Orem自理理论在单孔腹腔镜肾切除术后护理中的应用  

Application of Orem in self nursing of single-arch laparoscopic nephrectomy

作　　者：白玫[1] 乔够梅[1] 张晓丽[1] 白雪[1] 

机构地区：[1]兰州军区兰州总医院,730050

出　　处：《安徽医学》2013年第9期1400-1402,共3页Anhui Medical Journal

基　　金：兰州军区医药卫生科研基金(项目编号:CLZ11JC08)

摘　　要：目的探讨Orem自理模式在单孔腹腔镜下肾切除术后患者护理中的应用,以Orem自理理论为指导,观察对单孔肾切除术患者术后生活质量及复发率的影响。方法选择2011年10月至2013年4月我院单孔腹腔镜肾切除术患者56例,随机分为两组,其中对照组27例,试验组29例。对照组术后常规护理,试验组以Orem自理理论进行护理。比较两组患者术后下床活动时间、住院时间、患者对相关知识的掌握情况及患者满意度等。结果试验组患者术后下床活动时间、住院时间、患者对疾病的认知度、患者满意度均明显高于对照组(P<0.05)。结论 Orem自理模式应用于单孔腹腔镜下肾切除术后患者的护理,不仅能调动和激发单孔腹腔镜下肾切除术患者主观能动性,变"替代护理"为"自我护理",而且能减少并发症的发生,提高患者的自理能力及生存质量。Objective To explore tile apphcation of Orem in self nursing of single - arch laparoscopic nephrectomy, and to observe life quality and the recurrence rate on patients who underwent single - arch laparoscopic nephrectomy using the Orem self - care mode. Meth- ods Forty - six cases single - arch laparoscopic nephrectomy patients from October 2011 to June 2013 were chosen and randomly divided in- to two groups, namely control group and experimental group. The control group used routine nursing; the experimental group used Orem self - care mode throughout the whole process of the nursing. Off bed time, hospital stay, disease cognition and satisfaction were compared be- tween the two groups. Results The off bed time, hospital time, disease cognition, and satisfaction of the patients in experimental group were significantly higher than those in control group （P 〈 0.05 ）. Conclusion Orem physical model can mobilize and motivate patient＇s subjective initiative, reduce patients complications, improve self- care ability and life quality, and make patient~ education individual, systematic, consistent and repeatable.

关 键 词：OREM 单孔腹腔镜手术 护理 

分 类 号：R473.6[医药卫生—护理学]