Orem自护理论对颅脑肿瘤术患者自护能力、心理状态及并发症的影响
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摘要
目的探讨Orem自护理论对颅脑肿瘤术患者自护能力、心理状态及并发症的影响。方法选取2014年3月至2017年6月我院180例颅脑肿瘤术患者为研究对象,根据入院单双号将其分为对照组和研究组,每组90例,两组分别行传统的围术期护理及Orem自护理论模式护理,比较两组患者自护能力、干预前、后心理状态及并发症发生情况。结果干预后,研究组患者自护能力高等比例显著高于对照组(P<0.05)。干预后,两组患者的HAMD、HAMA评分均显著降低,且研究组显著低于对照组(P<0.05)。研究组患者术后并发症总发生率显著低于对照组(P<0.05)。结论 Orem自护理论可有效提高患者的自护能力,改善心理状态,减少术后并发症的发生风险,在颅脑肿瘤术患者护理中具有较高的应用价值。
Objective To explore the effect of Orem self-protection theory on self-protection abilities, mental status and complications in patients underwent brain tumor surgery. Methods A total of 180 patients underwent brain tumor surgery from March 2014 to June 2017 were selected as the study subjects. According to odd or even number of admission number,all the patients were divided into control group and study group, with 90 cases in each group. The control group and the study group was given perioperative nursing and Orem self-protection theory model nursing respectively. The self-protection abilities, mental status before and after intervention and complications were compared between the two groups.Results After intervention, the proportion of high grade self-protection ability in the study group was obviously higher than that in the control group(P<0.05). After intervention, the HAMD, HAMA scores of the two groups significantly decreased,and those in the study group were obviously lower than the control group(P <0.05). The total incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05). Conclusion Orem selfprotection theory can effectively increase self-protection ability, improve mental status and reduce the risk of postoperative complications, and with a high application value in nursing of patients undergoing brain tumor surgery.
Objective To explore the effect of Orem self-protection theory on self-protection abilities, mental status and complications in patients underwent brain tumor surgery. Methods A total of 180 patients underwent brain tumor surgery from March 2014 to June 2017 were selected as the study subjects. According to odd or even number of admission number,all the patients were divided into control group and study group, with 90 cases in each group. The control group and the study group was given perioperative nursing and Orem self-protection theory model nursing respectively. The self-protection abilities, mental status before and after intervention and complications were compared between the two groups.Results After intervention, the proportion of high grade self-protection ability in the study group was obviously higher than that in the control group(P<0.05). After intervention, the HAMD, HAMA scores of the two groups significantly decreased,and those in the study group were obviously lower than the control group(P <0.05). The total incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05). Conclusion Orem selfprotection theory can effectively increase self-protection ability, improve mental status and reduce the risk of postoperative complications, and with a high application value in nursing of patients undergoing brain tumor surgery.
引文
[1]张佳佳,徐希德,金红珍.Orem自护理论运用于颅脑肿瘤术患者护理中的效果[J].现代中西医结合杂志,2017,26(13):1471-1473.
[2]韩秀红,李军,张艳秋.脑肿瘤患者围手术期中优质护理的临床效果观察[J].医学理论与实践,2016,29(15):2102-2103.
[3]时丽娜.Orem自护理论对脑出血术后病人自护能力和日常生活活动能力的影响[J].全科护理,2017,15(3):324-325.
[4]付莲英,杨海兰,廖爱民.基于Orem自护理论的更衣训练对脑卒中偏瘫患者日常生活活动能力的影响[J].现代临床护理,2017,16(7):25-29.
[5]曹雅清,修晓青,庞恒元,等.对脑肿瘤患者实施围手术期系统化护理管理的效果研究[J].护理管理杂志,2016,16(6):455-456.
[6]胡蕴绮,潘菁,万霞,等.社区老年人自我护理能力与自我效能感的相关性[J].中国老年学杂志,2015,35(5):1372-1374.
[2]韩秀红,李军,张艳秋.脑肿瘤患者围手术期中优质护理的临床效果观察[J].医学理论与实践,2016,29(15):2102-2103.
[3]时丽娜.Orem自护理论对脑出血术后病人自护能力和日常生活活动能力的影响[J].全科护理,2017,15(3):324-325.
[4]付莲英,杨海兰,廖爱民.基于Orem自护理论的更衣训练对脑卒中偏瘫患者日常生活活动能力的影响[J].现代临床护理,2017,16(7):25-29.
[5]曹雅清,修晓青,庞恒元,等.对脑肿瘤患者实施围手术期系统化护理管理的效果研究[J].护理管理杂志,2016,16(6):455-456.
[6]胡蕴绮,潘菁,万霞,等.社区老年人自我护理能力与自我效能感的相关性[J].中国老年学杂志,2015,35(5):1372-1374.