Orem自理模式护理对卵巢癌化疗患者的应用效果及负面情绪的影响(1)
【摘要】 目的：探讨Orem自理模式护理对卵巢癌化疗患者的应用效果及负面情绪的影响。方法：选取2016年5月-2017年5月笔者所在医院收治的接受化疗治疗的卵巢癌患者90例，按照数字表法将其随机分为两组，每组45例，对照组应用常规护理干预，研究组应用Orem自理模式护理，对两组自护能力、不良情绪及生活质量进行分析。结果：研究组自护能力评分高于对照组，差异有统计学意义(P<0.05);研究组HAMD、HAMA评分均低于对照组，差异均有统计学意义(P<0.05);研究组生活质量评分高于对照组，差异有统计学意义(P<0.05)。结论：采用Orem自理模式护理对接受化疗治疗的卵巢癌患者进行护理干预，可以有效提高患者自我护理能力，改善患者多种不良情绪，提高患者生活质量，可以在临床中进行进一步推广应用。
【关键词】 Orem自理模式护理 卵巢癌 化疗治疗 生活质量 不良情绪 自护能力
doi：10.14033/j.cnki.cfmr.2020.24.034 文献标识码 B 文章编号 1674-6805(2020)24-00-03
[Abstract] Objective： To explore the effect of Orem self-care mode nursing on ovarian cancer chemotherapy patients and its influence on negative emotions. Method： A total of 90 ovarian cancer patients receiving chemotherapy admitted to the author’s hospital from May 2016 to May 2017 were selected， according to the number table method， the patients were randomly divided into two groups with 45 cases in each group. Routine nursing intervention was applied in the control group， while Orem self-care nursing mode was applied in the study group， the self-care ability， bad mood and quality of life of the two groups were analyzed. Result： The self-care ability score in the study group was higher than that in the control group， the difference was statistically significant (P<0.05). The HAMD and HAMA scores in the study group were lower than those in the control group， the differences were statistically significant (P<0.05). The life quality score in the study group was higher than that in the control group， the difference was statistically significant (P<0.05). Conclusion： The use of Orem self-care mode nursing for ovarian cancer patients receiving chemotherapy treatment， can effectively improve patients’ self-care ability， improve a variety of patients' bad mood， improve the quality of life of patients， can be further promoted in clinical application.
[Key words] Orem self-care mode nursing Ovarian cancer Chemotherapy Quality of life Bad mood Self-care ability
First-author’s address： Yidu Maternal and Child Health Care Hospital， Yidu 443300， China
Orem自理模式護理是指患者的自我疾病管理，护理人员在护理实施中主要起到辅助作用，从而使患者自护能力不断提高，促进自身疾病康复[1]。在实施Orem自理模式护理时，护理人员需结合患者疾病情况及护理需求，为患者制定针对性补偿护理方案，从而使患者自我护理能力得到提升[2]。卵巢癌是目前临床常见恶性肿瘤疾病，属于女性特有疾病，据临床数据统计显示，该疾病发病率呈明显上升趋势，对女性心理及生理健康造成严重威胁[3]。化疗是卵巢癌患者的常用治疗方案，可以有效缩小患者病灶，改善患者临床症状，但是在治疗期间患者常会伴有多种并发症，进而对患者生活质量造成不良影响[4]。本次研究通过对在笔者所在医院接受化疗治疗的卵巢癌患者进行Orem自理模式护理，分析其对患者不良情绪及生活质量的影响，具体如下。
1 资料与方法
1.1 一般资料
选取2016年5月-2017年5月笔者所在医院收治的接受化疗治疗的卵巢癌患者90例。纳入标准：(1)符合卵巢癌的临床诊断标准;(2)均为原发性卵巢癌;(3)临床资料完整;(4)均接收化疗治疗。排除标准：(1)存在其他部位的恶性肿瘤;(2)存在精神障碍或沟通障碍;(3)伴有糖尿病、高血压等慢性疾病;(4)存在肝肾功能障碍;(5)存在化疗治疗禁忌。按照数字表法将其随机分为两组，各45例，对照组年龄23～76岁，平均(51.4±2.1)岁;FIGO分期：ⅢC期35例，Ⅳ期10例;病理分型：黏液性癌3例，浆液性癌24例，内膜样癌9例，透明细胞癌1例，低分化癌8例。研究组年龄22～78岁，平均(51.2±2.4)岁;FIGO分期：ⅢC期36例，Ⅳ期9例;病理分型：黏液性癌2例，浆液性癌25例，内膜样癌10例，透明细胞癌1例，低分化癌7例。两组一般资料比较差异无统计学意义(P>0.05)，具有可比性。患者对于本次研究内容知情并同意，本次研究已获得伦理委员会批准。, http://www.100md.com(李艳)
