Orem自理理论在盆腔脏器脱垂患者围手术期的应用  

Application of Orem self-care theory in patients with pelvic organ prolapse during peri-operative period

作　　者：忻莉莉[1] 杨婷[2] 黄竹[3] 徐静[4] 

机构地区：[1]首都医科大学附属北京妇产医院妇科微创中心病房,100006 [2]首都医科大学附属北京妇产医院麻醉恢复室,100006 [3]首都医科大学附属北京妇产医院妇科微创中心门诊,100006 [4]首都医科大学附属北京妇产医院妇科微创中心门诊手术室,100006

出　　处：《中华现代护理杂志》2013年第19期2264-2266,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨Orem自理理论在盆腔脏器脱垂患者围手术期中的应用效果。方法选取40例手术治疗盆腔脏器脱垂患者，按随机数字表法随机分为干预组与对照组各20例，干预组按照Orem自理理论进行护理，对照组按照常规康复指导（不加用自理理论），通过对其围手术期恢复状况进行对比，评价Orem自理理论的效果。结果干预组术后6h内不需任何外力的情况下可自行翻身、术后24h内屈伸踝关节运动、术后72h后可下床活动、精神状态良好和满意例数分别为19，18，19，18，18例，对照组分别为11，9，12，9，11例，两组比较差异均有统计学意义（X^2值分别为8．533，9．231，7．025，9．231，6．144；P〈0．05）。两组术后48h内能够肛门排气、拔尿管后2h内能够自主排尿、术后3d内能够自行排便及排便不费力人数比较，差异均有统计学意义（X^2值分别为8．533，7．025，7．025，9．231；P〈0．05）。结论Orem自理理论在盆腔脏器脱垂患者围手术期护理方面的应用切实可行，存在显著效益，能有效提高患者的自理能力。Objective To discuss the effect of Orem self-care theory for patients with pelvic organ prolapse during peri-operative period. Methods Forty cases of patients with pelvic organ prolapse were chosen and randomly divided into the intervention and control group, each with 20 eases. The intervention group received nursing according to Orem seff-care theory, while the control group received conventional rehabilitation guidance without self-care theory.. Patients＇ rehabilitation situation was compared during peri-operative period to evaluate the effect of Orem self-care theory. Results The number of patients who could turn over by themselves without external force in 6 hours after surgery, who could bend and stretch their ankle joint in 24 hours, who could get off bed for exercise in 72 hours, who had good mental states and who were satisfied was respectively 19,18,19,18,18 in the intervention group, and i 1,9,12,9,1i in the control group, and the differences were statistically significant （ X^2 = 8. 533,9.231,7. 025,9. 231,6. 144, respectively ;P 〈 0. 05 ）. And the differences of number of patients who could expel intestinal gas through anus in 48 hours after surgery, who could urinate by themselves 2 hours after pulling out the catheter, and who could defecate by themselves in 3 clays without difficulty between two groups were also statistically significant （ X2 = 8. 533,7. 025,7. 025,9.231, respectively; P 〈 0. 05 ）. Conclusions Orem seff-care theory for patients with pelvic organ prolapse during peri-operative period can improve their self-care ability and nursing efficiency, which is practical and worthy of promoting.

关 键 词：脱垂 内脏下垂 盆腔脏器脱垂 OREM自理理论 围手术期 

分 类 号：R473[医药卫生—护理学]