Orem自护模式结合支持性护理干预对妇科肿瘤患者生活质量的影响

Effect of Orem self-care model combined with supportive nursing intervention on quality of life of gynecological tumor patients

目的探讨Orem自护模式结合支持性护理干预对妇科肿瘤患者生活质量的影响。方法采用便利抽样法,选取2018年2月—2019年2月永康市妇幼保健院收治的110例妇科肿瘤患者为研究对象,按照随机数字表法将患者分为观察组和对照组,各55例。对照组采用支持性护理干预,观察组在对照组基础上采用Orem自护模式结合支持性护理干预。比较干预前、干预后两组患者的自我护理能力量表(ESCA)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康调查简易量表(SF-36)得分。结果干预后,观察组患者ESCA得分高于对照组,差异均有统计学意义(P<0.05);观察组患者SAS和SDS得分均低于对照组,差异均有统计学意义(P<0.05);观察组患者SF-36得分高于对照组,差异均有统计学意义(P<0.05)。结论Orem自护模式结合支持性护理干预有利于提高妇科肿瘤患者的自护能力及生活质量,改善患者焦虑、抑郁情绪,提高患者对护理人员的满意度。

Objective To explore the effect of Orem self-care model combined with supportive nursing intervention on quality of life of gynecological tumor patients.Methods A total of 110 gynecological tumor patients who were admitted to Yongkang Maternal and Child Health Hospital were selected from February 2018 to February 2019.According to the random number table method,they were divided into the observation group and the control group,with 55 cases in each group.The control group was given supportive nursing intervention,while the observation group was given Orem self-care model combined with supportive nursing intervention based on the control group.The scores of Exercise of Self-Care Agency Scale(ESCA),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Medical Outcomes Study(SF-36)were compared between the two groups before the intervention and after the intervention.Results After intervention,the ESCA score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The SF-36 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The Orem self-care model combined with supportive nursing intervention is beneficial to improve the self-care ability and quality of life of gynecological tumor patients,improve their anxiety and depression and improve their satisfaction with nursing staff.