Orem自护模式在肝细胞癌射频消融患者中的应用效果

Application effect of Orem self-care mode in patients with hepatocellular carcinoma undergoing radiofrequency ablation

目的探讨Orem自护模式在肝细胞癌射频消融患者中的应用效果。方法依据围手术期干预方法将80例肝细胞癌患者分为对照组和观察组,每组40例,对照组患者围手术期给予常规护理和健康教育,观察组患者围手术期在对照组基础上给予Orem自护模式干预。干预前后比较两组患者的睡眠质量[匹兹堡睡眠质量指数(PSQI)]、应对方式(应对方式问卷)、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]和生活质量[健康调查简表(SF-36)]。结果干预后,观察组患者PSQI、SAS、SDS量表各维度评分和总分均低于本组干预前和对照组(P﹤0.05)。干预后,两组患者面对评分均高于本组干预前(P﹤0.05),回避、屈服评分均低于本组干预前(P﹤0.05),且观察组患者面对评分高于对照组(P﹤0.05),回避、屈服评分均低于对照组(P﹤0.05)。干预后,两组患者SF-36量表各维度评分均高于本组干预前,且观察组患者SF-36量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论Orem自护模式可改善肝细胞癌射频消融患者的睡眠质量、负性情绪和应对方式,提高生活质量。

Objective To investigate the application effect of Orem self-care mode in patients with hepatocellular carcinoma undergoing radiofrequency ablation.Method According to perioperative intervention methods,80 patients with hepatocellular carcinoma were divided into control group and observation group,with 40 cases in each group.The patients in the control group were given routine nursing and health education during the perioperative period,and the patients in the observation group were given Orem self-care mode intervention on the basis of the control group.Before and after the intervention,the sleep quality[Pittsburgh sleep quality index(PSQI)],coping style(coping style scale score),negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life[the MOS 36-item short form health survey(SF-36)]of the two groups were compared.Result The dimensional and overall scores of PSQI,SAS and SDS of the observation group were lower than those before intervention and the control group(P<0.05).The scores of facing in both groups were higher than those before intervention(P<0.05),scores of avoiding and succumbing were lower than those before intervention(P<0.05),with higher score of facing and lower scores of avoiding and succumbing in the observation group than those in the control group(P<0.05).After the intervention,the scores of all dimensions of SF-36 in the two groups were higher than those before the intervention,and the scores of all dimensions of SF-36in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Orem self-care model can improve the sleep quality,negative emotion and coping style of patients with hepatocellular carcinoma after radiofrequency ablation,and improve the quality of life.