Orem自護理論對鼻咽癌放療患者自護能力及放療反應的影響

Introduction

Orem'sself-caretheoryhasbeenextensivelyusedandappliedinthehealthcaresectortoguidepatientcare.Itisknowntoemphasizeontheindividual'sabilitytolearnandachieveself-care.Inlinewiththistheory,thisstudyseekstodeterminetheimpactofOrem'sself-caretheoryontheself-careabilityofnasopharyngealcarcinoma(NPC)patientsundergoingradiotherapy(RT)andtherelationshipbetweenself-careabilitywithRTadversereactions.

LiteratureReview

NasopharyngealCarcinoma(NPC)isatypeofheadandneckcancerthatiscommoninSoutheastAsiaandSouthernChina.RadiotherapyisthestandardtreatmentforNPCpatients,whichcanleadtoseveraladversereactions,includingmucositis,xerostomia,anddysphagia.Theseadversereactionsnegativelyimpactthepatient'squalityoflifeandoftenleadtomalnutrition,dehydration,andeventreatmentdiscontinuation.Itis,therefore,paramountforNPCpatientstoenhancetheirself-careabilitytomanagethesecomplications.

Orem'sself-caretheoryisbasedonthreeinterrelatedtheories-self-care,self-caredeficit,andnursingtheory.Self-carereferstotheindividual'sabilitytotakecareofthemselvestomaintainhealthandwell-being,self-caredeficitiswhenanindividualcannotmeettheirself-carerequirements,andnursingtheoryisfocusedonprovidingnursingcaretoindividualstoenhancetheirself-careability.Orem'sself-caretheoryhasbeenshowntocontributetotheimprovementofpatientoutcomesindifferentpopulations.

ResearchDesignandMethods

ThisstudyisdesignedasarandomizedcontrolledtrialtoevaluatetheeffectofOrem'sself-caretheoryonNPCpatientsreceivingradiotherapy.Thestudywillinclude100NPCpatientswhohavereceivedRTinthepreviousfourweeks.Theparticipantswillbeallocatedtoeithertheinterventiongrouporcontrolgroup.

Theinterventiongroupwillreceiveastructuredself-careeducationprogrambasedonOrem'sself-caretheory.Theprogramwillbedeliveredbyatrainedclinicalnursespecialistintwosessionsperweekforfourweeks.Theprogramwillfocusoneducationaboutself-carerequirements,self-careneeds,techniquesforself-care,andself-careevaluation.Thepatientsinthecontrolgroupwillreceiveconventionalnursingcare,whichisthestandardofcareforallpatients.

Theprimaryoutcomemeasureistheself-careabilityofthepatients,whichwillbeevaluatedusingtheOremself-carescalebeforeandaftertheintervention.Thesecondaryoutcomemeasureistheincidenceofadversereactions,includingmucositis,xerostomia,anddysphagia,whichwillbeevaluatedusingtheCTCAEversion5.0scale.DataanalysiswillbeconductedusingSPSS25.

ExpectedResults

Itisexpectedthatpatientsintheinterventiongroupwillhaveasignificantimprovementintheirself-careabilitycomparedtothecontrolgrouppost-intervention.Furthermore,itishypothesizedthatpatientswithahigherself-careabilityscorewillhavealowerincidenceofadversereactionstoRT.

Discussion

ThisstudyaimstoevaluatetheeffectofOrem'sself-caretheoryontheself-careabilityofNPCpatientsundergoingRT.Thestudy'sfindingswillhavesignificantimplicationsfornursingcarepracticeinNPCpatientsandgeneralcancercare.ItwillprovideinsightintotheeffectivenessofOremself-caretheoryinenhancingtheself-careabilityofcancerpatients,whichcouldimprovetreatmentoutcomesandreduceadversereactions,thusenhancingthepatient'squalityoflife.ItisrecommendedthatfurtherstudiesbeconductedtoevaluatetheeffectivenessofOrem'sself-caretheoryinothercancerpatientpopulations.

Conclusion

Inconclusion,Orem'sself-caretheoryhassignificantimplicationsforthecareofNPCpatientsundergoingradiotherapy.Theproposedstudywillprovideevidenceontheeffe