摘要
目的 探究Orem自理理论干预对胰腺癌姑息治疗患者自护能力、负性情绪及生活质量的影响.方法 依据干预方法的不同将102例胰腺癌姑息治疗患者分为对照组(n=55)和观察组(n=47),对照组患者给予常规干预,观察组患者在常规干预的基础上给予Orem自理理论干预.比较两组患者的自护能力[自我护理能力测定量表(ESCA)]、自我感受负担、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、生活质量[生活质量综合评定问卷(GQOLI-74)]、依从性和不良反应发生情况.结果 干预后,两组患者ESCA、GQOLI-74各维度评分均高于本组干预前,HAMA、HDMD评分均低于本组干预前,观察组患者ESCA、GQOLI-74各维度评分均高于对照组,HAMA、HDMD评分均低于对照组,差异均有统计学意义(P＜0.05).干预后,两组患者情感负担、经济负担、身体负担评分均低于本组干预前,观察组患者情感负担、身体负担评分均低于对照组,差异均有统计学意义(P＜0.05).干预后,观察组患者遵医运动、遵医复查、遵医用药、日常生活注意事项评分均明显高于对照组,差异均有统计学意义(P＜0.01).观察组患者的不良反应总发生率为2.13％,低于对照组患者的12.73％,差异有统计学意义(P＜0.05).结论 Orem自理理论干预能够提高胰腺癌姑息治疗患者的自护能力、生活质量和依从性,减轻自我感受负担及负性情绪,降低不良反应发生率.
Abstract
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.
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20190599)
维普
万方数据