赋能理论联合自我管理模式在一例恐动症肺癌患者围手术期肺康复的应用

To Explore the Application of Empowerment Theory Combined with Self-Management Model in Perioperative Pulmonary Rehabilitation of a Lung Cancer Patient with Kinesiophobia

摘要: 目的：探讨赋能理论指导的自我管理模式在1例恐动症肺癌患者围手术期肺康复中的应用效果。方法：对1例恐动症肺癌术后患者实施赋能理论的自我管理模式；采用监测氧合指数、Borg评分表、恐动症评分表(Tampa Scale for Kinesiophobia, TSK)、术后运动量化表及焦虑自评量表(SAS)对患者术前1天、术后的第3天、出院当天及出院后1个月进行测评。结果：经过赋能理论指导的自我管理模式有效介入，有效促进患者肺癌术后快速肺康复。患者对疾病相关知识有所了解，术后活动后气促明显好转、耐力提高，以及焦虑等症状得到明显改善。结论：经过干预后患者的焦虑程度有所下降，身体机能、肺功能、运动功能明显改善，从而提高患者术后生活质量。

Abstract: Objective: To explore the application effect of self-management model guided by empowerment theory in perioperative pulmonary rehabilitation of a lung cancer patient with kinesiophobia. Methods: One postoperative lung cancer patient with kinesiophobia was given the self-management model of empowerment theory. The Oxygenation Index, Borg Score, Tampa Scale for Kinesiophobia (TSK), Postoperative Movement Quantification Scale and Self-Rating Anxiety Scale (SAS) were used to evaluate the patients one day before operation, the third day after operation, the day of discharge and one month after discharge. Results: The self-management model guided by the empowerment theory effectively promoted the rapid lung rehabilitation of patients after lung cancer surgery. The patients had some knowledge about the disease, and the symptoms of shortness of breath, endurance and anxiety were significantly improved after postoperative activities. Conclusions: After the intervention, the anxiety degree of patients is decreased, and the physical function, lung function and motor function are significantly improved, so as to improve the quality of life of patients after operation.