基于Orem自理理论的全面护理对青年肺癌患者术后并发症及生存质量的影响  

Effect of comprehensive nursing based on Orem self-care theory on postoperative complications and quality of life in young patients with lung cancer

作　　者：潘群 童孝笑 王秋仁 PAN Qun;TONG Xiaoxiao;WANG Qiuren(Fever Clinic,Jiujiang Third People's Hospital,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市第三人民医院发热门诊,江西九江332000

出　　处：《中国当代医药》2024年第35期164-167,172,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202410623)。

摘　　要：目的探讨基于Orem自理理论的全面护理对青年肺癌患者术后并发症及生存质量的影响。方法选取2021年1月至2023年8月九江市第三人民医院收治的70例接受胸腔镜微创手术治疗的肺癌患者为研究对象,按照随机数字表法分为对照组和研究组,每组35例。对照组给予常规护理,研究组给予基于Orem自理理论的全面护理。比较两组的自我管理能力、术后并发症发生情况、术后疼痛情况、术后恢复时间、负性心理评分及生存质量。结果护理后,研究组自我管理能力量表各项评分高于对照组,差异有统计学意义(P<0.05);研究组的术后并发症总发生率低于对照组,住院时间、术后首次离床时间短于对照组,差异有统计学意义(P<0.05);术后第1~3天,研究组的视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05);研究组的焦虑自评量表评分、抑郁自评量表评分低于对照组,生存质量评分高于对照组,差异有统计学意义(P<0.05)。结论在青年肺癌患者胸腔镜微创手术围手术期应用基于Orem自理理论的全面护理,有助于提高患者的自护能力,降低术后并发症的发生概率,缓解术后疼痛度,加速患者的康复进程,从而改善其不良的心理状况,提升其生存质量。Objective To explore the effect of comprehensive nursing based on Orem self-care theory on postoperative complications and quality of life in young lung cancer patients.Methods Seventy patients with lung cancer who received thoracoscopic minimally invasive surgery in Jiujiang Third People's Hospital from January 2021 to August 2023 were selected as the study objects,and they were divided into control group and study group according to random number table method,with 35 cases in each group.The control group was given routine nursing,and the study group was given comprehensive nursing based on Orem self-care theory.Self-management ability,postoperative complications,postoperative pain,postoperative recovery time,negative psychological score and quality of life were compared between the two groups.Results After nursing,the scores of self-management ability scale in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group,the length of hospital stay and the first time out of bed after surgery were shorter than those in the control group,and the differences were statistically significant(P<0.05).The visual analogue scale(VAS)scores of the study group were lower than those of the control group at 1-3 days after surgery,and the differences were statistically significant(P<0.05).The scores of self-rating anxiety scale and self-rating depression scale of the study group were lower than those of the control group,and the scores of quality of life were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of comprehensive nursing based on Orem self-care theory during the perioperative period of minimally invasive thoracoscopic surgery for young lung cancer patients can help improve their self-care ability,reduce the incidence of postoperative complications,alleviate postoperative pain

关 键 词：肺癌 青年 胸腔镜微创手术 OREM自理理论 全面护理 

分 类 号：R734[医药卫生—肿瘤]