.05);观察组总并发症发生率低于对照组(7.14％vs23.68％,P＜0.05);观察组护理满意率高于对照组护理满意率(100.00％vs 84.21％,P＜0.05).结论 基于IKAP理论的呼吸专项训练可提升老年肺癌患者希望水平,增加其康复依从性,改善其肺功能.

英文摘要:

      Objective To explore the effects of specific respiratory training based on information-knowledge-attitude-practice(IKAP)theory on lung rehabilitation compliance,hope level and lung function in elderly patients with lung cancer.Methods 80 elderly patients with lung cancer admitted to Affiliated Cancer Hospital of Nanjing Medical University from April 2022 to April 2024 were retrospectively selected as the study subjects.According to different intervention methods,they were divided into control group(38 cases,routine respiratory training)and observation group(42 cases,special respiratory training based on IKAP theory).The rehabilitation compliance,hope level,lung function,incidence of complications and nursing sat-isfaction in the two groups were compared before and after intervention.Results After intervention,the rehabilitation compli-ance rate in the observation group was higher than that in the control group(90.48％vs71.05％,P＜0.05),the scores of all dimensions of Chinese version of the Herth Hope Scale were higher than those in the control group(P＜0.05),MVV,FEV1 and FVC were higher than those in the control group(P＜0.05),the total incidence of complications was lower than that in the control group(7.14％vs 23.68％,P＜0.05),and the nursing satisfaction rate was higher than that in the control group(100.00％vs 84.21％,P＜0.05).Conclusion Specific respiratory training based on IKAP theory can improve hope level and rehabilitation compliance in elderly patients with lung cancer,and thus improve their lung function.