Application effects of Orem self-care mode nursing in postoperative patients with colorectal cancer
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.
Orem self-care mode nursingColorectal cancerPostoperativeNegative emotionSelf-care abilityQuality of lifeNursing satisfaction
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