Orem自理模式在卵巢癌化疗患者护理中的作用及对其焦虑症状和生活质量的影响
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摘要
目的:探讨Orem自理模式在卵巢癌化疗患者护理中的作用及对其焦虑症状和生活质量的影响。方法:将2017年7月-2018年4月本院收治的40例卵巢癌化疗患者,按照随机数字表法分为观察组与对照组,每组20例,对照组采用常规护理,观察组给予Orem自理模式护理。对比两组患者护理前后的焦虑自评量表(SAS)评分、生活质量及对护理工作的满意度。结果:护理后,观察组患者的SAS焦虑评分明显低于对照组(P<0.05);护理后,观察组患者的角色、躯体、认知、情绪及社会功能评分均高于对照组(P<0.05),且疼痛、疲劳、恶心呕吐评分均低于对照组(P<0.05);护理后,观察组总体生活质量高于对照组(P<0.05);护理后,观察组满意度明显高于对照组(P<0.05)。结论:Orem自理模式应用到卵巢癌患者的护理中能有效改善患者的焦虑情绪,提高患者生活质量,从而提高患者对护理工作的满意度,值得临床推广。
Objective:To explore the effect of Orem self-care model on the nursing of patients with ovarian cancer undergoing chemotherapy and its effect on anxiety symptoms and quality of life.Method:A total of 40 patients with ovarian cancer chemotherapy admitted to our department from July 2017 to April 2018 were selected,according to the random number table method,they were divided into observation group and control group,20 cases in each group.The control group was given routine care,while the observation group was given Orem selfcare mode nursing.The self-rating anxiety scale(SAS),quality of life and satisfaction with nursing work before and after nursing in two groups of patients were compared.Result:After nursing,the SAS score of the observation group was significantly lower than that of the control group(P<0.05).After nursing,the role,physical,cognitive,emotional and social function scores of the observation group were higher than those in control group(P<0.05),and the pain,fatigue,nausea and vomiting scores were lower than those in control group(P<0.05).After nursing,the overall quality of life of the observation group was higher than that of the control group(P<0.05).After nursing,the satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:Orem self-care model applied to nursing care of patients with ovarian cancer can effectively improve the patient's anxiety and quality of life,thereby enhancing the satisfaction of patient care,it deserves clinical promotion.
Objective:To explore the effect of Orem self-care model on the nursing of patients with ovarian cancer undergoing chemotherapy and its effect on anxiety symptoms and quality of life.Method:A total of 40 patients with ovarian cancer chemotherapy admitted to our department from July 2017 to April 2018 were selected,according to the random number table method,they were divided into observation group and control group,20 cases in each group.The control group was given routine care,while the observation group was given Orem selfcare mode nursing.The self-rating anxiety scale(SAS),quality of life and satisfaction with nursing work before and after nursing in two groups of patients were compared.Result:After nursing,the SAS score of the observation group was significantly lower than that of the control group(P<0.05).After nursing,the role,physical,cognitive,emotional and social function scores of the observation group were higher than those in control group(P<0.05),and the pain,fatigue,nausea and vomiting scores were lower than those in control group(P<0.05).After nursing,the overall quality of life of the observation group was higher than that of the control group(P<0.05).After nursing,the satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:Orem self-care model applied to nursing care of patients with ovarian cancer can effectively improve the patient's anxiety and quality of life,thereby enhancing the satisfaction of patient care,it deserves clinical promotion.
引文
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[8]张海萍,李威威,吴敏.优质护理对卵巢癌患者焦虑及抑郁情绪的影响[J].河北医药,2016,38(3):470-472.
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[13]余丽,黄一华,施贵宁.护理干预对卵巢癌化疗患者生活质量的影响[J].中国癌症防治杂志,2013,5(3):262-265.
[14]康琳棣,李锐锐,苗劲蔚.Orem自理模式在卵巢癌化疗患者中的应用[J].中国医刊,2013,48(7):79-82.
