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    储薇薇, 梅新宽, 孙永侠. 基于PERMA模式的负荷深呼吸训练在肺癌化疗病人中的应用[J]. 蚌埠医科大学学报, 2023, 48(8): 1168-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.033
    引用本文: 储薇薇, 梅新宽, 孙永侠. 基于PERMA模式的负荷深呼吸训练在肺癌化疗病人中的应用[J]. 蚌埠医科大学学报, 2023, 48(8): 1168-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.033
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    CHU Wei-wei, MEI Xin-kuan, SUN Yong-xia. Application of load deep breathing training based on PERMA model in lung cancer patients undergoing chemotherapy[J]. Journal of Bengbu Medical University, 2023, 48(8): 1168-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.033
    Citation: CHU Wei-wei, MEI Xin-kuan, SUN Yong-xia. Application of load deep breathing training based on PERMA model in lung cancer patients undergoing chemotherapy[J]. Journal of Bengbu Medical University, 2023, 48(8): 1168-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.033
    shu

    基于PERMA模式的负荷深呼吸训练在肺癌化疗病人中的应用

    Application of load deep breathing training based on PERMA model in lung cancer patients undergoing chemotherapy

      摘要
    • 摘要:
      目的探讨基于PERMA模式的负荷深呼吸训练在肺癌化疗病人中的应用效果。
      方法选取进行化疗的70例肺癌病人为研究对象, 按照随机数字表法分为观察组和对照组, 各35例。对照组采用化疗常规护理方法, 观察组采用基于PERMA模式的负荷深呼吸训练, 干预时间为8周。比较2组护理前后肺功能、运动耐力、呼吸困难级别和生活质量的变化。
      结果干预8周后, 观察组最大自主通气量(MVV)、用力肺活量(FVC)、1秒用力呼气量(FEV1)和6分钟步行试验(6MWD)均高于对照组(P＜0.05~P＜0.01), MVV、FVC和FEV1均高于干预前和出院时(P＜0.05~P＜0.01), 6MWD高于干预前(P＜0.05);2组呼吸困难问卷等级分布差异有统计学意义(P＜0.01), 观察组0级和1级率为62.85%(22/35), 明显高于对照组的25.71%(9/35)(χ2=9.78, P＜0.01);观察组情感状况(EWB)、肺癌附加症状(LCS)和肺癌病人生活质量总分均高于对照组(P＜0.05~P＜0.01), 身体状况、EWB、功能、LCS得分均高于干预前(P＜0.05~P＜0.01)。
      结论基于PERMA模式的负荷深呼吸训练在肺癌化疗病人中的应用效果显著, 能够改善其肺功能指标、提升运动耐力、降低呼吸困难级别, 改善肺癌化疗病人的生活质量。

       

      Abstract:
      ObjectiveTo investigate the effect of load deep breathing training based on PERMA model in lung cancer patients undergoing chemotherapy.
      MethodsSeventy lung cancer patients undergoing chemotherapy were selected as the study subjects, and were randomly divided into observation group and control group using a random number table method, with 35 cases in each group.The control group received routine nursing methods of chemotherapy, while the observation group received load deep breathing training based on the PERMA model, with an intervention time of 8 weeks.The changes in lung function, exercise endurance, respiratory difficulty level, and quality of life were compared between the two groups before and after the training.
      ResultsAfter 8 weeks of intervention, the maximal voluntary ventilation (MVV), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and six minute walk distance (6MWD) in the observation group were higher than those in the control group (P < 0.05 to P < 0.01), MVV, FVC and FEV1 were higher than those before intervention and at discharge (P < 0.05 to P < 0.01), and 6MWD was higher than that before intervention (P < 0.05);there was a statistically significant difference in the grade distribution of modified Medical Research Council scale between the two groups (P < 0.01), the rate of grade 0 and grade 1 in the observation group was 62.85% (22/35), which was significantly higher than that of 25.71% (9/35) in the control group (χ2=9.78, P < 0.01);the emotional well-being (EWB), additional concerns-lung scores (LCS), and total scores of quality of life of lung cancer patients in the observation group were higher than those in the control group (P < 0.05 to P < 0.01), while physical well-being, EWB, functional well-being, and LCS scores were higher than those before intervention (P < 0.05 to P < 0.01).
      ConclusionsLoad deep breathing training based on PERMA model can improve lung function indicators, enhance exercise endurance, reduce dyspnea grade, and improve the quality of life of lung cancer patients undergoing chemotherapy.

       

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