基于Orem自护模式的护理理念对股骨头坏死患者术后生存质量的影响  

The effect of nursing concept based on Orem self-care model on the quality of life of patients with femoral head necrosis after surgery

作　　者：王萌斐[1] 张丽[1] 陈艳[1] 顾羊林[1] 

机构地区：[1]南京医科大学附属无锡市第二人民医院骨科,214002

出　　处：《国际医药卫生导报》2017年第2期155-158,共4页International Medicine and Health Guidance News

基　　金：无锡市卫生局科研项目（Q201407）

摘　　要：目的探讨基于Orem自护模式的护理理念对股骨头坏死患者术后生存质量的影响。方法选取2012年8月至2015年8月收治的接受手术治疗的股骨头坏死患者92例，随机分为两组，每组46例。对照组行常规护理，观察组依基于Orem自护模式的护理理念进行护理，对比两组术后生存质量评分、髋关节功能恢复和护理满意度情况。结果观察组术后6个月生理功能、躯体疼痛、活力、社会功能、情感职能、精神健康、总体健康生存质量评分均高于对照组，差异有统计学意义（P〈0．05）。观察组总优良率为93．48％，高于对照组的71．74％，差异有统计学意义（P〈0．05）。观察组护理满意度为97．83％，优于对照组的80．43％，差异有统计学意义（P〈0．05）。结论基于Orem自护模式的护理理念应用于股骨头坏死患者可明显提高患者术后生存质量，促进髋关节功能恢复，提高护理满意度。Objective To investigate the effect of nursing concept based on Orem self-care model on the quality of life of patients with femoral head necrosis after surgery. Methods From August 2012 to August 2015, 92 patients with femoral head necrosis treated by surgery were randomly divided into two groups, 46 cases in each group. Control group received routine care, observation group received nursing based on Orem self-care model. Compared postoperative life quality score, hip function recovery, and nursing satisfaction of two groups. Results The scores of physical function, physical pain, vitality, social function, emotional function, mental health, overall health of observation group 6 months after surgery were higher than those of control group, with statistically significant differences （P〈0.05）. The total excellent and good rate of observation group was 93.48%, which was higher than 71.74% of control group, with statistically significant difference （P〈0.05）. The nursing satisfaction degree of observation group was 97.83%, which was better than 80.43% of control group, with statistically significant difference （P〈0.05）. Conclusion Nursing concept based on Orem self-care model applied in patients with femoral head necrosis can significantly improve the quality of life of patients, promote functional recovery of hip joint, and improve nursing satisfaction.

关 键 词：OREM自护模式 护理 股骨头坏死 生存质量 干预效果 

分 类 号：R473.6[医药卫生—护理学]