2016 年第 4 期 第 14 卷

奥瑞姻自理模式结合中医理论对喉癌患者生存质量及心理状态影响研究

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关键词：奥瑞姻自理模式结合中医理论喉癌心理状态生存质量

• 摘要：
• 【摘要】摘要 目的 运用奥瑞姻自理模式结合中医理论对喉癌手术患者进行干预，分析其对喉癌患者手术及术后心理状态和康复效果的影响。方法 选取2014年6月—2015年6月我院收治的150例喉癌患者作为本次研究的对象，将患者随机分成实验组75例和参照组75例，参照组行常规护理模式，实验组行奥瑞姻自理模式结合中医理论，评价并分析两组喉癌手术患者及术后的心理状态及生存质量。结果 两组术后康复指标相比，实验组各项生存质量指标，角色功能，躯体功能等均要显著高于参照组（p＜0.05）；围术期心理功能比较显示，两组术前SDS、SAS评分并无差异（p＞0.05），术后两组的SDS、SAS评分均显著下降，但实验组评分要显著低于参照组（p＜0.05）；此外，实验组不良反应的发生率为6.7%，参照组为29.3%，两组相比差异显著（χ2=12.98，p＜0.05），具有统计学意义。结论 运用奥瑞姻自理模式结合中医理论能够有效提高喉癌手术患者术后的生存质量，降低不良反应的发生率，对围术期患者心理状态的改善具有重要意义，值得在喉癌手术的护理中进行推广。
• Objective ：To investigate Orem self-care mode hemorrhoid surgery perioperative combined with TCM theory on the quality of life and psychological status of patients with laryngeal cancer. Method： From June 2014 - June 2015, our hospital 150 cases of laryngeal cancer patients as the research object, 75 cases of patients were randomly divided into experimental group and control group 75 cases, control group routine nursing model, the experimental group lines of the benzoin self-care mode in combination with TCM theory, evaluation and analysis of two groups of patients with laryngeal cancer surgery and postoperative psychological status and quality of life. Results： compared two groups of postoperative recovery index, the quality of life index, role function, physical function were significantly higher than that of control group (p < 0.05); Perioperative psychological function comparison shows, two groups of SDS and SAS scoring no difference (p > 0.05), two groups of postoperative of SDS and SAS scores were significantly decreased, but the experimental group score significantly lower than that of control group (p < 0.05); In addition, the experimental group the incidence of adverse reactions was 6.7%, the control group was 29.3%, significantly difference compared the two groups (chi-square = 12.98, p < 0.05), with statistical significance. Conclusion： the use of the because self-care mode combined with theory of traditional Chinese medicine can effectively improve the quality of life of postoperative mortality in patients with laryngeal cancer surgery, reduce the incidence of adverse reactions, the improvement of the psychological status in patients with perioperative is of great significance, is worth popularizing in laryngeal cancer surgery nursing.