首页|行为分阶段改变理论协同护理模式联合Orem护理在肝动脉化疗栓塞术患者中的应用

行为分阶段改变理论协同护理模式联合Orem护理在肝动脉化疗栓塞术患者中的应用

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目的 探讨行为分阶段改变理论(TTM)协同护理模式联合Orem护理在肝动脉化疗栓塞术(TACE)患者中的应用效果。方法 选取2020年2月至2022年9月赣州市第五人民医院收治的96例行TACE化疗患者作为研究对象,按照随机数字表法分为对照组和观察组,各48例。对照组患者予以常规护理,观察组患者予以TTM协同护理模式联合Orem护理。比较两组患者自护能力水平、生活质量、不良反应发生率、护理满意度以及心理状态。结果 两组患者护理前自护能力、心理状态、生活质量水平比较,差异无统计学意义(P>0。05);观察组护理后自护能力分数高于对照组,差异有统计学意义(P<0。05);观察组护理后心理状态评分高于对照组,差异有统计学意义(P<0。05);观察组护理后生活质量水平高于对照组,差异有统计学意义(P<0。05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0。05)。观察组满意度高于对照组,差异有统计学意义(P<0。05)。结论 TTM协同护理模式联合Orem护理应用于原发性肝癌TACE患者,可以帮助患者保持良好心理状态,改善患者生活质量,提高患者自我护理能力及满意度,减少不良反应发生。
Application of the trans-theoretical model collaborative nursing mode combined with Orem nursing in patients undergoing transcatheter arterial chemoembolization
Objective To investigate the effect of trans-theoretical model(TTM)collaborative nursing mode combined with Orem nursing in patients undergoing transcatheter arterial chemoembolization(TACE).Methods A total of 96 TACE chemotherapy patients admitted to Ganzhou Fifth People's Hospital from February 2020 to September 2022 were selected as research objects,and they were divided into control group and observation group according to random number table method,with 48 cases in each group.Control group was given routine nursing,observation group was given TTM collaborative nurs-ing mode combined with Orem nursing.The level of self-care ability,quality of life,incidence of adverse reactions,nursing satisfaction and psychological state of the two groups were compared.Results There were no significant differences in self-care ability,mental state and quality of life between the two groups before nursing(P>0.05).The score of self-care a-bility after nursing in the observation group was higher than that in the control group,the difference was statistically signifi-cant(P<0.05).The scores of psychological state after nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The quality of life in the observation group after nursing was higher than that in the control group,the difference was statistically significant(P<0.05).The total incidence of adverse re-actions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction of observation group was higher than that of control group,and the difference was statistically signifi-cant(P<0.05).Conclusion The application of TTM collaborative nursing mode combined with Orem nursing in TACE pa-tients with primary liver cancer can help patients maintain a good psychological state,improve the quality of life of patients,improve patients'self-care ability and satisfaction,and reduce the occurrence of adverse reactions.

Transcatheter arterial chemoembolizationOrem nursingTrans-theoretical modelAdverse reaction

邱梅珍、刘红霞、李婷婷

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江西省赣州市第五人民医院肝二区,江西赣州 341000

肝动脉化疗栓塞术 Orem护理 行为分阶段改变理论协同护理 不良反应

江西省卫生健康委科技计划项目

202312097

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(3)
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