Orem自理理论在宫颈癌化疗患者中的应用效果分析

目的 探讨Orem自理理论在宫颈癌化疗患者护理中的应用效果。方法 将2019年10月—2020年9月在本院接受宫颈癌化疗的74例患者作为研究对象,按随机数字表法分为2组,每组各37例。对照组实施常规护理,观察组实施以Orem自理理论为指导的护理。比较2组干预前后癌因性疲乏、自我护理能力及生活质量。结果 干预前,2组Piper癌因性疲乏自评修正量表(RPFS)、自我护理能力量表(ESCA)、癌症患者生活质量测定量表(EORTC QLQ-C30)评分比较,差异无统计学意义(t=0.257、0.169、0.220,P值均>0.05);干预后,观察组RPFS评分为(13.44±2.85)分,低于对照组的(18.35±3.46)分,ESCA评分为(152.95±18.63)分,高于对照组的(126.63±16.35)分,差异具有统计学意义(t=6.663、6.459,P值均<0.001);观察组EORTC QLQ-C30评分为(70.28±9.67)分,高于对照组的(61.23±8.54)分,差异有统计学意义(t=4.267,P<0.001)。结论 Orem自理理论能够减轻宫颈癌化疗患者癌因性疲乏,并提高其自我护理能力和生活质量。

Analysis of application effect of Orem self-care theory in patients with cervical cancer chemotherapy

Objective To explore the application effect of Orem self-care theory in nursing of patients with cervical cancer undergoing chemotherapy. Methods A total of 74 patients with cervical cancer who received chemotherapy in our hospital from October 2019 to September 2020 were selected and divided into two groups according to the random number table method, with 37 cases in each group. The control group received routine nursing, and the observation group received nursing care guided by Orem self-care theory. Cancer-related fatigue, self-care ability, and quality of life were compared between the two groups before and after the intervention. Results Before the intervention, there were no significant differences in the scores of the Piper Self-rating Cancer-related Fatigue Scale (RPFS), Self-Care Ability Scale (ESCA), and Cancer Patient Life Quality Scale (EORTC QLQ-C30) between the two groups (t=0.257, 0.169, 0.220, all P>0.05); after the intervention, the average RPFS score of the observation group was (13.44±2.85), which was lower than that of the control group: (18.35±3.46), and the ESCA score was (152.95±18.63) ), higher than that of the control group (126.63±16.35), and the differences were statistically significant (t=6.663, 6.459, both P<0.001). The average EORTC QLQ-C30 score of the observation group was (70.28±9.67), higher than that of the control group: (61.23±8.54), and the difference was statistically significant (t=4.267, P<0.001). Conclusion Orem self-care theory can alleviate cancer-induced fatigue, and improve self-care ability and quality of life in patients with cervical cancer undergoing chemotherapy.