Influence of Orem self-care theory intervention on self-care ability,negative emotions and quality of life in patients with pancreatic cancer undergoing palliative treatment
Objective To explore the influence of Orem self-care theory intervention on self-care ability,negative emotions and quality of life in patients with pancreatic cancer undergoing palliative treatment.Method According to the different intervention methods,102 patients with pancreatic cancer who underwent palliative treatment were divided into control group(n=55)and observation group(n=47).The patients in the control group were given routine intervention,and the patients in the observation group were given Orem self-care theory intervention on the basis of routine intervention.The self-care ability[exercise of self-care agency scale(ESCA)],self perceived burden,negative emotions[Hamilton anx-iety scale(HAMA),Hamilton depression scale(HAMD)],quality of life[generic quality of life inventory-74(GQOLI-74)],compliance,and incidence of adverse reactions were compared between the two groups.Result After intervention,the scores of all dimensions of ESCA and GQOLI-74 of both groups were higher than those before intervention,and the HAMA and HDMD scores were lower than those before intervention,the scores of all dimensions of ESCA and GQOLI-74 of the observation group were higher than those of the control group,and the HAMA and HDMD scores were lower than those of the control group,the differences were statistically significant(P＜0.05).After intervention,the emotional burden,economic burden,and physical burden scores of the two groups were lower than those before intervention,the emotional burden and physical burden scores of the observation group were lower than those of the control group,and the differences were statistically significant(P＜0.05).After intervention,the scores of compliance exercise,follow up medi-cal examination,medication adherence,and daily life precautions in the observation group were significantly higher than those of the control group,the differences were statistically significant(P＜0.01).The total incidence of adverse reactions in the observation group was 2.13％,which was lower than 12.73％in the control group,and the difference was statistical-ly significant(P＜0.05).Conclusion Orem self-care theory intervention can improve the self-care ability,quality of life and compliance of patients with pancreatic cancer undergoing palliative treatment,reduce the self perceived burden and negative emotions,and reduce the incidence of adverse reactions.
Orem self-care theory interventionpancreatic cancerpalliative treatmentnegative emotionquality of life
万方数据
维普
