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| Application of Orem Self-care Model in Nursing Care of Patients with Advanced Lung Cancer |
| Wu Li-na, YAO Hai-rong, WANG Ying, et al |
| Xi'an Third Hospital, Xi'an 710018 |
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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.
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Received: 11 May 2018
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2018, Vol. 35 
