摘要目的 探讨多元化健康教育对胸腔镜下肺癌根治术患者呼吸功能训练知信行及康复效果的影响.方法 选择2016年1月至2017年12月胸腔镜下肺癌根治术患者85例为研究对象,按照入院时间分为干预组(2017年1-12月)43例和对照组(2016年1-12月)42例.对照组给予常规健康教育指导下的呼吸功能训练,干预组给予多元化健康教育指导下的呼吸功能训练.随访3个月,比较2组患者呼吸功能训练知信行水平、肺功能、并发症等指标.结果 干预组患者呼吸功能训练知识、态度、行为评分分别为(13.12±1.24)、(17.65±2.12)、(17.12±2.24)分,均明显高于对照组的(10.65±1.16)、(15.32±1.62)、(15.23±1.60)分,差异有统计学意义(t=9.479、5.684、4.467,P<0.05);干预组患者第1秒用力呼气容积(FEV1)占预计值百分比(FEV1％)、用力呼吸肺活量(FVC)占预计值百分比(FVC％)、FEV1/FVC分别为(78.32±6.45)％、(65.78±4.35)％、73.12±5.25,明显高于对照组的(71.26±7.45)％、(58.70±5.65)％、65.65±6.12,差异有统计学意义(t=4.674、6.483、6.045,P<0.05);干预组患者肺不张、肺部感染、胸腔积液并发症6.98％(3/43),明显低于对照组的28.57％(10/42),差异有统计学意义(χ2=6.818,P<0.05).结论 多元化健康教育有助于提高胸腔镜下肺癌根治术患者呼吸功能训练知信行水平,改善肺功能,减少术后并发症的发生.

abstractsObjective To investigate the effect of diversified health education on the Knowledge, Belief and Practice and rehabilitation of respiratory function training in patients undergoing thoracoscopic radical mastectomy. Methods A total of 85 patients with thoracoscopic radical resection of lung cancer from January 2016 to December 2017 were enrolled. The patients were divided into treatment group (January 2016 to December 2016, 43 cases) and control group (January 2017 to December 2017, 42 cases). The control group was given respiratory function training under the guidance of routine health education, while the treatment group was given respiratory function training under the guidance of diversified health education. After 3 months of follow-up, the levels of KBP, lung function, and complications of respiratory function training were compared between the two groups. Results The Knowledge, Belief and Practice scores of respiratory function training in the treatment group were 13.12 ± 1.24, 17.65±2.12 and 17.12±2.24, which were significantly higher than those in the control group (10.65±1.16, 15.32±1.62, 15.23±1.60), and the differences were statistically significant (t=9.479, 5.684, 4.467, P<0.05);the first second of forced expiration (FEV1) accounted for the predicted value (FEV1％), forced vital capacity (FVC％), and FEV1/FVC were (78.32 ± 6.45)％, (65.78 ± 4.35)％, (73.12 ± 5.25), significantly higher than the control group (71.26±7.45)％, (58.70±5.65)％, (65.65±6.12), and the differences were statistically significant (t=4.674, 6.483, 6.045, P<0.05);the 6.98％(3/43) of complications such as atelectasis, pulmonary infection, and pleural effusion were significantly lower than 28.57％(10/42) in the control group (χ2=6.818, P<0.05).Conclusions Diversified health education can improve the level of KBP and behavior of respiratory function training in patients undergoing thoracoscopic radical resection of lung cancer, improve lung function and reduce postoperative complications.