Orem自理理论在颈椎骨折患者手术术后护理中的应用  

Application of Orem self-care theory in postoperative nursing of patients with cervical vertebral fracture

作　　者：王春丽 于鹏[2] 陈叶丹 钟贞浩 王文贤 WANG Chun-li;YU Peng;CHEN Ye-dan;ZHONG Zhen-hao;WANG Wen-xian(Department of Operating Room, the First Affiliated Hospital of Hainan Medical Callege, Hainan 570102, China;Department of Orthox, the First Affiliated Hospital of Hainan Medical University, Hainan 570102, China)

机构地区：[1]海南医学院第一附属医院手术室,海南海口570102 [2]海南医学院第一附属医院脊椎骨病外科,海南海口570102

出　　处：《广西大学学报（自然科学版）》2020年第2期451-457,共7页Journal of Guangxi University（Natural Science Edition）

基　　金：国家自然科学基金项目资助(81260271)。

摘　　要：探讨Orem自理理论在颈椎骨折患者手术术后护理中的应用及对患者QOL评分的影响。选取2016年1月~2019年1月在院接受治疗的100例颈椎骨折手术患者,作为研究对象。将患者分为A组与B组,其中A组49例患者接受骨折手术后,采用常规护理方法;B组51患者骨折手术后在A组常规护理基础之上应用Orem自理理论。A组患者术后治疗前QOL生活质量评分(16.15±1.13分)与B组治疗前QOL生活质量评分(16.29±3.94分)比较,无明显差异(P>0.05)。A组患者术后治疗6个月后QOL生活质量评分(38.17±0.66分)显著低于B组患者6个月QOL生活质量评分(58.11±0.87分),组间比较存在显著差异(P<0.05),统计有学意义。A组患者总的并发症发生率为18.37%显著高于B组总的并发症发生率1.96%,组间比较存在差异(P<0.05),统计学有意义。A组术后10 d VAS疼痛评分轻度1例、中度42例、重度6例与B组术后10 d VAS疼痛评分轻度45例、中度6例、重度0例相比,组间比较存在差异(P<0.05),统计学有意义。A组患者护理满意度(69.39%)显著低于B组护理满意度(98.04%),组间比较存在显著差异(P<0.05),统计学有意义。Orem自理理论在颈椎骨折患者手术术后护理中的应用,能够提高患者QOL评分,降低患者身体疼痛程度,增强患者自护能力,提高患者的满意度,临床相关领域,值得广泛推广与应用。To explore the application of Orem's self-care theory in postoperative nursing of patients with spinal fracture and its influence on patients'QOL score.From January 2016 to January 2019,one handred patients with cervical spine fracture underwent surgery in our hospital were selected as the subjects of study.The patients were divided into group A and group B.forty nine patients in group A received routine nursing after fracture operation.fifty one patients in group B received Orem self-care theory on the basis of routine nursing after fracture operation.There was no significant difference in QOL quality of life score(16.15±1.13)between group A and group B before treatment(16.29±3.94)(P>0.05).The QOL quality of life score of group A(38.17±0.66)was significantly lower than that of group B(58.11±0.87)after 6 months of treatment.There were significant differences between groups(P<0.05).The total incidence of complications in group A was 18.37%,which was significantly higher than that in group B,which was 1.96%.There were significant differences between groups(P<0.05).The application of Orem self-care theory in the post-operative nursing of patients with spinal fracture can improve the QOL score of patients,reduce the degree of physical pain,enhance the self-care ability of patients,and improve the satisfaction of patients.It is worth popularizing and applying widely in clinical related fields.

关 键 词：OREM自理理论 颈椎骨折 手术 术后护理 QOL评分 

分 类 号：R683.2[医药卫生—骨科学]