奥瑞姆护理理论对骨癌患者疼痛程度、自我护理能力、心理状态及生活质量的影响。
The effect of Orem's nursing theory on the pain levels, self-care abilities, psychological statuses, and quality of life of bone cancer patients.
作者信息
Li Xia, Zhang Kaiya, Xu Duoduo, Xu Yaoyao
机构信息
Department of Critical Care Medicine, Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine Wenzhou 325000, Zhejiang, China.
Department of Urology Surgery/ENT/Anorectal, Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine Wenzhou 325000, Zhejiang, China.
出版信息
Am J Transl Res. 2023 Feb 15;15(2):1438-1445. eCollection 2023.
OBJECTIVE
This study aims to explore the impact of Orem-based nursing intervention on the pain levels, self-care abilities, psychological statuses, and quality of life in bone cancer patients.
METHODS
A total of 91 patients with primary bone cancer admitted to our hospital from January 2019 to January 2020 were randomly placed into one of two groups. The patients in the control group (n=43) underwent routine nursing care, and the patients in the experimental group (n=48) underwent Orem-based nursing care during the perioperative period. The two groups were compared in terms of their postoperative recovery times and treatment effects, and their adverse emotion scores, pain levels, self-care abilities, and quality of life before and after intervention.
RESULTS
The treatment efficacy in the two groups was similar, but the postoperative recovery times in the experimental group were shorter than they were in the control group (P < 0.05). Compared with before the intervention, the SDS, SAS, and VAS scores were significantly decreased in both groups (P < 0.05), and their self-care abilities and quality of life were significantly higher (P < 0.05) after intervention.
CONCLUSION
Orem-based nursing combined with perioperative care can mobilize patients' initiative, significantly improve patients' adverse emotions and pain levels, shorten their postoperative recovery times, and help improve their self-care abilities and quality of life.
目的
本研究旨在探讨奥瑞姆自理模式护理干预对骨癌患者疼痛程度、自理能力、心理状态及生活质量的影响。
方法
选取2019年1月至2020年1月我院收治的91例原发性骨癌患者，随机分为两组。对照组（n = 43）患者接受常规护理，试验组（n = 48）患者在围手术期接受基于奥瑞姆自理模式的护理。比较两组患者术后恢复时间、治疗效果以及干预前后的不良情绪评分、疼痛程度、自理能力和生活质量。
结果
两组治疗效果相似，但试验组术后恢复时间短于对照组（P < 0.05）。与干预前比较，两组患者干预后的抑郁自评量表（SDS）、焦虑自评量表（SAS）及视觉模拟评分法（VAS）评分均显著降低（P < 0.05），自理能力和生活质量均显著提高（P < 0.05）。
结论
基于奥瑞姆自理模式的护理结合围手术期护理可调动患者的积极性，显著改善患者的不良情绪和疼痛程度，缩短术后恢复时间，有助于提高患者的自理能力和生活质量。
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