Deng Qiuhua, Kang Ling, Zhu Shunfang, Luo Wang, Qing Jingmei, Zhong Shuhua, Wu Yantao, Lu Jieying, Dong Hangming
Respiratory Medicine Department, Nanfang Hospital, Southern Medical University Guangzhou, Guangdong Province, China.
Hepatological Surgery Department, Nanfang Hospital, Southern Medical University Guangzhou, Guangdong Province, China.
Am J Transl Res. 2021 Apr 15;13(4):2983-2989. eCollection 2021.
To investigate the effects of nursing based on Orem's self-care model on self-care efficacy, quality of life (QOL) and adverse emotions of patients with advanced lung cancer (ALC) receiving chemotherapy.
A total of 71 patients with ALC aged 50-70 years, from our hospital were selected as the study subjects and divided into the control group (CNG, n = 35) and the experimental group (EXG, n = 36) using the random number table method. The CNG was treated with conventional chemotherapy combined with conventional nursing, while the EXG was treated with conventional chemotherapy combined with nursing based on Orem's self-care model. The effects on self-care efficacy, QOL and adverse emotions in the two groups were observed before and after nursing. The General Self-Efficacy Scale (GSES) was scored in both groups. The patients' body, physiology, psychology, society and health were scored using the QOL questionnaire for Chinese cancer patients receiving chemotherapy (QLQ-CCC). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the two groups were scored using the Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD).
The GSES scores in the EXG were remarkably higher than those in the CNG after intervention ( < 0.05). After intervention, the scores of the patients' body, physiology, psychology, society and health in the EXG were higher than those in the CNG ( < 0.05). The scores of SAS and SDS in the EXG were lower than those in the CNG ( < 0.05).
Nursing based on Orem's self-care model can effectively improve the self-care efficacy and QOL, adverse emotions (e.g., anxiety and depression), and degree of pain of patients with ALC receiving chemotherapy. Therefore, it has a positive clinical significance.
探讨基于奥瑞姆自理模式的护理对晚期肺癌（ALC）化疗患者自理效能感、生活质量（QOL）及不良情绪的影响。
选取我院71例年龄50 - 70岁的ALC患者作为研究对象，采用随机数字表法分为对照组（CNG，n = 35）和实验组（EXG，n = 36）。CNG采用常规化疗联合常规护理，而EXG采用常规化疗联合基于奥瑞姆自理模式的护理。观察两组护理前后自理效能感、QOL及不良情绪的影响。两组均采用一般自我效能感量表（GSES）评分。采用中国癌症患者化疗生活质量问卷（QLQ - CCC）对患者的身体、生理、心理、社会及健康状况进行评分。两组采用汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）分别进行自评焦虑量表（SAS）和自评抑郁量表（SDS）评分。
干预后EXG的GSES评分显著高于CNG（<0.05）。干预后，EXG患者的身体、生理、心理、社会及健康评分均高于CNG（<0.05）。EXG的SAS和SDS评分低于CNG（<0.05）。
基于奥瑞姆自理模式的护理可有效提高ALC化疗患者的自理效能感、QOL、不良情绪（如焦虑和抑郁）及疼痛程度。因此，具有积极的临床意义。
