摘要【目的】探讨基于Orem自理模式的护理措施在晚期肺癌患者护理中的应用效果。【方法】选取2016年4月至2017年11月本院收治的128例肺癌晚期患者为研究对象,随机分为观察组与对照组两组,对照组给予常规护理,观察组在对照组的基础上给予Orem自理模式护理,两组均干预1个月。比较两组护理前后医院焦虑抑郁量表(Hospital Anxiety and Depression Scale ,HADS)、匹茨堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)及肺癌生活质量核心量表(Quality of life group of cancer patients ,QLQ-C43)评分的差异。【结果】入院时,两组患者各项指标比较,差异均无统计学意义(P>0.05)。护理1个月后,两组患者的HADS、PSQI评分均有明显降低,且观察组降低程度优于对照组;两组QLQ-C43评分中功能领域和总体健康状况领域得分均升高,症状领域得分降低,且观察组变化幅度优于对照组,差异均具有统计学意义(P<0.05)。【结论】通过Orem自理模式的护理干预,能有效缓解晚期肺癌患者的心理负担,提升患者的睡眠质量及生活质量,值得临床推广应用。
Abstract：【Objective】To explore the effect of nursing measures based on Orem self-care mode in the nursing of patients with advanced lung cancer.【Methods】One hundred and twenty-eight patients with advanced lung cancer admitted in our hospital from April 2016 to November 2017 were randomly divided into two groups: the observation group and the control group. The control group was given routine nursing care. The observation group was given Orem nursing care model on the basis of the control group and both groups intervened for 1 month. The scores of hospital anxiety and depression scale (Hospital Anxiety and Depression Scale), Pittsburgh sleep quality index and lung cancer core quality of life (Quality of life group of cancer patients QLQ-C43) before and after nursing were compared between the two groups.【Results】There was no significant difference between the two groups at admission ( P > 0.05). After one month of nursing care, the scores of HADS+ PSQI in both groups were significantly lower than those in the control group, and the scores of the functional area and the general health state in the QLQ-C43 score of the two groups were all increased, and the scores of the symptom areas were lower in the observation group than in the control group. The range of changes in the observation group was better than that in the control group, and the difference was statistically significant ( P < 0.05).【Conclusion】The nursing intervention of Orem self-care model can effectively relieve the psychological burden of patients with advanced lung cancer and improve their sleep quality and quality of life. It is worthy of clinical application.
吴利娜, 姚海荣, 王莹, 盖海云. Orem自理模式在晚期肺癌患者护理中的应用效果[J]. 医学临床研究, 2018, 35(7): 1258-1261.
Wu Li-na, YAO Hai-rong, WANG Ying, et al. Application of Orem Self-care Model in Nursing Care of Patients with Advanced Lung Cancer. JOURNAL OF CLINICAL RESEARCH, 2018, 35(7): 1258-1261.
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2018, Vol. 35 
