Objective To analyze the clinical efficacy of Orem's Self-Care Deficit Nursing Theory combined with the Transtheoretical Model (TTM) of behavior change in bone tumor patients. Methods Clinical data of 95 bone tumor patients admitted to the First Affiliated Hospital of Air Force Medical University, PLA, from January 2022 to August 2024 were retrospectively collected. After screening by inclusion and exclusion criteria, 80 patients were finally included. Patients were naturally grouped according to admission time: the control group (n=38, admitted from January 2022 to April 2023) received routine nursing, while the study group (n=42, admitted from May 2023 to August 2024) received Orem theory combined with TTM nursing. Pain status[Numerical Rating Scale (NRS), pain relief duration], psychological status [Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), General Self-Efficacy Scale (GSES)], self-care capacity [Barthel Index (BI)], and quality of life [Functional Assessment of Cancer Therapy-General (FACT-G)] were compared before intervention and 2 months post-intervention. Nursing satisfaction was also evaluated. Results Post-intervention, both groups showed decreased NRS, HAMA, and HAMD scores, and increased GSES, BI, and FACT-G scores. The intervention group demonstrated significantly greater improvements in all parameters and shorter pain relief duration (P<0.05). Nursing satisfaction was higher in the intervention group (92.86% vs 76.32%, P<0.05). Conclusion The integrated Orem-TTM nursing model effectively alleviates negative emotions, enhances self-efficacy, improves pain management, and promotes self-care capacity and quality of life in bone tumor patients.
Key words
bone neoplasms /
Orem's self-care deficit nursing theory /
transtheoretical model /
pain intensity /
psychological state /
self-care ability
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