Effectiveness of Orem's self-care model nursing combined with nutritional intervention in postoperative patients with colorectal cancer.

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Xiaoxia Zhu, Shan Zhao, Rui Tang, Qin Xu, Linxia Xu, Yejiang Zhou, Daiying Zhang
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Abstract

Objective: This study aimed to evaluate the effectiveness of Orem's self-care model combined with nutritional intervention in postoperative patients with colorectal cancer (CRC).

Methods: Eighty-four postoperative CRC patients were enrolled and randomly divided into a control group (n = 42) or an observation group (n = 42). The control group received routine postoperative care, while the observation group received additional nursing based on Orem's self-care model plus nutritional intervention. Clinical indicators, including serum prealbumin (PA), albumin (ALB), total protein (TP), and body mass index (BMI), were compared between groups before and after care. Anxiety and depression were assessed using the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Self-care agency and quality of life were measured using the Exercise of Self-Care Agency (ESCA) Scale and the Comprehensive Oncology Health Outcome Scale-Quality of Life (COH-QOL-OQ). Patient satisfaction with care was also compared between groups.

Results: The observation group achieved shorter times to first flatus, first oral intake, and first ambulation, and shorter hospital stay compared to the control group (P < 0.05). After nursing, PA, ALB, TP, and BMI increased significantly in both groups, with higher levels in the observation group (P < 0.05). SAS and SDS scores were decreased in both groups, with lower values in the observation group (P < 0.05). ESCA and COH-QOL-OQ scores increased in both groups, with great improvements in the observation group (P < 0.05). Patient satisfaction was higher in the observation group (95.24%) than in the control group (73.81%) (P < 0.05).

Conclusion: Orem's self-care model combined with nutritional intervention accelerates postoperative recovery, improves nutritional status, alleviates negative emotions, enhances self-care ability, and improves quality of life in CRC patients, thereby increasing patient satisfaction with care.

Orem自我护理模式护理结合营养干预在结直肠癌术后患者中的效果
目的:本研究旨在评价Orem自我护理模式联合营养干预在结直肠癌(CRC)术后患者中的效果。方法:84例结直肠癌术后患者随机分为对照组(n = 42)和观察组(n = 42)。对照组患者术后给予常规护理,观察组患者根据Orem自我护理模式进行额外护理,并进行营养干预。比较两组患者护理前后血清白蛋白(PA)、白蛋白(ALB)、总蛋白(TP)、体重指数(BMI)等临床指标。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对焦虑和抑郁进行评估。采用ESCA自理能力量表和COH-QOL-OQ综合肿瘤健康结局量表-生活质量(COH-QOL-OQ)对生活自理能力和生活质量进行测量。比较两组患者对护理的满意度。结果:观察组患者第一次排气、第一次口服、第一次下床时间较对照组短,住院时间较对照组短(P)。结论:Orem自我护理模式结合营养干预,加快了结直肠癌患者术后恢复,改善了营养状况,缓解了负面情绪,增强了自我护理能力,提高了患者的生活质量,提高了患者的护理满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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