Orem自理理论联合自我管理干预对PKEP患者预后的影响  

Effects of Orem self-care theory combined with self-management intervention on prognosis of patients with undergoing PKEP

作　　者：赵瑜[1] 蔡红艳[2] ZHAO Yu;CAI Hongyan(Department of Anesthesiology,Baoji Central Hospital,Baoji,Shaanxi 721008,China;Department of Urology,the Second Hospital of Yulin City,Yulin,Shaanxi 719000,China)

机构地区：[1]陕西省宝鸡市中心医院麻醉手术科,陕西宝鸡721008 [2]陕西省榆林市第二医院泌尿外科,陕西榆林719000

出　　处：《检验医学与临床》2020年第14期1997-1999,2003,共4页Laboratory Medicine and Clinic

摘　　要：目的探讨Orem自理理论联合自我管理干预对行经尿道等离子前列腺剜除术(PKEP)的前列腺增生(BPH)患者预后的影响。方法回顾性分析124例行PKEP治疗的BPH患者临床资料,根据其围术期管理方案分为常规自我管理干预(对照组,61例)及Orem自理理论联合自我管理干预组(观察组,63例)。记录两组术后1周、术后1个月、术后3个月继发性出血发生率,并比较两组术前和术后3个月时自我护理能力[自我护理能力测量量表(ESEA)]、自我效能感[一般自我效能感量表(GSES)]、临床症状[国际前列腺症状评分(IPSS)]及生活质量[生活质量综合评定问卷(GQOLI-74)]差异。结果观察组术后1周、术后1个月、术后3个月继发性出血发生率均低于对照组(P<0.05)。术后3个月时,两组ESEA、GSES、GQOLI-74评分均较术前升高(P<0.05),且观察组高于对照组(P<0.05);IPSS评分则较术前降低(P<0.05),且观察组低于对照组(P<0.05)。结论Orem自理理论联合自我管理干预能有效改善行PKEP治疗的BPH患者预后,于患者身心健康恢复有积极意义。Objective To investigate the effects of Orem self-care theory and self-management intervention on prognosis of patients with benign prostatic hyperplasia(BPH)undergoing transurethral plasmakinetic enucleation of prostate(PKEP).Methods The clinical data of 124 patients with BPH treated with PKEP in our hospital were retrospectively analyzed.According to their perioperative management regimens,they were divided into routine self-management intervention group(control group,61 cases)and Orem self-care theory combined self-management intervention group(observation group,63 cases).The incidence rate of secondary bleeding was recorded in the two groups at 1 week,1 month and 3 months after surgery,and the self-care ability[exercise of self-care agency scale(ESEA)],self-efficacy[general self-efficacy scale(GSES)],clinical symptoms[international prostate symptom score(IPSS)]and quality of life[general quality of life inventory(GQOLI-74)]before surgery and at 3 months after surgery were compared between the two groups.Results The incidence rate of secondary bleeding in observation group was lower than that in control group at 1 week,1 month and 3 months after surgery(P<0.05).At 3 months after surgery,the scores of ESEA,GSES and GQOLI-74 in the two groups were higher than those before surgery(P<0.05),and the scores in observation group were higher than those in control group(P<0.05).The IPSS score was lower than that before surgery(P<0.05),and the score in observation group was lower than that in control group(P<0.05).Conclusion Orem self-care theory combined with self-management intervention can effectively improve the prognosis of patients with BPH treated by PKEP,and has positive significance in the recovery of physical and mental health of patients.

关 键 词：OREM自理理论 自我管理 前列腺增生 等离子前列腺剜除术 继发性出血 

分 类 号：R473.6[医药卫生—护理学]