基于病人健康参与模型的老年肺癌病人围术期肺康复方案的构建与应用OA

Objective:To evaluate the effect of a pulmonary rehabilitation program based on the Patient Health Engagement(PHE)model during the perioperative period in elderly patients with lung cancer.Methods:A total of 90 elderly patients undergoing lung cancer surgery admitted to the hospital from July 2024 to January 2025 were enrolled.They were divided into a control group and an intervention group based on their admission time,with 45 cases in each group.The patients in control group received routine nursing,while the patients in intervention group received a pulmonary rehabilitation program based on the PHE model.The program delivered individualized pulmonary rehabilitation measures from three dimensions(cognition,emotion and behavior).The postoperative recovery indicators(thoracic drainage time,length of hospital stay,6-minute walk distance),incidence of complications,and psychosocial rehabilitation indicators[postoperative recovery quality,exercise self-efficacy,rehabilitation participation and Hospital Anxiety and Depression Scale scores(HADS-A and HADS-D scores)]were compared between the two groups.Results:The thoracic drainage time and hospital stay of the intervention group were shorter than those of the control group(P＜0.05),the 6-minute walking distance was longer than that of the control group(P＜0.05),the incidence of postoperative complications was lower than that of the control group(P＜0.05),and the scores of postoperative recovery quality,exercise self-efficacy and rehabilitation participation were all higher than those of the control group(P＜0.05).the HADS-A and HADS-D scores were lower than those of the control group(P＜0.05).Conclusion:The perioperative pulmonary rehabilitation program based on the PHE model can effectively promote postoperative recovery,reduce complications,improve psychosocial outcomes,and shorten hospital stay in elderly patients with lung cancer.