| Objectives: To explore the feasibility and effectiveness of trans-theoretical model empowerment education in pulmonary rehabilitation training for lung cancer patients,and to clarify its application value in behavioral changes of pulmonary rehabilitation training,so as to provide theoretical basis and reference value for the application and promotion of pulmonary rehabilitation training in lung cancer patients and medical staff.Methods: Using convenient sampling method,76 patients with lung cancer who met the criteria of admission and discharge in thoracic tumor surgery from December 2018 to December 2019 in a tertiary hospital in Inner Mongolia Autonomous Region were randomly divided into experimental group(n=38)and control group(n=38).The control group was given pulmonary rehabilitation training guided by conventional health education,while the experimental group was given pulmonary rehabilitation training by enabling education trans-theoretical model.Data of behavior change stage,lung function,6-minute walking distance,shortness of breath index and quality of life of the two groups of patients were collected and compared before intervention,4 weeks after operation and 12 weeks after operation.SPSS 25.0 was used for statistical input and analysis.Results: A total of 76 patients were included in this study,of which 2 were missed,with a missed visit rate of 2.63%.Therefore,the experimental group and the control group each had 37 people.(1)There was no significant difference between the two groups before the intervention(P > 0.05).The data of the two groups were balanced and comparable.(2)The pulmonary function indexes(FVC%,FEV1%,MVV%)of the two groups were significantly decreased 4 weeks after operation,and there was no statistical significance between the two groups(P > 0.05).After 12 weeks,the pulmonary function indexes were improved compared with those before intervention,and the difference between the experimental group and the control group was statistically significant(P < 0.05).Repeated measurement analysis of variance showed that there was interaction between time effect and inter-group effect of various lung function indexes(P < 0.05).(3)Four weeks after operation,there was no significant difference between the two groups in two indexes(6-minute walking distance and Borgscore of dyspnea)(P > 0.05).The 6-minute walking distance and Borg score of dyspnea in the two groups 12 weeks after operation were statistically significant(P < 0.05).Repeated measurement analysis of variance showed that there were interactions among 6-minute walking distance,Borg score time of dyspnea and groups(P < 0.05).(4)The difference of self-efficacy between the two groups was statistically significant(P < 0.05)4 weeks and 12 weeks after operation.Repeated measurement analysis of variance showed that time effect,inter-group effect and interaction effect had statistical significance(P < 0.05).(5)Although there was no significant difference in the quality of life between the two groups 12 weeks after operation,the differences in physical function,cognitive function,fatigue,constipation and anorexia between the experimental group and the control group were statistically significant(P < 0.05).Analysis of variance by repeated measurements showed that functional dimension,overall health level and symptom dimension had interaction in time and inter-group effects(P < 0.05).(6)The training compliance of the two groups of patients at 4 weeks and12 weeks after operation was compared at the same time,and the difference was statistically significant(P < 0.05).(7)The evaluation of lung rehabilitation training behavior stage for lung cancer patients at 4and 12 weeks after operation showed that the difference between the experimental group and the control group was statistically significant(P < 0.05),and the difference was statistically significant(P< 0.05)after intervention(4 and 12 weeks after operation).Conclusion: Intervention on pulmonary rehabilitation training for lung cancer patients through trans-theoretical model empowerment education can effectively improve patients’ self-efficacy,promote active training and push forward behavioral changes.And better improve lung function,exercise endurance,improve shortness of breath symptoms.Although there is no significant improvement in the quality of life,the intervention significantly improves the patient’s body function and disease cognition,and significantly reduces the symptoms of fatigue,constipation and anorexia. |
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