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目的研究Orem自护理论在妇科肿瘤化疗患者护理中的应用价值。方法选取2013年6月至2016年6月该院收治的200例妇科肿瘤化疗患者,按照完全随机法将患者分为对照组及研究组,各100例。对照组患者采用常规方法进行术后化疗护理,研究组患者实施Orem自护理论进行术后化疗护理。比较分析两组患者干预前及干预3个月后心理状况、生活质量、自理能力及护理满意度。结果干预3个月后,两组患者焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均明显低于干预前(P<0.05),且研究组干预后明显低于对照组(P<0.05);研究组角色功能、社会功能、情绪功能、疼痛评分明显优于对照组(t=13.654、15.412、14.782、5.736,P<0.05);研究组Barthel指数评分为(83.2±2.6)分,明显高于对照组[(71.8±2.8)分],差异有统计学意义(P<0.05);研究组护理满意度为98.0%,显著高于对照组的85.0%,差异有统计学意义(P<0.05)。结论将Orem自护理论用于妇科肿瘤化疗患者护理中效果显著,能有效改善患者心理状况,提高患者生活质量,提升其自理能力,同时可有效提高护理质量,值得临床推广。
Objective To study the value of Orem self-care in gynecologic oncology patients. Methods From June 2013 to June 2016, 200 patients with gynecologic oncology who underwent chemotherapy in our hospital were selected and randomly divided into control group and study group, with 100 cases in each group. Patients in the control group received postoperative chemotherapy with conventional methods. Patients in the study group underwent Orem self-care theory for postoperative chemotherapy. The psychological status, quality of life, self-care ability and nursing satisfaction were compared before and after 3 months of intervention. Results After intervention for 3 months, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of both groups were significantly lower than those before intervention (P <0.05), and were significantly lower in the study group than in the control group (T = 13.654,15.412,14.782,5.736, P <0.05). The Barthel index of the study group was (83.2 ± 2.6) (P <0.05). The score of the study group was significantly higher than that of the control group ) Was significantly higher than that of the control group [(71.8 ± 2.8) points], the difference was statistically significant (P <0.05). The nursing satisfaction of the study group was 98.0%, which was significantly higher than that of the control group (85.0% Significance (P <0.05). Conclusion Orem self-care theory for gynecologic cancer chemotherapy patients with significant effect, can effectively improve the patient’s psychological condition, improve patient quality of life, improve their ability to care, and can effectively improve the quality of care, is worth clinical promotion.