Orem自护理论在老年消化道肿瘤化疗病人中的应用  

Application of Orem self-care theory in elderly patients with gastrointestinal cancer undergoing chemotherapy

作　　者：王蕾[1] 李晨[1] 管友文 李雁飞[1] WANG Lei;LI Chen;GUAN Youwen;LI Yanfei(Geriatric Gastroenterology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院老年消化科,江苏省南京市210029

出　　处：《实用老年医学》2025年第3期312-316,共5页Practical Geriatrics

摘　　要：目的探讨Orem自护理论对老年消化道肿瘤化疗病人的自护能力、治疗依从性、心理状态、生活质量的影响。方法研究对象为住院化疗的老年消化道肿瘤病人,选取2023年1-8月收治的35例病人为对照组,2023年9月至2024年3月收治的35例病人为观察组。对照组接受常规护理干预,观察组在常规护理干预基础上接受Orem自护理论护理干预。比较2组间自护能力、治疗依从性、心理状态、生活质量的差异。结果干预后,2组自我护理能力测量量表评分、Frankl依从性量表评分、简明健康状况调查问卷评分均高于干预前,且观察组高于对照组(P<0.05);2组抑郁自评量表评分和焦虑自评量表评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05)。结论住院期间给予老年消化道肿瘤化疗的病人Orem自护理论护理干预,可提高病人的自护能力和治疗依从性,改善心理状态,提升生活质量。Objective To explore the effects of Orem self-care theory on self-care ability,treatment compliance,mental state and quality of life in elderly patients with gastrointestinal cancer undergoing chemotherapy.Methods The elderly patients with gastrointestinal cancer who were hospitalized for chemotherapy were enrolled in this study.A total of 35 patients admitted from January to August 2023 were selected as the control group,and 35 patients admitted from September 2023 to March 2024 were selected as the observation group.The control group was given routine care,and the observation group was given Orem self-care theory on the basis of the control group.The self-care ability(exercise of self-care agency scale,ESCA),treatment compliance(Frankl compliance scale),mental state(self-rating anxiety scale,SAS;self-rating depression scale,SDS)and quality of life(short form heath survey,SF-36)of the two groups were compared.Results After intervention,the scores of ESCA,Frankl compliance scale and SF-36 in the two groups were higher than those before intervention,and the scores in the observation group were higher than those in the control group(P<0.05).The SAS and SDS scores in the two groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).Conclusions Orem self-care theory nursing intervention for elderly patients with gastrointestinal cancer undergoing chemotherapy during hospitalization may improve the self-care ability,treatment compliance,mental state and quality of the life of patients.

关 键 词：OREM自护理论 消化道肿瘤 化疗 自护能力 治疗依从性 心理状态 生活质量 

分 类 号：R473.73[医药卫生—护理学]