Effects of nursing based on health belief model on respiratory function exercise compliance among lung cancer patients

B. Wang, Meixiang Ren, S. Ning
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Abstract

Objective To explore the effects of nursing based on health belief model on respiratory function exercise compliance and respiratory function among lung cancer patients. Methods From September 2017 to August 2018, we selected 84 lung cancer patients planed surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of patients were divided into two groups according to admission time, 40 cases in control group (from September 2017 to February 2018) and 44 in experimental group (from March to August 2018) . Control group carried out routine nursing and health education. On the basis of that, experimental group implemented nursing care based on health belief model. Respiratory function of patients between two groups after surgery was compared with the percentage of predicted value of forced expiratory volume in one second shared by forced vital capacity (FEV1%) and percentage of predicted value of forced vital capacity (FVC%) ; respiratory function exercise compliance after surgery was compared with the Breathing Exercise Compliance Questionnaire. Results One week after surgery, the scores of respiratory function exercise compliance of patients in experimental group and control group were (42.1±8.4) and (36.8±10.2) with a statistical difference (t=-2.609, P<0.05) ; the FEV1% and FVC% of patients in experimental group were (63.8±12.1) and (57.5±11.3) , higher than those in control group with statistical differences (t=-2.167, -2.617; P<0.05) . Conclusions Nursing based on health belief model can improve respiratory function exercise compliance and respiratory function among lung cancer patients, which is worthy of clinical popularization. Key words: Lung neoplasms; Respiratory function exercise; Compliance; Respiratory function; Health belief
基于健康信念模型的护理对肺癌患者呼吸功能运动依从性的影响
目的探讨基于健康信念模式的护理对癌症患者呼吸功能锻炼依从性和呼吸功能的影响。方法选择2017年9月至2018年8月在郑州大学第一附属医院计划手术的84例癌症患者为受试者,采用方便抽样方法。所有患者按入院时间分为两组,对照组40例(2017年9月至2018年2月),实验组44例(2018年3月至8月)。对照组进行常规护理和健康教育。在此基础上,实验组实施了基于健康信念模型的护理。将两组患者术后的呼吸功能与用力肺活量(FEV1%)和用力肺活力预测值(FVC%)所占1秒用力呼气量预测值的百分比进行比较;将术后呼吸功能运动依从性与呼吸运动依从性调查表进行比较。结果术后1周,实验组和对照组患者呼吸功能锻炼依从性评分分别为(42.1±8.4)和(36.8±10.2),差异有统计学意义(t=-2.609,P<0.05);实验组患者的FEV1%和FVC%分别为(63.8±12.1)和(57.5±11.3),高于对照组,差异有统计学意义(t=-2.167,-2.617;P<0.05)。关键词:肺肿瘤;呼吸功能锻炼;合规性;呼吸功能;健康信念
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