基于Orem自理理论的康复训练措施在非小细胞肺癌患者中的应用效果观察  

Application Effect Observation of Rehabilitation Training Measures Based on Orem Self-Care Theory for Patients with Non-Small Cell Lung Cancer

作　　者：刘金艳 LIU Jinyan(University of South China the Second Affiliated Hospital,Hengyang,Hunan 421001)

机构地区：[1]南华大学附属第二医院,湖南衡阳421001

出　　处：《智慧健康》2024年第32期108-112,共5页Smart Healthcare

摘　　要：目的结合临床实践经验,探讨基于Orem自理理论的康复训练措施在非小细胞肺癌患者中的应用效果。方法选取2021年2月—2023年5月本院收治的非小细胞肺癌患者104例,根据随机数表法分为康复组和常规组,常规组患者采用常规护理措施,康复组患者在此基础上给予基于Orem自理理论的康复训练措施干预,比较两组患者干预前后肺功能、血气指标和自我效能评分,观察两组患者毒副反应发生情况。结果干预前两组患者肺功能、血气指标、自我效能评分差异无统计学意义(P>0.05),干预后康复组患者用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、呼气峰速度(PEF)水平均高于常规组(P<0.05)。干预后康复组患者动脉血氧分压(PaO_(2))高于常规组,动脉血二氧化碳分压(PaCO_(2))低于常规组(P<0.05)。干预后康复组患者正性态度、自我减压和自我决策评分均明显高于常规组(P<0.05)。两组毒副反应发生率差异无统计学意义(χ^(2)=0.102,P=0.749)。结论基于Orem自理理论的康复训练措施可提高非小细胞肺癌患者肺功能,改善血气指标,提高自我效能和安全性较高,值得进一步推广应用。Objective To explore application effect of rehabilitation training measures based on Orem self-care theory for patients with non-small cell lung cancer based on clinical practice experience.Methods The paper chose 104 patients with non-small cell lung cancer in our hospital from February 2021 to May 2023,and divided them into the rehabilitation group and the control group with random number table method.The control group was treated with routine nursing measures,while the rehabilitation group with rehabilitation training interventions based on Orem's self-care theory.Lung function,blood gas indicators,and self-effect scores between two groups were compared before and after intervention,incidence of toxic side effect was observed between two groups.Results There was no statistically significant difference in lung function,blood gas indicators and self-effect scores between two groups before intervention(P>0.05).After intervention,the FVC,FEV1,and PEF levels in the rehabilitation group were higher than the control group(P<0.05).After intervention,the PaO_(2)of the rehabilitation group was higher than the control group,and the PaCO_(2)was lower than the control group(P<0.05).The positive attitude,self stress reduction,and self-determination scores of the rehabilitation group after intervention were significantly higher than the control group(P<0.05).There was no statistically significant difference in incidence of toxic side effect between two groups(9.62%,11.54%)(χ^(2)=0.102,P=0.749).Conclusion Rehabilitation training measures based on Orem self-care theory can improve lung function,blood gas indicators,enhance self-effecacy of non-small cell lung cancer patients with high safety,which is worthy of further promotion and application.

关 键 词：OREM自理理论 康复训练措施 非小细胞肺癌 应用效果 

分 类 号：R47[医药卫生—护理学]