Orem自护模式对下肢动脉闭塞症支架植入患者术后康复的影响  

Effect of Orem self-protection mode on the postoperative rehabilitation of patients with arteriosclerosis obliterans after stent implantation

作　　者：田素红[1] 高秀红[2] 徐宝珍[1] 

机构地区：[1]河北联合大学附属医院介入科,唐山063000 [2]河北联合大学编辑部,唐山063009

出　　处：《中华现代护理杂志》2013年第1期34-36,共3页Chinese Journal of Modern Nursing

基　　金：唐山市科学技术研究与发展计划项目（12150222B-5）

摘　　要：目的探讨Orem自护模式对下肢动脉闭塞症支架植入患者术后康复知识掌握情况及并发症、不良反应发生情况的影响。方法将100例下肢动脉闭塞症支架植入术患者按随机数字表法随机分为观察组和对照组各50例，观察组患者给予Orem自护模式，对照组患者给予常规护理模式，比较两组患者康复知识的掌握情况及术后并发症、不良反应的发生情况。结果两组患者足部护理知识掌握情况比较，差异无统计学意义（P〉0．05）；观察组患者对疾病的相关知识、行走训练、Buerger运动、服用抗凝药的注意事项知识的掌握情况均明显优于对照组，差异均有统计学意义（x2分别为11．42，9．76，19．05，7．48；P〈0．01）；两组患者术后肺部感染、出血、过度灌注综合征及尿潴留不良反应和并发症比较，差异无统计学意义（P〉0．05）；观察组发生腰背疼痛、压疮、下肢血管再栓塞例数分别为3，0，1例，均低于对照组的13，5，6例，差异均有统计学意义（x2分别为7．44，5．60，3．85；P〈0．05）。结论Orem自护模式能促进ASO支架植入患者的术后康复，增强患者的自理能力。Objective To discuss the effect of Orem self protection mode on the postoperative rehabilitation knowledge, complications as well as adverse reactions of patients with arteriosclerosis obliterans （ASO） after stent implantation. Methods A total of 100 patients with ASO after stent implantation were randomly divided into the observation group and the control group according to a random number table method, each with 50 cases. The observation group received Orem self-protection mode, while the control group received conventional nursing mode. Two groups rehabilitation knowledge, postoperative complications and adverse reactions were compared. Results There was no statistically significant difference in foot nursing knowledge between two groups （ P 〉 O. 05 ）. Patients in the observation group had better knowledge of the disease, walking exercise, Buerger exercise and notes on taking anticoagulant drugs than those in the control group, and the differences were statistically significant （ ~2 = 11.42,9.76,19.05,7.48, respectively ; P 〈 0. O1 ）. There were no statistically significant differences in adverse reaction and complications including pulmonary infection, bleeding, cerebral hyperperfusion syndrome and urine retention between two groups （ P 〉 0. 05 ）. Cases of lumbago and dorsalgia, pressure sore and re-embolization of lower limb blood vessels were 3, 0 and 1 in the observation group, and 13, 5 and 6 in the control group, and the differences were statistically significant （X2 = 7.44,5.60,3.85, respectively ; P 〈0. 05）. Conclusions Orem self-care mode can promote the postoperative rehabilitation of patients with ASO stent implantation, and improve their self-care ability.

关 键 词：康复护理 OREM自护模式 下肢动脉闭塞症 支架植入 

分 类 号：R473.6[医药卫生—护理学]