Orem自理模式对晚期肝癌患者心理负担、负性情绪、自理能力及生活质量的影响  

Effect of Orem self-care model on psychological burden,negative emotion,selfcare ability and quality of life of patients with advanced liver cancer

作　　者：杨利[1] 孔羽 崔嬿嬿 陈艳萍[1] 张冉[1] YANG Li;KONG Yu;CUI Yanyan;CHEN Yanping;ZHANG Ran(Integrated ICU,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院综合ICU,郑州4500520 [2]郑州大学第一附属医院重症医学科,郑州4500520

出　　处：《癌症进展》2021年第13期1394-1398,共5页Oncology Progress

摘　　要：目的探讨Orem自理模式对晚期肝癌患者心理负担、负性情绪、自理能力及生活质量的影响。方法根据住院期间干预方法的不同将120例晚期肝癌患者分为对照组(n=60)和观察组(n=60),对照组患者给予常规干预,观察组患者在对照组的基础上实施基于Orem自理模式的干预,两组患者均干预1个月。比较两组患者的依从性、心理负担、负性情绪、自理能力及生活质量。结果干预后,观察组患者的依从率为95.00%,明显高于对照组的75.00%(P﹤0.01)。干预后,观察组患者自我感受负担量表(SPBS)中身体负担、情感负担评分及总分均明显低于对照组(P﹤0.01);而观察组患者的经济负担评分为(7.14±0.85)分,与对照组患者的(7.27±0.93)分比较,差异无统计学意义(P﹥0.05)。干预后,观察组患者的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均明显低于对照组(P﹤0.01),Barthel指数评定量表评分及肝癌患者生命质量测定量表(QOL-LC)评分均明显高于对照组(P﹤0.01)。结论基于Orem自理模式的干预能够减轻晚期肝癌患者的心理负担及负性情绪,提高其自理能力和生活质量。Objective To explore the effect of Orem self-care model on psychological burden,negative emotion,selfcare ability and quality of life of patients with advanced liver cancer.Method According to different intervention methods during hospitalization,120 patients with advanced liver cancer were divided into control group(n=60,treated with conventional intervention for 1 month)and observation group(n=60,treated with conventional intervention+Orem selfcare model for 1 month).The compliance,psychological burden,negative emotion,self-care ability and quality of life of the two groups were compared.Result After intervention,the compliance rate of patients in the observation group was significantly higher than that in the control group(95.00%vs 75.00%,P<0.01).After intervention,the physical burden,emotional burden scores and total scores of self-perceived burden scale(SPBS)for the patients in the observation group were significantly lower than those in the control group(P<0.01),there was no significant difference for the economic burden score between the two groups[(7.14±0.85)vs(7.27±0.93),P>0.05].After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group(P<0.01),and the scores of Barthel index rating scale and quality of life-liver cancer(QOL-LC)scale were significantly higher than those in the control group(P<0.01).Conclusion Orem self-care model can reduce the psychological burden and negative emotion of patients with advanced liver cancer,and improve the self-care ability and quality of life.

关 键 词：OREM自理模式 晚期肝癌 心理负担 负性情绪 自理能力 生活质量 

分 类 号：R735.7[医药卫生—肿瘤]