【摘要】 目的 探讨基于健康信念模式的干预对肺癌根治术患者呼吸功能、疼痛应激指标、心理韧性的影响。方法 依据干预方式的不同将112例肺癌根治术患者分为对照组（n=56）和观察组（n=56），对照组患者给予常规干预，观察组患者在对照组的基础上给予基于健康信念模式的干预。比较两组患者的疼痛应激指标[皮质醇、去甲肾上腺素（NE）及促肾上腺皮质激素（ACTH）]、呼吸功能指标[第1秒用力呼气容积占预计值的百分比（FEV1%pred）、用力肺活量占预计值的百分比（FVC%pred）、最大通气量占预计值的百分比（MVV%pred）]、心理弹性[中文版心理弹性量表（CD-RISC）]和护理满意度[纽卡斯尔护理满意度量表（NSNS）]。结果 术后1天，两组患者皮质醇、NE、ACTH水平均高于本组术前，观察组患者皮质醇、NE、ACTH水平均低于对照组，差异均有统计学意义（P﹤0.05）。术后1周，两组患者FEV1%pred、FVC%pred、MVV%pred均低于本组术前，观察组患者FEV1%pred、FVC%pred、MVV%pred均高于对照组，差异均有统计学意义（P﹤0.05）。干预后，两组患者CD-RISC量表各维度评分均高于本组干预前，观察组患者CD-RISC量表各维度评分均高于对照组，差异均有统计学意义（P﹤0.05）。观察组患者的护理满意度为98.21%，明显高于对照组患者的76.79%，差异有统计学意义（P﹤0.01）。结论 基于健康信念模式的干预应用于肺癌根治术患者，能够减轻患者疼痛应激反应，促进患者呼吸功能恢复，提高心理韧性，有利于患者的术后恢复，提高护理满意度。更多还原

【Abstract】 Objective To investigate the effect of health belief mode intervention on respiratory function, pain stress indicators, and psychological resilience in patients undergoing radical lung cancer surgery. Method A total of 112 patients undergoing radical lung cancer surgery were divided into control group(n=56, received routine intervention) and observation group(n=56, received health belief mode intervention on the basis of the control group) according to different intervention methods. The pain stress indexes [cortisol, norepinephrine(NE), adrenocorticotropic hormone(ACTH)],respiratory function indexes [forced expiratory volume in one second as a percentage of expected value(FEV1%pred),forced vital capacity as a percentage of expected value(FVC%pred), maximal voluntary ventilation as a percentage of expected value(MVV%pred)], psychological resilience [Connor-Davidson resilience scale(CD-RISC)] and nursing satisfaction [Newcastle nursing satisfaction scale(NSNS)] were compared between the two groups. Result On the first day after surgery, the levels of cortisol, NE, and ACTH in both groups were higher than those before surgery, the levels of cortisol, NE, and ACTH in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). One week after surgery, the FEV1% pred, FVC% pred, and MVV% pred of the two groups were lower than those before surgery, the FEV1% pred, FVC% pred, and MVV% pred of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05). After the intervention, the scores of all dimensions of CD-RISC in both groups were higher than those before the intervention, the scores of all dimensions of CD-RISC in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The nursing satisfaction rate of the observation group was 98.21%, significantly higher than 76.79% of the control group, the difference was statistically significant(P<0.01). Conclusion Health belief mode intervention applied to patients undergoing radical lung cancer surgery can reduce their pain stress response, promote the recovery of respiratory function, improve psychological resilience, and facilitate postoperative recovery and improve nursing satisfaction.更多还原