老年肺癌手术患者主动循环呼吸技术训练自信心培养的效果评价

摘要

Objective To explore the effects of enhancing confidence of active cycle of breathing technique training on pulmonary rehabilitation in elder lung cancer patients with lung resection.Methods The control group (n=35) received routine breathing exercise from September to December 2016;the intervention group (n=35) received the confidence-enhancing active cycle of breathing technique in addition to routine perioperative care from January to April 2017.We compared the 24-hours wet sputum weight,postoperative pulmonary complications,the peak expiratory flow(PEF),6-minute walk test(6MWT),and exercise self-efficacy from baseline until hospital discharge.Results The sputum weight of postoperative on day 2 and day 3 in the intervention group were significantly higher than those in the control group(P＜0.05).The PEF,6MWT and exercise self-efficacy were also improved and the differences between two groups were statistically significant(P＜0.05).However,there was no significant difference in postoperative pulmonary complications between two groups (P＞0.05).Conclusion Confidence-enhancing active cycle of breathing technique is a simple,effective and easy short-term pulmonary rehabilitation method.%目的 探讨老年肺癌手术患者主动循环呼吸技术训练自信心培养对肺康复效果的影响.方法 选择2016年9月-12月35例老年肺癌手术患者为对照组并接受胸外科常规呼吸训练,选择2017年1月-4月35例老年肺癌手术患者为试验组,在常规护理的基础上,接受主动循环呼吸技术训练自信心培养干预.比较两组术后前3d的排痰量、肺部并发症及干预前后呼气峰流速、6分钟步行试验、运动自我效能的情况.结果 试验组术后第2天、第3天的排痰量高于对照组,呼气峰流速、6分钟步行试验结果改善,运动自我效能明显提高,两组差异有统计学意义(P＜0.05).两组术后肺部并发症发生率差异无统计学意义(P＞0.05).结论 主动循环呼吸技术训练自信心培养对老年肺癌患者是一种简便、有效、易行的短期肺康复方法.