Effects of the Combination of Continuous Nursing Care and Breathing Exercises on Respiratory Function, Self‐Efficacy, and Sleep Disorders in Patients with Lung Cancer Discharged from Hospital

Abstract

The purpose of this study was to explore the effect of respiratory function and self-efficacy of patients with lung cancer after surgery by the combination of continuing nursing care and breathing exercises and to assess its clinical value in improving the quality of patients’ sleep. 120 cases of lung cancer patients were divided into the control group (n = 60 cases) and the experimental group (n = 60 cases) randomly. The control group used conventional care methods for postoperative lung cancer patients, while the experimental group used continuous care combined with a respiratory exercise care model on the basis of conventional care, comparing the differences in the recovery of lung function, self-efficacy, sleep quality, incidence of sleep disorders, and other indicators between the two groups. The average indicator of recovery condition in patients of experimental groups FEV1 (L), FEV1% pred (%), and FEV1/FVC (%) was higher than patients in control groups with lower symptom scores and complication rates ( P < 0.05 ). The self-efficacy score of patients in the experimental group was higher than that in the control group ( P < 0.05 ) during sixty days of follow-up. The sleeping time of the experimental group was significantly shorter than that of the control group ( P < 0.05 ) and the sleep time was longer than that of the control group ( P < 0.05 ), but the incidence of sleep disorders and drug use rate were lower than that of the control group ( P < 0.05 ) before discharge. Continuous nursing care combined with respiratory exercises can significantly accelerate the recovery of lung function and respiratory function reconstruction in patients with lung cancer after surgery, improve the self-efficacy score of patients, improve the sleep quality of patients, and be conducive to postoperative rehabilitation of patients.

Impact of health belief on self-efficacy for postoperative rehabilitation management in lung cancer patients: the Chain mediating role of respiratory exercise compliance and symptom burden

“…The present study found that health belief, respiratory exercise adherence can positively in uence rehabilitation self-e cacy [34,35],…”

Relationship between self-psychological adjustment and post-traumatic growth in patients with lung cancer undergoing chemotherapy: a cross-sectional study

“…However, positive coping styles and SOC are not always helpful in alleviating trauma. Thus, patients with lung cancer undergoing chemotherapy may lose confidence in treatment and develop sadness and despair, which impacts the level of PCER 55. Therefore, among this group of patients, self-confidence should be developed while invoking the power of anticancer role models to foster PCER 56…”

“…Thus, patients with lung cancer undergoing chemotherapy may lose confidence in treatment and develop sadness and despair, which impacts the level of PCER. 55 Therefore, among this group of patients, self-confidence should be developed while invoking the power of anticancer role models to foster PCER. 56 Patients in the high-PCER group had moderate and high levels of SOC and PCER, respectively.…”

Intervention model under the Omaha system framework can effectively improve the sleep quality and negative emotion of patients with mid to late-stage lung cancer and is a protective factor for quality of life

“…In addition to suffering from symptoms associated with LC, such as pain, chemotherapy reactions, and sleep difficulties, LC patients also endure a Am J Cancer Res 2024;14(3):1278-1291 range of psychological and emotional distress, including anxiety, depression, despair, a sense of burden, and concerns about their families. These factors compromise both their physical and mental health, as well as their dignity and quality of life (QoL) [10,11]. Prior research has revealed that LC patients have a high demand for continuous care after operation, mainly involving environmental support, self-health management knowledge and skills, health improvement, and psychological support [12].…”