Orem自理理论护理干预对多发性骨髓瘤患者癌因性疲乏及生活质量的影响

Effects of nursing intervention based on Orem's self-care theory on cancer-related fatigue and quality of life in patients with multiple myeloma

目的探讨Orem自理理论的护理干预对多发性骨髓瘤患者癌因性疲乏及生活质量的影响。方法选取陕西省第四人民医院收治的45例多发性骨髓瘤患者作为研究目标,按照随机数表法分为对照组23例和研究组22例,统计时间为2017年6月至2021年6月。对照组行常规护理干预,研究组行基于Orem自理理论的护理干预,研究两组的护理满意度、癌因性疲乏因子各指标评分与生活质量评分。结果护理前,两组患者的癌因性疲乏因子各指标评分与生活质量评分无显著差异(P>0.05)。护理后,研究组与对照组相比,癌因性疲乏因子各指标评分较低,生活质量评分较高(P<0.05);研究组(95.5%)与对照组(73.9%)相比,护理满意度较高(P<0.05)。结论多发性骨髓瘤患者采用基于Orem自理理论的护理干预,可提升护理满意度,缓解癌因性疲乏因子,提升生活质量,建议临床不断深入研究与推广。

Objective To systematically analyze the effects of Orem's self-care theory nursing intervention on cancer-related fatigue and quality of life in patients with multiple myeloma.Methods Fortyfive patients with multiple myeloma admitted to the Fourth People's Hospital of Shaanxi Province were selected.Using random table method,they were divided into an experimental group(22 patients)and a control group(23 patients).From June 2017 to June 2021,the analysis was conducted.The experimental group received nursing intervention based on Orem's self-care theory and the control group received routine nursing intervention.Patient satisfaction with nursing,cancer-related fatigue index scores and quality of life scores were studied in the two groups.ResultsBefore nursing,there was no significant difference in the scores of cancer-related fatigue factors and quality of life between the two groups of patients(P>0.05).After nursing,compared with the control group,the groups of patients group had lower scores of cancer-related fatigue factors and higher quality of life scores(all P<0.05).Patient satisfaction was higher in the experimental group(95.5%)than in control group(73.9%,P<0.05).ConclusionNursing intervention based on Orem's self-care theory can significantly improve patient satisfaction,alleviate cancer-related fatigue,and improve quality of life in patients with multiple myeloma.It is recommended to continue in-depth research and promotion in theclinical practice.