奥瑞姆自理理论在甲状腺癌合并2型糖尿病患者中的应用  

Application of Orem's Self-care Theory in Patients with Thyroid Cancer Complicated with Type 2 Diabetes Mellitus

作　　者：吴洁 袁振江 李小香[1] WU Jie;YUAN Zhenjiang;LI Xiaoxiang(Second Department of Surgery,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510000,Guangdong,China;Department of Acupuncture and Moxibustion Rehabilitation,Guangdong Second Traditional Chi-nese Medicine Hospital,Guangzhou 510000,Guangdong,China)

机构地区：[1]广东省第二中医院外二科,广东广州510000 [2]广东省第二中医院针灸康复科,广东广州510000

出　　处：《糖尿病新世界》2024年第14期149-152,共4页Diabetes New World

摘　　要：目的 探讨奥瑞姆自理理论在甲状腺癌合并2型糖尿病患者中的临床应用价值。方法 选择2020年9月—2023年12月广东省第二中医院收治的80例甲状腺癌合并2型糖尿病患者为研究对象,按照护理方法的不同分为两组,各40例。对照组实施常规护理干预,观察组实施奥瑞姆自理理论干预,比较两组糖尿病血糖控制的健康行为评分、疾病自我效能感评分以及负性心理情况评分。结果 干预后,观察组糖尿病血糖控制的健康行为评分高于对照组,差异有统计学意义(P均<0.05)。干预后,观察组疾病自我效能感评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组汉密尔顿焦虑量表评分和汉密尔顿抑郁量表评分均低于对照组,差异有统计学意义(P均<0.05)。结论 针对甲状腺癌合并糖尿病患者实施奥瑞姆自理理论管理,可有效促进针对糖尿病血糖控制的健康行为的建立,提高患者对疾病的自我效能感,减轻患者的负性心理。Objective To explore the clinical application value of Orem's self-care theory in patients with thyroid can-cer complicated with type 2 diabetes mellitus.Methods From September 2020 to December 2023,a total of 80 pa-tients with thyroid cancer complicated with type 2 diabetes mellitus admitted to Guangdong Second Traditional Chi-nese Medicine Hospital were selected as the research objects.According to the different nursing methods,they were divided into two groups,40 cases in each group.The control group was given routine nursing intervention,and the ob-servation group was given Orem's self-care theory intervention.The health behavior scores,disease self-efficacy scores,and negative psychological scores were compared between the two groups.Results After intervention,the health behavior scores in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After the intervention,the disease self-efficacy score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The imple-mentation of Orem's self-care theory management for patients with thyroid cancer complicated with diabetes mellitus can effectively promote the establishment of healthy behaviors for diabetes blood glucose control,improve patients'self-efficacy for the disease,and reduce patients'negative psychology.

关 键 词：奥瑞姆自理理论 甲状腺癌 2型糖尿病 

分 类 号：R473[医药卫生—护理学]