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中文摘要: 目的：探讨分析连续护理和呼吸锻炼相结合对出院肺癌患者呼吸功能、自我效能和睡眠障碍的影响。方法：选取2020年9月-2023年9月我院收治的肺癌患者72例，根据出院时间，将患者分为对照组（出院后实施常规连续护理）和联合组（在对照组的基础上给予呼吸锻炼指导），每组患者36例。均持续干预1个月，比较两组患者干预前后的呼吸功能、自我效能、生活质量、情绪状态、睡眠质量和康复训练依从性、护理满意度。结果：干预后，联合组的呼吸功能与对照组相比升高，差异有统计学意义（P＜0.05）；干预后，联合组的自我效能较对照组升高，差异有统计学意义（P＜0.05）；干预后，联合组的情绪状态SDS、SAS较对照组降低，生活质量QLQ-C30较对照组升高，差异有统计学意义（P＜0.05）；干预后，联合组的睡眠质量评分均低于对照组，差异有统计学意义（P＜0.05）；联合组的康复训练总依从率为97.22%高于对照组的总依从率75.00%，差异有统计学意义（P＜0.05）；联合组的护理满意度为94.44%高于对照组护理满意度77.78%，差异有统计学意义（P＜0.05）。结论：连续性护理与呼吸锻练可以提高肺癌出院病人的呼吸功能及生活质量，提升患者的自我效能感，减少病人的消极情绪及睡眠障碍，提升病人的护理满意度。
Abstract:Objective：To explore and analyze the effects of continuous nursing combined with respiratory exercise on respiratory function，self-efficacy and sleep disorders in discharged lung cancer patients. Methods：A total of 72 patients with lung cancer admitted to our hospital from September 2020 to September 2023 were selected. According to the random number table method，the patients were divided into control group（routine continuous care was implemented after discharge）and continuous group（continuous care and breathing exercise guidance were given on the basis of the control group），with 36 patients in each group. Patients in both groups continued to be treated for 1 month，and the respiratory function，self-efficacy，quality of life，emotional state，sleep quality，compliance with rehabilitation training and nursing satisfaction of the two groups were compared before and after the intervention. Results：After intervention，the respiratory function of continuous group was higher than that of control group，and the difference was statistically significant（P < 0.05）. After intervention，the self-efficacy of continuous group was higher than that of control group，and the difference was statistically significant（P < 0.05）. After intervention，the emotional state SDS and SAS of continuous group were lower than that of control group，and the quality of life QLQ-C30 was higher than that of control group，the difference was statistically significant（P < 0.05）. After intervention，the sleep quality scores of continuous groups were lower than those of control group，the difference was statistically significant（P < 0.05）. The total compliance rate of rehabilitation training in continuous group was 97.22% higher than that of control group（75.00%），the difference was statistically significant（P < 0.05）. The nursing satisfaction of the continuous group was 94.44% higher than that of the control group 77.78%，and the difference was statistically significant（P < 0.05）. Conclusion：Continuous nursing and respiratory training can improve the respiratory function and quality of life of discharged patients with lung cancer，enhance patients’ self-efficacy，reduce patients’ negative emotions and sleep disorders，and enhance patients’ nursing satisfaction.
keywords: Continuous Nursing Breathing Exercises Be Discharged from Hospital Lung Cancer Respiratory Function Self-efficacy Sleep Disorder
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基金项目:南京大学中国医院改革发展研究院课题（NDYG 2022088、NDYG2022039、NDYG2021037、NDYG2021032） 南京大学中国医院改革发展研究院课题（NDYG 2022088、NDYG2022039、NDYG2021037、NDYG2021032）
引用文本：
刘芮研.连续护理结合呼吸锻炼在出院肺癌患者居家康复中的应用[J].江苏卫生事业管理,2024,35(3):342-346.
LIU Ruiyan.Application of continuous nursing combined with breathing exercise in home rehabilitation of discharged lung cancer patients[J].Jiangsu Health System Management,2024,35(3):342-346.
刘芮研.连续护理结合呼吸锻炼在出院肺癌患者居家康复中的应用[J].江苏卫生事业管理,2024,35(3):342-346.
LIU Ruiyan.Application of continuous nursing combined with breathing exercise in home rehabilitation of discharged lung cancer patients[J].Jiangsu Health System Management,2024,35(3):342-346.
