奥瑞姆自我照护对腹腔镜肝胆微创手术患者的影响  

Effect of Orem's Self-care Theory Based Nursing on Self-care Ability,Quality of Life,Anxiety and Depression of Patients Undergoing Laparoscopic Minimally Invasive Surgery for Hepatobiliary Disease

作　　者：刘沙沙 潘威婕 李慧[1] Liu Shasha;Pan Weijie;Li Hui(The First Affiliated Hospital of Henan University,Kaifeng,Henan 475000)

机构地区：[1]河南大学第一附属医院,河南开封475000

出　　处：《辽宁医学杂志》2023年第6期106-108,共3页Medical Journal of Liaoning

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190515)。

摘　　要：目的分析奥瑞姆自我照护理念下的护理策略对腹腔镜肝胆微创手术患者自我照护能力、生活质量及焦虑、抑郁情绪影响。方法选择医院2020年1月至2021年6月进行腹腔镜肝胆微创手术患者(胆结石)96例。采用计算机随机数字分组法将全部患者分成常规组及观察组,例数均48例。常规组患者接受常规护理干预,观察组患者接受奥瑞姆自我照护理念下的护理策略干预。比较两组患者自我照护能力、生活质量及焦虑、抑郁心理、并发症。结果干预前,两组患者健康知识水平、自我护理技能、自我责任感、自我概念评分差异比较均无统计学意义(均P>0.05)。干预结束1d,观察组患者健康知识水平、自我护理技能、自我责任感、自我概念评分均高于常规组(均P<0.05)。干预前,两组患者生活质量总分、SAS、SDS评分差异比较均无统计学意义(均P>0.05)。干预结束1d,观察组患者生活质量总分高于常规组(P<0.05),SAS、SDS评分低于常规组(P<0.05)。观察组患者并发症总率低于常规组(P<0.05)。结论奥瑞姆自我照护理念下的护理策略能明显改善腹腔镜肝胆微创手术患者自我照护能力、生活质量及焦虑、抑郁情绪,减少并发症。Objective To investigate the effect of Orem's self-care theory based nursing on self-care ability,quality of life,anxiety and depression of patients undergoing laparoscopic minimally invasive surgery for hepatobiliary disease.Methods Ninety-six patients underwent laparoscopic minimally invasive surgery for hepatobiliary disease in our hospital from January 2020 to June 2021 were enrolled,and randomly divided into two groups by computer,each with 48 cases.Routine group received conventional nursing interventions,while observation group received Orem's self-care theory based nursing intervention.Then comparison was conducted on the self-care ability,quality of life,anxiety,depression and complications.Results Baseline scores of health knowledge,self-care skills,self-responsibility and self-concept yielded no statistical difference between groups(all P>0.05),while the scores of above dimensions at 1 d after intervention were obviously elevated in observation group compared with control group(all P<0.05).The scores of quality of life,Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)demonstrated no statistical difference between groups before intervention(all P>0.05),while observation group scored higher in quality of life,and lower in SAS and SDS compared with those of control group at 1 d after intervention(all P<0.05).The total complication rate was lower in observation group than in control group(P<0.05).Conclusion Application of Orem's self-care theory based nursing for patients undergoing laparoscopic minimally invasive surgery for hepatobiliary disease can effectively ameliorate the self-care ability,quality of life,anxiety and depression status with low rate of complications.

关 键 词：奥瑞姆自我照护理念 腹腔镜肝胆微创手术 自我照护能力 生活质量 焦虑 抑郁 

分 类 号：R473.6[医药卫生—护理学]