Orem自理理论人文关怀的护理在胃癌化疗患者中的应用  

Application of humanistic care based on Orem self-care theory in patients with gastric cancer undergoing chemotherapy

作　　者：徐兴娜 冯莉霞[1] 张蕾 XU Xingna;FENG Lixia;ZHANG Lei(Tianjin Cancer Hospital,Tianjin,300308,China)

机构地区：[1]天津市肿瘤医院空港医院,300308

出　　处：《护理实践与研究》2023年第4期579-583,共5页Nursing Practice and Research

摘　　要：目的 探究基于Orem自理理论的人文关怀对胃癌化疗患者情绪管理、改善癌痛等的效果。方法选取2020年5月—2022年5月医院收治的胃癌化疗患者86例为研究对象,按照组间基本特征具有可比性的原则分为对照组与观察组,各43例。对照组给予常规护理,观察组在对照组基础上给予基于Orem自理理论的人文关怀,比较两组治疗依从性、情绪管理、癌痛程度、癌痛控制满意程度的差异。结果实施基于Orem自理理论的人文关怀前,两组Frankl依从性量表评分比较差异无统计学意义(P>0.05);干预后,观察组Frankl依从性量表评分高于对照组(P<0.05)。干预后,观察组自强、乐观、坚韧、心理弹性总分、面对评分高于对照组(P<0.05),而应对方式中的逃避、屈服评分低于对照组(P<0.05)。干预前,两组心理痛苦温度计(DT)、癌痛数字分级法(NRS)评分比较差异无统计学意义(P>0.05);干预后,观察组DT、NRS评分低于对照组(P<0.05)。实施基于Orem自理理论的人文关怀后,观察组癌痛控制满意程度高于对照组(P<0.05)。结论 基于Orem自理理论的人文关怀应用于胃癌化疗患者,可有效改善情绪管理、癌痛程度,提高治疗依从性。Objective To explore the effect of humanistic care based on Orem self-care theory on emotional management and improvement of cancer pain in patients with gastric cancer undergoing chemotherapy.Methods A total of 86 patients with gastric cancer treated by chemotherapy in the hospital from May 2020 to May 2022were selected as the study subjects.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 43 patients in each group.The control group was given routine care,and the observation group was given humanistic care based on Orem selfcare theory on the basis of the control group.The differences in treatment compliance,emotional management,cancer pain degree,and cancer pain control satisfaction between the two groups were compared.Results Before the implementation of humanistic care based on Orem self-care theory,there was no statistically significant difference between the two groups in the score of Frankl compliance scale(P>0.05).After the intervention,the score of Frankl compliance scale in the observation group was higher than that in the control group(P<0.05).After the intervention,the self-reliance score,optimism score,tenacity score,total score of resilience and score of face in the observation group were higher than those in the control group(P<0.05),while the scores of escape and surrender in coping style were lower than those in the control group(P<0.05).Before the intervention,there was no significant difference in the distress thermometer(DT) and cancer pain number rating scale(NRS) scores between the two groups(P>0.05).After the intervention,the DT and NRS scores in the observation group were lower than those in the control group(P<0.05).After the implementation of humanistic care based on Orem selfcare theory,the cancer pain control satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion The application of humanistic care based on Orem self-care theory to patients

关 键 词：胃癌 化疗 OREM自理理论 人文关怀 情绪管理 癌痛 影响 

分 类 号：R473.73[医药卫生—护理学]