CAJ | 학술논문

目的：探讨Orem支持教育系统对化疗期乳腺癌患者自我管理效能感的影响。方法将75例乳腺癌术后化疗患者,采用随机数字表法随机分为观察组39例和对照组36例。对照组给予常规护理,观察组根据自我管理能力和自我需求,运用Orem支持教育系统给予人性化心理支持和情感支持。干预前后应用中文版自我管理效能感量表( C-SUPPH )评估两组患者自我管理效能感的水平。结果干预前,75例化疗期乳腺癌患者中12%的患者自我管理效能感水平处于高等水平,82.7%的患者处于中等水平。干预后观察组自我管理效能感水平总分为(103.4±18.9)分,对照组为(50.94±8.31)分,两组比较差异有统计学意义(t=-15.74,P<0.01)。结论 Orem支持教育系统能提高化疗期乳腺癌患者自我管理能力和应对能力。
목적：탐토Orem지지교육계통대화료기유선암환자자아관리효능감적영향。방법장75례유선암술후화료환자,채용수궤수자표법수궤분위관찰조39례화대조조36례。대조조급여상규호리,관찰조근거자아관리능력화자아수구,운용Orem지지교육계통급여인성화심리지지화정감지지。간예전후응용중문판자아관리효능감량표( C-SUPPH )평고량조환자자아관리효능감적수평。결과간예전,75례화료기유선암환자중12%적환자자아관리효능감수평처우고등수평,82.7%적환자처우중등수평。간예후관찰조자아관리효능감수평총분위(103.4±18.9)분,대조조위(50.94±8.31)분,량조비교차이유통계학의의(t=-15.74,P<0.01)。결론 Orem지지교육계통능제고화료기유선암환자자아관리능력화응대능력。
Objective To explore the Orem support-education system′s influence on the breast cancer patients′self-management during chemotherapy. Methods A total of 75 cases of patients with breast cancer receiving postoperative chemotherapy were divided into observation group with 39 cases and control group with 36 cases, according to random alphabet. The Chinese Strategies Used by People to Promote Health ( C-SUPPH) was used to assess the patients′ level of self-management sense. The control group was given routine care, and according to self-management and self-requirement, the observation group was supported with Orem support-education system which could offer humanistic psychological and emotional support. Results The self-management sense level assessment of breast cancer patients during chemotherapy showed that 12% of the 75 patients were in high level and 82. 7% patients were in the medium level. After the intervention, the patients′ total score of self-management sense level was ( 103. 4 ± 18. 9 ) in the observation group, which was significantly higher than (50.94±8.31) in the control group (t= -15.74,P<0.01).Conclusions Orem education supporting system is effective to promote breast cancer patients′self-management and coping capacity during chemotherapy.