奥瑞姆自理模式对老年非小细胞肺癌化疗患者癌因性疲乏和睡眠质量的影响

Effects of Orem self-care model on cancer-related fatigue and sleep quality in elderly patients with non-small cell lung cancer undergoing chemotherapy

目的探讨奥瑞姆(Orem)自理模式对老年非小细胞肺癌(NSCLC)化疗患者癌因性疲乏(CFS)和睡眠质量的影响。方法选取2019年1月至2020年12月间上海中医药大学附属曙光医院收治的接受化疗的90例老年NSCLC患者,采用随机数表法分为对照组和Orem组,每组45例。对照组患者给予与病情和化疗相关的常规护理,Orem组患者在常规护理基础上开展Orem自理模式干预。采用自我护理能力测定量表(ESCA)、Piper疲乏调查量表(PFS)和匹兹堡睡眠量表(PSQI)评估自理能力、CFS程度和睡眠质量,对两组患者得分情况进行比较。结果与干预前比较,两组患者干预后ESCA评分提高,PFS、PSQI评分均下降,差异均有统计学意义(均P <0.05)。与对照组比较,Orem组干预后ESCA评分较高,PFS、PSQI评分和睡眠障碍发生率均更低,差异均有统计学意义(均P <0.05)。结论 Orem自理模式能提高老年NSCLC患者自理能力,有助于减轻CFS程度和改善睡眠质量。

Objective To investigate the effect of Orem self-care model on cancer-related fatigue(CFS) and sleep quality in elderly patients with non-small cell lung cancer(NSCLC) undergoing chemotherapy. Methods From January 2019 to December 2020,90 elderly patients with NSCLC were selected at Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. They were randomly divided into an Orem self-care group and a control group with 45 patients in each group. The Orem self-care group received Orem self-care apart from conventional nursing and the control group was given conventional nursing in connection with the condition and chemotherapy. Self care ability,CFS degree and sleep quality were evaluated by exercise of self-care agency(ESCA) scale,Piper fatigue score(PFS) and Pittsburgh sleep quality index(PSQI),and the scores were compared between the two groups. Results Compared with before the intervention,the scores of ESCA increased,and the scores of PFS and PSQI decreased in the two groups(all P < 0. 05). Compared with the control group,the scores of ESCA was high,the scores of PFS and PSQI and the incidence of sleep disorders were low in the Orem self-care group(all P < 0. 05).Conclusion Orem self-care model can improve the self-care ability,reduce the degree of CFS and improve sleep quality in elderly patients with NSCLC.