Effects of nursing based on Orem’s self-care model on self-care efficacy, quality of life and adverse emotions in patients with advanced lung cancer

摘要

Objective: To investigate the effects of nursing based on Orem’s self-care model on self-care efficacy, quality of life (QOL) and adverse emotions of patients with advanced lung cancer (ALC) receiving chemotherapy. Methods: A total of 71 patients with ALC aged 50-70 years, from our hospital were selected as the study subjects and divided into the control group (CNG, n = 35) and the experimental group (EXG, n = 36) using the random number table method. The CNG was treated with conventional chemotherapy combined with conventional nursing, while the EXG was treated with conventional chemotherapy combined with nursing based on Orem’s self-care model. The effects on self-care efficacy, QOL and adverse emotions in the two groups were observed before and after nursing. The General Self-Efficacy Scale (GSES) was scored in both groups. The patients’ body, physiology, psychology, society and health were scored using the QOL questionnaire for Chinese cancer patients receiving chemotherapy (QLQ-CCC). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the two groups were scored using the Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD). Results: The GSES scores in the EXG were remarkably higher than those in the CNG after intervention ( P 0.05). After intervention, the scores of the patients’ body, physiology, psychology, society and health in the EXG were higher than those in the CNG ( P 0.05). The scores of SAS and SDS in the EXG were lower than those in the CNG ( P 0.05). Conclusion: Nursing based on Orem’s self-care model can effectively improve the self-care efficacy and QOL, adverse emotions (e.g., anxiety and depression), and degree of pain of patients with ALC receiving chemotherapy. Therefore, it has a positive clinical significance.