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目的探讨奥瑞姆自理模式对结直肠癌化疗患者生活质量及负性情绪的影响。方法选取2014年1月至2015年12月间中国人民解放军总医院收治的72例结直肠癌患者,采用随机数表法分为观察组和对照组,每组36例。观察组患者采用奥瑞姆自理模式,对照组患者采用常规护理。评估两组患者的焦虑(SAS)情绪、抑郁(SDS)情绪、生活质量及营养状况。结果护理后,观察组患者的SAS评分和SDS评分分别为(34.93±6.87)分和(34.65±7.10)分,均低于对照组患者的(45.76±7.15)分和(44.11±6.89)分,差异均有统计学意义(均P<0.05)。干预后,观察组患者躯体功能、物质生活状态、心理功能、社会功能和总体生活质量评分分别为(38.25±3.62)分、(25.63±3.21)分、(36.54±3.09)分、(36.45±3.83)分和(34.97±3.13)分,均高于对照组患者的(32.63±3.84)分、(25.21±3.52)分、(30.56±3.35)分、(36.06±3.74)分和(31.46±3.64)分,除物质生活状态外,差异均有统计学意义(均P<0.05)。干预后,观察组患者体质量、身体质量指数(BMI)、总蛋白、白蛋白和转铁蛋白水平分别为(58.63±4.35)kg、(25.10±3.43)kg/m~2、(69.61±3.91)g/L、(39.76±3.26)g/L和(2.88±0.49)g/L,均优于对照组患者的(54.62±4.76)kg、(21.26±3.32)kg/m~2、(59.34±3.48)g/L、(33.57±3.27)g/L和(2.13±0.44)g/L,差异均有统计学意义(均P<0.05)。结论奥瑞姆自理模式可提高结直肠癌化疗患者的生活质量及心理状态。
Objective To investigate the effect of self-care mode on quality of life and negative emotions in patients with colorectal cancer who underwent chemotherapy. Methods A total of 72 patients with colorectal cancer who were admitted to PLA General Hospital from January 2014 to December 2015 were randomly divided into observation group and control group with 36 cases in each group. Patients in the observation group adopted Orem self-care mode, and patients in the control group received routine care. Assess anxiety (SAS) mood, depression (SDS) mood, quality of life, and nutritional status in both groups. Results After nursing, the scores of SAS and SDS in the observation group were (34.93 ± 6.87) and (34.65 ± 7.10) points lower than those in the control group (45.76 ± 7.15) and (44.11 ± 6.89), respectively, The differences were statistically significant (all P <0.05). After intervention, the scores of somatic, physical, mental, social and overall quality of life in the observation group were (38.25 ± 3.62) points, (25.63 ± 3.21) points, (36.54 ± 3.09) points and (36.45 ± 3.83 points) ) And (34.97 ± 3.13) points in the control group were significantly higher than those in the control group (32.63 ± 3.84), (25.21 ± 3.52), (30.56 ± 3.35), (36.06 ± 3.74) and (31.46 ± 3.64) Points, in addition to material life, the differences were statistically significant (P <0.05). After intervention, the body mass, body mass index (BMI), total protein, albumin and transferrin in the observation group were (58.63 ± 4.35) kg, (25.10 ± 3.43) kg / m 2 and 69.61 ± 3.91 (39.66 ± 3.26) g / L and (2.88 ± 0.49) g / L, respectively, were significantly higher than those in the control group (54.62 ± 4.76 kg, 21.26 ± 3.32 kg / m 2, 59.34 ± 3.48) g / L, (33.57 ± 3.27) g / L and (2.13 ± 0.44) g / L, respectively (all P <0.05). Conclusion Orim self-care model can improve the quality of life and psychological status of patients with chemotherapy of colorectal cancer.