Orem自理模式+放松训练法在老年结直肠癌术后化疗患者中的应用效果  

Application Effect of Orem Self-care Mode+Relaxation Training Method in Elderly Patients with Colorectal Cancer after Chemotherapy

作　　者：崔晶晶 CUI Jingjing(Department of Oncology,Fuxin Second People's Hospital,Fuxin Obstetrics and Gynecology Hospital,Fuxin 123000,China)

机构地区：[1]阜新市第二人民医院(阜新市妇产医院)肿瘤外科,辽宁阜新123000

出　　处：《中国医药指南》2021年第26期90-92,共3页Guide of China Medicine

摘　　要：目的探讨Orem自理模式+放松训练法在老年结直肠癌术后化疗患者中的应用效果。方法82例患者来自我院2019年1月至2021年1月放化疗科收治的老年结直肠癌患者,将其随机分为观察组(行Orem自理模式护理,41例)与对照组(行Orem自理模式+放松训练法,41例)。比较两组负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、日常生活活动能力量表(ADL)评分、营养指标[体质量指数(BMI)、白蛋白(ALB)、血红蛋白(Hb)]以及创伤后成长评定量表(PTGI)评分。结果干预前,两组SAS评分、SDS评分、ADL评分、BMI、ALB、Hb、PTGI各维度评分及总分比较,差异均无统计学意义(P>0.05);干预6个月后,两组SAS、SDS评分均下降,ADL评分以及BMI、ALB、Hb水平均升高,且联合组明显优于对照组(P<0.05),而两组PTGI各维度及总分明显提高,联合组与他人的关系、个人力量及PTGI总分明显高于对照组(P<0.05),新的可能性、欣赏生活、精神变化与对照组比较,差异无统计学意义(P>0.05)。结论Orem自理模式+放松训练法在老年结直肠癌术后化疗患者中的应用效果显著,能够缓解患者的焦虑、抑郁情绪,改善其营养状态,促进其创伤后成长水平,提高其生活质量。Objective To explore the application effect of Orem self-care mode+relaxation training method in elderly patients with colorectal cancer after chemotherapy.Methods A total of 82 patients came from the elderly patients with colorectal cancer admitted to the Department of Radiotherapy and Chemotherapy from January 2019 to January 2021.They were randomly divided into observation group(orem self-care mode nursing,41 cases)and control group(orem self-care mode+relaxation training method,41 cases).The two groups of negative emotions(SAS,SDS)scores,the quality of activities of daily living(ADL)scores,nutritional indicators(BMI,ALB,Hb)and post-traumatic growth scale(PTGI)scores were compared.Results Before the intervention,there was no significant difference between the SAS and SDS scores,ADL scores,BMI,ALB,Hb,and PTGI dimensions and total scores(P>0.05);after the intervention for 6 months,the SAS and SDS scores of the two groups decreased,ADL score and BMI,ALB,Hb levels increased,and the combination group was significantly better than the control group(P<0.05),while the two groups of PTGI dimensions and total scores were significantly improved,the combination group's relationship with others,personal strength and PTGI and the total score was significantly higher than that of the control group(P<0.05),and there was no significant difference in new possibilities,appreciation of life,and mental changes compared with the control group(P>0.05).Conclusion The Orem self-care mode+relaxation training method is effective in elderly patients undergoing chemotherapy after colorectal cancer surgery.It can relieve the patients'anxiety and depression,improve their nutritional status,promote their post-traumatic growth,and improve their quality of life.

关 键 词：结直肠癌 化疗 OREM自理模式 放松训练法 

分 类 号：R735.37[医药卫生—肿瘤]