Orem自理理论联合健康教育干预对宫颈癌产妇负性情绪及满意度的影响  

Influence of Orem self-care theory combined with health education intervention on negative emotions and satisfaction in pregnant women with cervical cancer

作　　者：曹美婷 朱小秀 康静 CAO Meiting;ZHU Xiaoxiu;KANG Jing(Department of Obstetrics,the First People’s Hospital of Zhumadian,Zhumadian 463000,He’nan,China;Department of Nursing,the First People’s Hospital of Zhumadian,Zhumadian 463000,He’nan,China;Delivery Room,the First People’s Hospital of Zhumadian,Zhumadian 463000,He’nan,China)

机构地区：[1]驻马店市第一人民医院产科,河南驻马店463000 [2]驻马店市第一人民医院护理部,河南驻马店463000 [3]驻马店市第一人民医院产房,河南驻马店463000

出　　处：《癌症进展》2025年第7期860-863,共4页Oncology Progress

摘　　要：目的探讨Orem自理理论联合健康教育干预对宫颈癌产妇负性情绪及满意度的影响。方法依据干预方法的不同将57例宫颈癌产妇分为对照组(27例)和Orem组(30例),对照组产妇接受常规干预,观察组产妇接受Orem自理理论联合健康教育干预。比较两组产妇的负性情绪[非精神科住院患者心理状态评定量表(MSSNS)]、自我管理能力[自我护理能力测定量表(ESCA)]、不良母婴结局发生情况和满意度。结果干预后,两组产妇MSSNS各维度评分均低于本组干预前,且Orem组产妇MSSNS各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组产妇ESCA各维度评分均高于本组干预前,且Orem组产妇ESCA各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。Orem组不良母婴结局总发生率为6.67%,与对照组患者的18.52%比较,差异无统计学意义(P﹥0.05)。Orem组产妇的满意情况优于对照组,差异有统计学意义(P﹤0.05)。结论Orem自理理论联合健康教育干预可缓解宫颈癌产妇的负性情绪,提高其自我管理能力和满意度。Objective To analyze the influence of Orem self-care theory combined with health education intervention on negative emotions and satisfaction in pregnant women with cervical cancer.Method According to different intervention methods,57 pregnant women with cervical cancer were divided into control group(27 cases)and Orem group(30 cases).The control group received routine intervention,while the Orem group received Orem self-care theory combined with health education intervention.The negative emotions[mental status scale in non-psychiatric setting(MSSNS)],selfmanagement ability[exercise of self-care agency scale(ESCA)],incidence of adverse maternal-infant outcomes and satisfaction were compared between the two groups.Result After intervention,the scores of dimensions of MSSNS in both groups were lower than those before intervention,the scores of dimensions of MSSNS in Orem group were lower than those in control group,the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of ESCA in both groups were higher than those before intervention,the scores of dimensions of ESCA in Orem group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of adverse maternal-infant outcomes in Orem group was 6.67%,which was not significantly different from 18.52%in control group(P>0.05).The satisfaction in Orem group was better than that in control group,and the difference was statistically significant(P<0.05).Conclusion Orem self-care theory combined with health education intervention can alleviate the negative emotions of pregnant women with cervical cancer,and improve self-management ability and satisfaction.

关 键 词：Orem自理理论联合健康教育干预 宫颈癌 产妇 负性情绪 满意度 

分 类 号：R737.33[医药卫生—肿瘤]