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임연정 ( Lim Yeon-Jung ) - 부산대학교 간호대학
이해정 ( Lee Hae-Jung ) - 부산대학교 간호대학
김도형 ( Kim Do-Hyung ) - 양산부산대학교병원 호흡기센터
김영대 ( Kim Yeong-Dae ) - 부산대학교병원 흉부외과
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Abstract
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Purpose: This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection.
Methods: This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the c2 test, Fisher’s exact test, Mann-Whitney U test, t-test, and generalized estimation equations (GEE).
Results: There were significant differences between the two groups regarding SEE (c2=13.53, p =.009), PA (c2=9.51, p =.049), functional status (c2=10.55, p =.032), and 6MWD (c2=15.62, p =.004). Although there were no time or group effects, the QOL mental component (Z=-2.78, p =.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component.
Conclusion: The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.
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KeyWords
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폐암, 걷기, 자기효능감, 삶의 질
Lung Neoplasms, Walking, Self Efficacy, Quality of Life
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원문 및 링크아웃 정보
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등재저널 정보
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