奥瑞姆自理理论在肺癌化疗患者中的应用效果  

Application Effects of Orem Self-Care Theory in Chemotherapy of Lung Cancer

作　　者：丁颖[1] 吕文桃[2] 王贵桃[1] 胡素清[1] 王蓉 李洁[1] DING Ying;LYU Wentao;WANG Guitao;HU Suqing;WANG Rong;LI Jie(Department of Thoracic Surgery,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot,Inner Mongolia,010050,China;Operating Theatre,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot,Inner Mongolia,010050,China)

机构地区：[1]内蒙古医科大学附属医院胸外科,内蒙古呼和浩特010050 [2]内蒙古医科大学附属医院手术室,内蒙古呼和浩特010050

出　　处：《肿瘤药学》2021年第3期372-377,共6页Anti-Tumor Pharmacy

基　　金：内蒙古医科大学青年创新基金项目(YKD2017QNCX065)。

摘　　要：目的探讨奥瑞姆(Orem)自理理论对肺癌化疗患者癌因性疲乏与生活质量的影响。方法选择2015年1月—2017年12月于我院接受化疗的肺癌患者200例为研究对象,按照随机数字表法分为观察组(Orem自理理论干预)和对照组(常规护理干预),各100例。比较两组患者一般资料、干预前后自我护理能力测定量表(ESCA)评分、Piper癌因性疲乏自评修正量表(RPFS)评分、生活质量综合评定问卷(GQOLI-74)评分,并发症发生率及护理满意度。结果干预后,观察组患者ESCA评分(140.57±25.41)显著高于对照组(124.58±20.45)(t=-2.05,P<0.001),RPFS评分(13.67±2.87)显著低于对照组(17.89±3.01)(t=10.15,P<0.001),GQOLI-74评分(82.56±13.84)显著高于对照组(71.04±11.01)(t=-6.51,P<0.001);观察组患者并发症发生率为11%,对照组为15%,差异无统计学意义(χ~2=0.71,P=0.40);观察组患者护理满意度(95%)显著高于对照组(84%)(χ~2=6.44,P=0.01)。结论Orem自理理论可显著提高肺癌化疗患者的自我护理能力及生活质量,明显降低其癌因性疲乏程度,值得临床推广。Objective To investigate the effects of Orem self-care theory on cancer-related fatigue and quality of life in lung cancer patients after chemotherapy.Methods A total of 200 lung cancer patients who got chemotherapy in our hospital between Jan.2015 and Dec.2017 were selected as the subjects of this study.According to the random number table method,they were divided into Orem self-care theory plus routine nursing intervention group(observation group,n=100)and routine nursing intervention group(control group,n=100).The general data,the scores of the exercise of self-care agency scale(ESCA),the revised Piper fatigue scale(RPFS)and the generic quality of life inventory 74(GQOLI-74)before and after intervention,the incidence of postoperative complications and the degree of nursing satisfaction were compared between the two groups.Results After intervention,the ESCA score of the observation group(140.57±25.41)was significantly higher than that of the control group(124.58±20.45)(t=-12.05,P<0.001).The RPFS score of the observation group(13.67±2.87)was significantly lower than that of the control group(17.89±3.01)(t=10.15,P<0.001).The GQOLI-74 score of the observation group(82.56±13.84)was significantly higher than that of the control group(71.04±11.01)(t=-6.51,P<0.001).The incidence rate of complications was 11%in the observation group and 15%in the control group,and there was no statistical difference between the two groups(χ~2=0.71,P=0.40).The nursing satisfaction rate of the observation group(95%)was significantly higher than that of the control group(84%)(χ~2=6.44,P=0.01).Conclusion Orem self-care theory can significantly improve the self-care ability and quality of life of patients with lung cancer after chemotherapy.It also can significantly reduce the degree of cancer-related fatigue.It is worthy of clinical promotion.

关 键 词：肺癌 奥瑞姆自理理论 癌因性疲乏 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]