Orem自理干预模式对结肠癌术后患者生活质量、创伤后应激障碍水平的影响

Influence of Orem Self-care Intervention Model on Postoperative Quality of Life,and Posttraumatic Stress Disorder Level in Colonic Cancer Patients

目的:探讨Orem自理干预模式对结肠癌术后患者生活质量、创伤后应激障碍水平的影响。方法:将96例结肠癌术后患者随机分为对照组和观察组,每组48例。对照组患者采用常规护理模式,观察组患者采用Orem自理干预模式,比较2组患者生活质量及创伤后应激障碍水平。结果:术后1d时,2组患者生活质量各维度评分比较差异无统计学意义(P>0.05),术后4周时,观察组患者生活质量各维度评分明显高于对照组(P <0.05);术后1d时,2组患者急性应激障碍、创伤后应激障碍评分比较差异无统计学意义(P>0.05),术后4周时,观察组患者急性应激障碍、创伤后应激障碍评分均低于对照组(P <0.05)。结论:对结肠癌术后患者护理中应用Orem自理干预模式可提高患者生活质量,改善创伤后应激障碍水平,促进机体康复。

Objective To investigate the influence of Orem self-care intervention model(OSCIM)on postoperative quality of life,and posttraumatic stress disorder(PTSD)level in colonic cancer patients.Methods The 96 patients with colonic cancer underwent surgery were randomly into control group(48 cases,in routine nursing model)and observation group(48 cases,OSCIM);both groups’ patients’ quality of life,and PTSD levels were compared each with other. Results When at 1 day after surgery in the score ratings on quality of life at each dimensions,in the score ratings on acute stress disorder and PTSD,there were no statistical difference between the two groups(all,P >0.05).But,at 4 weeks after surgery the ratings of observation group were signifiantly higher than that of control group(P <0.05),also,the ratings on acute stress disorder and PTSD of observation group were all lower than control group(P <0.05).Conclusion After surgery for colonic cancer implementing nursing following OSCIM on patients can enhance their quality of life,improve PTSD level,and promote body rehabilitation.