论文部分内容阅读
目的探讨Orem自理护理在改善直肠癌造口术患者术后远期生活质量中的应用效果。方法选取第三军医大学新桥医院60例直肠癌造口术患者为研究对象,采用随机数字表法随机分为观察组和对照组,每组30例。观察组患者采用Orem自理护理,对照组患者给予常规护理,比较两组患者自理能力和生活质量的变化。结果两组患者护理前的自理能力和生活质量评分差异均无统计学意义(均P>0.05)。观察组患者护理后的自我概念、自我责任和自我护理技能评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组患者1年后躯体功能、角色功能、情绪功能、物理症状以及整体健康状况评分均高于对照组,差异均有统计学意义(均P<0.05)。结论 Orem自理护理能够提高直肠癌造口术患者的自护能力,改善远期生活质量,值得临床推广。
Objective To explore the application of Orem self-care in improving long-term quality of life of postoperative patients with rectal cancer ostomy. Methods Sixty rectal cancer patients undergoing ostomy in Xinqiao Hospital of the Third Military Medical University were enrolled in this study. The patients were randomly divided into observation group (n = 30) and control group (n = 30) using random number table. Patients in the observation group were treated with Orem self-care and patients in the control group were given routine care. The self-care ability and quality of life of the two groups were compared. Results There was no significant difference in self-care ability and quality of life before nursing in both groups (all P> 0.05). The scores of self-concept, self-responsibility and self-care skills in observation group were higher than those in control group (all P <0.05). Body function, role function, emotional function, physical symptoms and overall health status scores of observation group were higher than those of control group one year later, the differences were statistically significant (all P <0.05). Conclusion Orem self-care nursing can improve self-care ability of patients with rectal cancer ostomy and improve long-term quality of life, which is worthy of clinical promotion.