Orem自护护理模式在卵巢癌患者化疗期间自我护理能力、心理弹性的影响

Effect of Orem Self-Care Nursing Mode on Self-Care Ability and Psychological Resilience of Ovarian Cancer Patients During Chemotherapy

目的:探讨Orem自护护理模式在卵巢癌患者化疗期间护理中的应用价值。方法:选取2016年10月~2017年6月我院收治的68例接受化疗治疗的卵巢癌患者,将其随机分为观察组和对照组各34例,对照组给予常规护理,观察组则在此基础上采取Orem自护护理模式,采用自我护理能力量表(ESCA)和心理弹性量表(CD-RISC)评估护理前后患者的自我护理能力和心理弹性。结果:干预后,观察组ESCA各维度得分均显著高于对照组(P<0.05);观察组坚韧性、乐观性、力量等CD-RISC各因子得分均显著高于对照组(P<0.05)。结论:Orem自护护理模式可显著提高卵巢癌化疗患者的自我护理能力及心理弹性,有较高的应用价值。

Objective: To explore the clinical value of Orem self-care nursing mode in the nursing care of ovarian cancer patients during chemotherapy. Methods: 68 cases of ovarian cancer treated by chemotherapy in our hospital in October 2016 to June 2017 were selected, who were randomly divided into observation group(n=34) and control group(n=34), the control group was given routine nursing, while observation group adopted Orem self-care nursing mode on the basis of routine nursing. The self-care ability and psychological resilience of patients before and after nursing were assessed by ESCA and CD-RISC. Results: After intervention, the scores of ESCA in observation group were significantly higher than those in control group(P<0.05). The scores of CD-RISC in observation group were significantly higher than those in control group(P<0.05). Conclusions: Orem selfcare model can significantly improve the ability of self-care and psychological resilience of ovarian cancer patients undergoing chemotherapy, which has a higher application value.