Orem自理理论在宫颈癌术后化疗患者护理中的应用  

Application of Orem self-care theory in nursing of patients receiving chemotherapy after cervical cancer surgery

作　　者：邵冬梅[1] 于晓吉[1] 康春梅[1] 王阿颖[1] 齐霁[1] 

机构地区：[1]哈尔滨医科大学附属第二医院妇产科四病房,150086

出　　处：《中国实用护理杂志》2012年第6期1-4,共4页Chinese Journal of Practical Nursing

基　　金：黑龙江省卫生厅课题（2007-359）

摘　　要：目的探讨Orem自理理论在宫颈癌术后化疗患者护理中的应用效果。方法将60例行宫颈癌术后化疗患者随机分为自护组与对照组各30例，对照组按常规方法进行护理干预，自护组在此基础上根据患者不同的护理需求运用Orem自理理论的3个护理模式—辅助教育、部分补偿、完全补偿系统方面给予相应的护理干预。比较2组护理效果。结果自护组患者的胃肠道反应发生率明显降低，焦虑、抑郁症状明显减轻，患者及家属对护理满意度、患者自理能力明显提高，与对照组比较均有显著差异。结论将Orem自理理论应用于宫颈癌术后化疗患者的护理，能极大地调动患者与家属的积极性，减少胃肠道不良反应的发生。同时，可密切护患关系，提升患者与家属的满意度，提高患者的自理能力，提高护理工作质量，减轻患者心理症状，具有显著的社会与经济效益。Objective To study the application effect of Orem self-care theory in nursing of postoperative chemotherapy patients after cervical cancer surgery. Methods 60 patients receiving chemotherapy after cervical cancer surgery were randomly divided into the self-care group and the control group with 30 cases in each group, the control group received routine nursing, on this basis the self-care group was given nursing intervention according to different requirement of patients by using three nursing model of Orem self-care theory-supportive education, part compensation, complete compensation system. The nursing effect was compared between two groups. Results Compared with the control group, the rate of gastroin- testinal adverse reaction was lower, the anxiety and depression symptom alleviated, satisfaction degree of patients and their relatives with nursing improved, self-care ability of patients was enhanced in the self-care group, all had significant differences. Conclusions Application of self-care theory in nursing care of patients during chemotherapy after cervical cancer can greatly mobilize the enthusiasm of patients and their families and reduce the incidence of gastrointestinal side effects. Meanwhile, it can make close nurse-patient relationship, improve the satisfaction degree of patients and their families, improve self-care capacity, improve the quality of care, reduce the psychological symptoms of patients, so it has significant social and economic benefits.

关 键 词：自理理论 宫颈癌 化疗 护理 

分 类 号：R473.73[医药卫生—护理学]