Orem自理理论在宫颈癌术后患者中的临床研究

Orem self-care theory for patients after cervical cancer operation

目的探讨Orem自理理论在宫颈癌术后患者护理中的可行性及应用价值。方法将本院在2011年11月至2014年12月收治的宫颈癌术后患者86例，随机为对照组和实验组，各43例，其中对照组采用常规术后护理；实验组在此基础上应用Orem自理理论进行护理干预。对比两组患者经过治疗前后相关指标等参数的变化。结果两组患者经过治疗后，实验组患者术后下床时间明显提前，术后并发症明显减少，差异有统计学意义（P〈0．05）；患者躯体功能、心理功能、社会功能、认知功能和总体生活质量评分明显高于对照组，差异有统计学意义（P〈0．05）。结论在宫颈癌根治术后患者护理中应用Orem自理理论，对于激发病人主观自理的能动性、改善患者自我护理能力、促进患者更好地回归社会具有较高的现实意义。

Objective To explore the feasibility and efficacy of Orem self-care theory for patients after cervical cancer operation. Methods 86 patients after cervical cancer operation admitted into our hospital from November, 201l to December, 2014 were randomly divided into a control and an experimental groups, 43 for each group. The control group were routinely and postoperatively cared; and in addition, the experimental group were intervened with Orem self-care theory. The relevant indicators between these two groups before and after the treatment. Results After the treatment, the time for off-bed activity after surgery was obviously shorter, the incidence of complications was much lower, and the scores of body function, psychological function, social function, cognitive function, and overall quality of life were significantly higher in the experimental group than in the control group, with statistical differences （P〈0.05）. Conelusions Orem self-care theory for patients after cervical cancer operation can promote the patients self-care activity, improve their self-care ability, and promote them return to society.