观察Orem理论联合行为转变模式护理对直肠癌结肠造口术后患者辅助化疗期间健康行为及睡眠质量的影响  

Observe the Effects of Orem Theory Combined with Behavioral Transformation Mode Nursing on Health Behavior and Sleep Quality of Patients with Rectal Cancer During Adjuvant Chemotherapy after Colostomy

作　　者：吴小红[1] WU Xiaohong(Zhongshan People′s Hospital,Zhongshan 528400,China)

机构地区：[1]中山市人民医院,中山528400

出　　处：《世界睡眠医学杂志》2022年第4期627-629,共3页World Journal of Sleep Medicine

摘　　要：目的:观察Orem理论联合行为转变模式护理对直肠癌结肠造口术后患者辅助化疗期间健康行为及睡眠质量的影响。方法:选取2018年2月至2020年10月中山市人民医院收治的辅助化疗的直肠癌结肠造口术患者72例作为研究对象,按照随机数字表法分为观察组和对照组,每组36例。对照组给予常规管理联合行为转变模式护理,观察组在对照组的基础上联合Orem理论联合行为转变模式护理,通过自制造口相关知识掌握程度量表评价比较2组造口相关知识掌握程度,采用健康促进生活方式量表Ⅱ(HPLP-Ⅱ)评价2组患者健康行为,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量改善情况,应用中文版Connor-Davidson心理弹性量表(中文版CD-RISC)评估患者的心理状态。结果:护理后,观察组造口相关知识掌握程度得分、HPLP-Ⅱ评分显著高于对照组,PSQI评分显著低于对照组,CD-RISC评分显著高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:Orem理论联合行为转变模式护理可有效改善直肠癌结肠造口术后患者辅助化疗期间的健康行为与睡眠质量,提升造口相关知识掌握程度,辅助缓和患者不良心理状态,利于患者接受结肠永久性造口。Objective:To observe the effects of Orem theory combined with behavioral transformation mode nursing on health behavior and sleep quality of patients with rectal cancer during adjuvant chemotherapy after colostomy.Methods:A total of 72 patients undergoing colorectal cancer colostomy with adjuvant chemotherapy admitted to Zhongshan People′s Hospital from February 2018 to October 2020 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 36 patients in each group.Control group was given routine nursing management joint behavior change model,observation group was given Oremtheory combined with behavior transformation mode nursing on the basis of the control group,through the self-made colostomy related knowledge mastery scale,the stoma related knowledge mastery of two groups was evaluated and compared.The health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)was used to evaluate the behavior of 2 groups,Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement of sleep quality,and the Chinese version of Connor-Davidson Resilience Scale(Chinese version of CD-RISC)was used to evaluate the psychological status of patients.Results:After nursing,the score of colostomy related knowledge and HPLP-Ⅱin the observation group were significantly higher than the control group,PSQI score was significantly lower than the control group,and CD-RISC score was significantly higher than the control group,the differences were statistically significant(Ps<0.05).Conclusion:Orem theory combined with behavioral transformation mode nursing can effectively improve the health behavior and sleep quality of patients with colorectal cancer after colostomy during adjuvant chemotherapy,improve the degree of knowledge related to colostomy,assist in alleviating the adverse psychological state of patients,and facilitate patients to accept permanent colostomy.

关 键 词：OREM理论 行为转变模式 直肠癌结肠造口术 辅助化疗 睡眠质量 

分 类 号：R735.37[医药卫生—肿瘤] R338.63[医药卫生—临床医学]