摘要
目的探讨奥瑞姆自护模式在淋巴瘤治疗间歇期患者PICC置管中的干预效果。方法选择2013年9月~2016年1月在哈尔滨医科大学附属肿瘤医院接受治疗的淋巴瘤患者68例,按照随机数字表法分为Orem组与对照组,每组各34例。对照组在治疗间歇期给予常规护理,Orem组在对照组护理的基础上给予Orem自护模式,比较两组并发症发生率、自我护理能力和生存质量评分。结果观察组并发症的发生率(8.8%)低于对照组(32.4%),差异有统计学意义(P<0.05)。护理后两组自我护理能力评分均明显高于护理前,观察组评分高于对照组,差异有统计学意义(P<0.05)。护理后Orem组的社会关系、环境、生理、心理等生存质量评分均明显高于对照组(P<0.05),差异有统计学意义(P<0.05)。结论奥瑞姆自护模式能提高淋巴瘤治疗间歇期患者PICC置管中的自我护理能力,减少并发症的发生,提高生存质量。
Objective To explore the effects of Orem self-care model in patients of lymphoma with PICC tube during the intermittent period. Methods From September 2013 to January 2016, 68 patients with lymphoma treated in Harbin Medical University Cancer Hospital were selected and divided into Orem group and control group by random number table, with 34 patients in each group. The control group was given routine care during the intermittent period and the Orem group was given Orem self-care model on the basis the control group. The incidence of complications, self-care ability and the score of life quality were compared between the two groups. Results The incidence of complications in the Orem group （8.8%） was lower than that of control group （32.4%）, with statistically significant difference （P ＜ 0.05）. After nursing, the score of self-care ability in the two groups were all higher than that of before nursing, and that in Orem group was higher than that of control group, with statistically significant difference （P ＜ 0.05）. After nursing, the scores of life quality such as social relationships, environment, physiology, psychology in the Orem group were all higher than those of control group, with statistically significant differences（P ＜ 0.05）. Conclusion Orem self-care model can improve the self-care ability of the patients of lymphoma with PICC tube during the intermittent period, reduce the incidence of complications, so as to promote the quality of life.
出处
《中国医药导报》
CAS
2017年第35期147-150,共4页
China Medical Herald
基金
黑龙江省卫生计生委科研课题(2016-097)