【关键词】 Orem自理模式护理 卵巢癌 化疗治疗 生活质量 不良情绪 自护能力
doi：10.14033/j.cnki.cfmr.2020.24.034 文献标识码 B 文章编号 1674-6805(2020)24-00-03
[Abstract] Objective： To explore the effect of Orem self-care mode nursing on ovarian cancer chemotherapy patients and its influence on negative emotions. Method： A total of 90 ovarian cancer patients receiving chemotherapy admitted to the author’s hospital from May 2016 to May 2017 were selected， according to the number table method， the patients were randomly divided into two groups with 45 cases in each group. Routine nursing intervention was applied in the control group， while Orem self-care nursing mode was applied in the study group， the self-care ability， bad mood and quality of life of the two groups were analyzed. Result： The self-care ability score in the study group was higher than that in the control group， the difference was statistically significant (P<0.05). The HAMD and HAMA scores in the study group were lower than those in the control group， the differences were statistically significant (P<0.05). The life quality score in the study group was higher than that in the control group， the difference was statistically significant (P<0.05). Conclusion： The use of Orem self-care mode nursing for ovarian cancer patients receiving chemotherapy treatment， can effectively improve patients’ self-care ability， improve a variety of patients' bad mood， improve the quality of life of patients， can be further promoted in clinical application.
[Key words] Orem self-care mode nursing Ovarian cancer Chemotherapy Quality of life Bad mood Self-care ability
First-author’s address： Yidu Maternal and Child Health Care Hospital， Yidu 443300， China
Orem自理模式護理是指患者的自我疾病管理，护理人员在护理实施中主要起到辅助作用，从而使患者自护能力不断提高，促进自身疾病康复[1]。在实施Orem自理模式护理时，护理人员需结合患者疾病情况及护理需求，为患者制定针对性补偿护理方案，从而使患者自我护理能力得到提升[2]。卵巢癌是目前临床常见恶性肿瘤疾病，属于女性特有疾病，据临床数据统计显示，该疾病发病率呈明显上升趋势，对女性心理及生理健康造成严重威胁[3]。化疗是卵巢癌患者的常用治疗方案，可以有效缩小患者病灶，改善患者临床症状，但是在治疗期间患者常会伴有多种并发症，进而对患者生活质量造成不良影响[4]。本次研究通过对在笔者所在医院接受化疗治疗的卵巢癌患者进行Orem自理模式护理，分析其对患者不良情绪及生活质量的影响，具体如下。
1 资料与方法
1.1 一般资料
选取2016年5月-2017年5月笔者所在医院收治的接受化疗治疗的卵巢癌患者90例。纳入标准：(1)符合卵巢癌的临床诊断标准;(2)均为原发性卵巢癌;(3)临床资料完整;(4)均接收化疗治疗。排除标准：(1)存在其他部位的恶性肿瘤;(2)存在精神障碍或沟通障碍;(3)伴有糖尿病、高血压等慢性疾病;(4)存在肝肾功能障碍;(5)存在化疗治疗禁忌。按照数字表法将其随机分为两组，各45例，对照组年龄23～76岁，平均(51.4±2.1)岁;FIGO分期：ⅢC期35例，Ⅳ期10例;病理分型：黏液性癌3例，浆液性癌24例，内膜样癌9例，透明细胞癌1例，低分化癌8例。研究组年龄22～78岁，平均(51.2±2.4)岁;FIGO分期：ⅢC期36例，Ⅳ期9例;病理分型：黏液性癌2例，浆液性癌25例，内膜样癌10例，透明细胞癌1例，低分化癌7例。两组一般资料比较差异无统计学意义(P>0.05)，具有可比性。患者对于本次研究内容知情并同意，本次研究已获得伦理委员会批准。, http://www.100md.com(李艳)