标题：Orem自理模式对晚期声门癌患者癌因性疲乏的影响

      作者：钟时汝 1，马玲国 2，王木清 2
    (暨南大学第二临床医学院深圳市人民医院手显微外科 1、耳鼻喉外科 2，广东 深圳 518020)

      卷次： 2016年27卷19期

      【摘要】 目的 探讨Orem自理模式对晚期声门癌患者癌因性疲乏的影响。方法 选取2013年2月至2016年
2月入住我院的120例晚期声门癌患者，按随机数表法分为观察组与对照组，每组60例，对照组患者予以临床传统
的常规护理措施进行护理，观察组患者则予以Orem自理模式进行护理，比较两组患者的癌因性简短疲乏评估量表
(BFI)评分及癌因性疲乏发生率等情况。结果 护理干预后,观察组患者的BFI评分为(4.05±1.34)分，明显少于对照
组的(5.12±1.20)分，差异具有统计学意义(P<0.05)；观察组患者癌因性疲乏总体发生率为66.67%，明显低于对照组
的 88.33%，差异具有统计学意义(P<0.05)。结论 在晚期声门癌患者的治疗中实施Orem自理模式的综合护理干
预，能显著降低患者癌因性疲乏程度，降低癌因性疲乏发生率，促进患者康复，提高患者生活生存质量，值得临床推
广应用。

      【关键词】 Orem自理模式；晚期声门癌；癌因性疲乏；影响

      【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350（2016）19—3263—03


Effect of Orem self-care model on cancer related fatigue in patients with advanced carcinoma of the larynx.
ZHONG Shi-ru 1, MA Ling-guo 2, WANG Mu-qing 2.
Department of Hand Microsurgery 1, Department of Otolaryngology 2,
Shenzhen People's Hospital, the Second Clinical Medical College of Jinan University, Shenzhen 518020, Guangdong, CHINA

【Abstract】 Objective To investigate the influence of Orem self-care model on cancer related fatigue in pa-
tients with advanced carcinoma of the larynx. Methods A total of 120 cases of advanced glottic cancer patients admit-
ted to our hospital from February 2013 to February 2016, were randomly divided into observation group and control
group according to random number table, with 60 cases in each group. Patients in the control group received the tradi-
tional clinical routine nursing , and patients in the observation group received Orem self-care model. Cancer related brief
fatigue inventory (BFI) scores and cancer rate due to fatigue of two groups were observed and compared. Results After
nursing intervention, BFI scores of the observation group (4.05±1.34) were significantly lower than that of the control
group (5.12±1.20), P<0.05. The overall incidence of cancer related fatigue in observation group (66.67%) was signifi-
cantly lower than that in the control group (88.33%), P<0.05. Conclusion The implementation of comprehensive nurs-
ing intervention based no Orem self-care model in the treatment of advanced glottic cancer can significantly reduce the
patients' cancer related fatigue levels and cancer related fatigue occurrence rate, and promote the rehabilitation of pa-
tients, which can improve the quality of life, and is worthy of further clinical application and promotion.

      【Key words】 Orem self-care model; Advanced carcinoma of the larynx; Cancer related fatigue; Influence
基金项目：2015年度广东省深圳市科技计划项目(编号：20150316113407)