摘要
目的:探讨Orem自理模式在肿瘤化疗患者中的应用效果。方法:将2017年4月1日~2018年4月30日接受治疗的300例肿瘤化疗患者作为研究对象,采用随机数字表法分为干预组和对照组各150例,对照组采取常规化疗后护理,干预组在此基础上采取Orem自理模式;评价两组心理状态[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)]、社会功能[采用疗效康复评定表(IPROS)]、健康状态[采用健康评定量表(SRHMS)]、不良反应发生率及满意度。结果:干预后,两组SDS、SAS、IPROS评分均低于干预前(P<0.05),且干预组评分均低于对照组(P<0.01);两组干预后SRHMS评分高于干预前(P<0.05),且干预组评分均高于对照组(P<0.01);干预组不良反应发生率明显低于对照组(P<0.01),满意度高于对照组(P<0.01)。结论:Orem自理模式能有效改善肿瘤化疗患者的焦虑与抑郁情绪,提高化疗效果,改善患者生理、心理与社会健康情况。
Objective:To investigate the application effect of Orem self-care model in the nursing of patients with tumor chemotherapy.Methods:A total of 300 patients who received chemotherapy from April 1,2017 to April 30,2018 were selected as the study subjects.They were divided into the intervention group and the control group with 150 cases each by random number table method.The control group received routine post-chemotherapy nursing,and the intervention group adopted Orem self-care model on this basis.Psychological status(SDS,SAS),social function(IPROS),health status(SRHMS),incidence of adverse reactions,and satisfaction were evaluated in both groups.Results:After intervention,SDS,SAS and IPROS scores in both groups were lower than those before intervention(P<0.05),and the scores in the intervention group were lower than those in the control group(P<0.01).SRHMS scores of the two groups were higher after intervention than before intervention(P<0.05),and the scores of the intervention group were higher than those of the control group(P<0.01).The incidence of adverse reactions in the intervention group was significantly lower than that in the control group(P<0.01),and satisfaction was higher than that in the control group(P<0.01).Conclusion:Orem self-care model can effectively relieve the anxiety and depression of tumor chemotherapy patients,promote the effect of chemotherapy,and improve the physical,psychological and social health of patients.
作者
骆东妹
杨丹
徐丽
Luo Dongmei;Yang Dan;Xu Li(Cancer Prevention and Treatment Center of Sun Yat-sen University,Guangzhou Gugangdong510006,China)
出处
《齐鲁护理杂志》
2019年第21期10-12,共3页
Journal of Qilu Nursing
关键词
OREM自理模式
肿瘤
化疗
心理状态
社会功能
生活质量
Orem self-care model
Tumor
Chemotherapy
Psychological state
Social function
Quality of life