[15]潘国良.化疗期卵巢癌患者焦虑与生活质量的关系[J].中国医学创新,2013,10(11):127-128.
[16]吕宗平.心理护理干预对卵巢癌术后化疗患者不良情绪和生活质量的影响[J].世界最新医学信息文摘,2018,18(42):244-245.
[17]康小文.全面护理干预在卵巢癌化疗留置PICC导管患者中的应用[J].护理实践与研究,2018,15(19):117-118.
[18]项晶,刘美,黄钦.针对性护理干预在卵巢癌TP化疗患者中的应用效果[J].当代护士(中旬刊),2018,25(23):73-74.
[19]宋保梅.针对性护理干预在行TP化疗方案治疗的卵巢癌患者护理中的应用[J].河南医学研究,2017,26(21):3991-3992.
[20]张翠环.优质护理在改善卵巢癌术后化疗患者焦虑及抑郁情绪中的作用[J].中国现代药物应用,2017,11(16):146-148.
[2]钱春霞.护理技术在卵巢癌术后护理的探究[J].中外女性健康研究,2018(23):7-8.
[3]徐静.综合护理干预对卵巢癌化疗患者生活质量和负面情绪的影响[J].中外女性健康研究,2018(22):146-147.
[4]顾能凤.卵巢癌化疗患者综合护理干预的应用[J/OL].实用妇科内分泌杂志(电子版),2018,5(6):49-50.
[5]于素维,顾立新.卵巢癌化疗患者心理弹性与焦虑抑郁情绪的相关性研究[J].中国民康医学,2017,29(11):14-15.
[6]艾敬,王红燕,张硕.Orem自理模式对卵巢癌化疗患者生活质量的影响[J].西部中医药,2017,30(4):127-129.
[7]兰丽琴,张妙玉.卵巢癌化疗期患者心理健康调查及其对策分析[J].中国妇幼卫生杂志,2017,8(1):24-26,30.
[8]张海萍,李威威,吴敏.优质护理对卵巢癌患者焦虑及抑郁情绪的影响[J].河北医药,2016,38(3):470-472.
[9]万莉.卵巢癌患者症状群、生活质量动态变化及其相关性研究[D].重庆:重庆医科大学,2015.
[10]康晓芳.卵巢癌化疗患者的健康教育与护理干预[J].实用临床医药杂志,2015,19(4):82-84,88.
[11]龚艳,崔莉青,蒋维连.卵巢癌化疗患者焦虑、抑郁原因的质性研究[J].现代临床护理,2014,13(11):34-37.
[12]饶阳,曲芃芃.卵巢癌患者生活质量的研究[J].国际妇产科学杂志,2014,41(3):244-246,289.
[13]余丽,黄一华,施贵宁.护理干预对卵巢癌化疗患者生活质量的影响[J].中国癌症防治杂志,2013,5(3):262-265.
[14]康琳棣,李锐锐,苗劲蔚.Orem自理模式在卵巢癌化疗患者中的应用[J].中国医刊,2013,48(7):79-82.
[15]潘国良.化疗期卵巢癌患者焦虑与生活质量的关系[J].中国医学创新,2013,10(11):127-128.
[16]吕宗平.心理护理干预对卵巢癌术后化疗患者不良情绪和生活质量的影响[J].世界最新医学信息文摘,2018,18(42):244-245.
[17]康小文.全面护理干预在卵巢癌化疗留置PICC导管患者中的应用[J].护理实践与研究,2018,15(19):117-118.
[18]项晶,刘美,黄钦.针对性护理干预在卵巢癌TP化疗患者中的应用效果[J].当代护士(中旬刊),2018,25(23):73-74.
[19]宋保梅.针对性护理干预在行TP化疗方案治疗的卵巢癌患者护理中的应用[J].河南医学研究,2017,26(21):3991-3992.
[20]张翠环.优质护理在改善卵巢癌术后化疗患者焦虑及抑郁情绪中的作用[J].中国现代药物应用,2017,11(16):146-148.