Orem自理理论指导胃癌术后患者口腔护理的效果评价  

作　　者：范媛媛 张学敏[2] 冯应强 翟明晶 李江慧 张立国[2] 

机构地区：[1]承德医学院,河北承德067000 [2]承德医学院附属医院,河北承德067000

出　　处：《医药界》2018年第23期103-105,共3页

摘　　要：目的探讨Orem自理理论应用于胃癌术后留置胃管(鼻胃管和鼻空场营养管)患者口腔护理中的应用效果。方法将99例胃癌术后留置胃管患者随机分为对照组49例和实验组50例,对照组按常规口腔护理,实验组实行自我口腔护理,包括Bass刷牙,按摩唾液腺,咀嚼口香糖等。结果实验组患者从口腔清洁度、口干、口臭等口腔情况、口腔舒适情况、心理状态、日常生活能力及自我护理能力等方面进行比较均优于对照组,差异有统计学意义(P﹤0.05)。结论自我口腔护理能有效清洁口腔,预防患者口干、口臭、咽痛及口腔溃疡的发生,使患者身心更为舒适;同时有效调动患者的主观能动性,提高患者的自理能力,利于患者疾病的康复。Objective To explore the application of Orem self-care theory in oral nursing care of patients with gastric tube(nasogastric tube and nasal empty space nutrition tube)after gastric cancer surgery.Methods 99 patients with gastric cancer after operation were randomly divided into control group(49 cases)and experimental group(50 cases).The control group received routine oral care.The experimental group received self-oral care,including Bass brushing teeth,massaging salivary glands,chewing gum and so on.Results The experimental group was superior to the control group in oral cleanliness,dry mouth,halitosis and other oral conditions,oral comfort,psychological status,the ability of daily life and the first time of leaving bed,the difference was statistically significant(P<0.05).Conclusions Self-oral care can effectively clean the mouth,prevent the occurrence of dry mouth,halitosis,sore throat and oral ulcer,and make the patients more comfortable physically and mentally.At the same time,it can effectively mobilize the subjective initiative of patients,improve the ability of self-care of patients and is conducive to the rehabilitation of patients with disease.

关 键 词：护理 OREM自理理论 胃癌 口腔护理 

分 类 号：R473.5[医药卫生—护理学]