Orem自理模式护理在结直肠癌术后患者中的应用效果

Application effects of Orem self-care mode nursing in postoperative patients with colorectal cancer

目的:观察Orem自理模式护理在结直肠癌术后患者中的应用效果。方法:选取2020年11月至2022年9月该院收治的83例结直肠癌术后患者进行前瞻性研究,按照随机数字表法将其分为观察组42例和对照组41例。对照组术后实施常规护理,观察组在对照组基础上实施Orem自理模式护理,两组均护理至出院后2个月。比较两组临床指标(首次排气时间、首次下床活动时间、住院时间)水平,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自护能力[自我护理能力测定量表(ESCA)]、生命质量[造口患者生活质量问卷(COH-QOL-OQ)]评分,以及护理满意度。结果:观察组首次排气时间、首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组ESCA、COH-QOL-OQ评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.62%(41/42),高于对照组的80.49%(33/41),差异有统计学意义(P<0.05)。结论:Orem自理模式护理应用于结直肠癌术后患者可改善临床指标水平,降低负性情绪评分,提高自护能力、生命质量评分和护理满意度,效果优于单纯常规护理。

Objective:To observe application effects of Orem self-care mode nursing in postoperative patients with colorectal cancer.Methods:A prospective study was conducted on 83 patients with colorectal cancer who were admitted to the hospital from November 2020 to September 2022.According to the random number table method,they were divided into observation group(42 cases) and control group(41 cases).The control group was given routine postoperative nursing,while the observation group was given the Orem self-care mode nursing on the basis of that of the control group.Both groups were treated until 2 months after discharge.The levels of clinical indicators(first exhaust time,first ambulation time,hospitalization time),the scores of negative emotions [self-rating anxiety scale(SAS),self-rating depression scale(SDS)],the self-care ability [exercise of self-care agency scale(ESCA)] and the quality of life [city of hope quality of life-ostomy questionnaire(COH-QOL-OQ)] before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:The first exhaust time,the firs ambulation time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ESCA and COH-QOL-OQ scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.62%(41/42),which was higher than 80.49%(33/41) of the control group,and the difference was statistically significant(P<0.05).Conclusions:The Orem self-care model nursing applied to the patients after colorectal cancer surgery can improve the levels of clinical indicators,reduce the negative emotion scores,and improve the self-care ability,the quality of life scores and the nursing satisfaction.Moreover,it is superior to single routine postoperative care.