Effect of Orem self-care theory and psychological nursing on tumor patients during the chemotherapy
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摘要:
目的探讨Orem自理理论和心理护理在肿瘤患者化疗过程中的效果 方法选取2013年2月~2013年12月入住我院放疗科的140例患者按入院顺序随机分为两组，对照组采用常规分级护理，实验组在对照组基础上进行Orem自理和心理护理，比较两组患者化疗后患者的不良反应发生率、焦虑与抑郁不良情绪发生情况以及患者对护理工作满意度。 结果经过4~6周Orem自理和心理护理干预后，实验组胃肠道反应发生率明显低于对照组，P<0.05；实验组焦虑和抑郁不良心理状态发生率明显低于对照组，P<0.05；实验组患者对护理工作满意率（97.1%）明显高于对照组（73.3%），P<0.05。 结论对接受化疗的肿瘤患者进行Orem自理和心理护理能够显著缓解患者焦虑和抑郁情绪，提高其对护理工作的满意度，显著减少胃肠道反应的发生。 Abstract:Objective This research was conducted to study the effect of Orem self-care theory and psychological nursing on tumor patients after chemotherapy. Methods 140 patients from Radiotherapy Department of Nanfang hospital were randomly divided into treatment group and control group according to the sequence of admission. The control group was given regular grading nursing care, while the treatment group received Orem self-care and psychological nursing based on regular grading nursing care. We aimed to compare with the incidence of adverse reaction, the incidence of anxiety and depression and patients satisfaction with nursing service of two groups. Results Compared with the control group，the treatment group had a lower incidence of gastrointestinal reaction (P<0.05), and had a lower incidence of anxiety and depression as well(P<0.05). In addition, the patients satisfaction of treatment group was 97.1% , higher than the control group which was only 73.3% . Conclusion Self-care and psychological nursing on tumor patients during the chemotherapy can significantly relieve the anxiety and depression and reduce the gastrointestinal reaction, while it can also improve the patients satisfaction with nursing service. -
Key words:
- nursing self-care theory /
- tumor /
- anxiety /
- depression
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表 1 两组患者化疗不良反应比较(n=70)
组别 胃肠道反应 放射性皮炎 静脉炎 过敏反应 实验组 18（25.7） 23（32.9） 10（14.3） 1（1.4） 对照组 47（67.1） 25（35.7） 12（17.1） 2（2.9） x2 24.152 0.172 0.216 0.034 P <0.01 >0.05 >0.05 >0.05 
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表 2 两组患者化疗前后焦虑与抑郁变化比较(n=70,n/%)
组别 焦虑 抑郁 干预前 干预后 干预前 干预后 实验组 32（45.7） 11（15.7） 26（37.1） 5（7.1） 对照组 30（42.9） 38（54.3） 27（38.6） 20（28.6） x2 0.116 22.889 0.03 10.957 P >0.05 <0.05 >0.05 <0.05
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