Orem自我护理理论延续护理对伤后瘢痕增生期患者的影响  

Influence of Orem Self-Care Theory on Patients with Scar Hyperplasia

作　　者：牛艳玲 孙柯 常超楠 NIU Yan-ling;SUN Ke;CHANG Chao-nan(Department of General Surgery,Zhengzhou 460 Hospital,Henan Province 450000,China;Department of Burn Plastic Surgery,988 Hospital of Joint Logistic Support Force,Henan Province 450000,China)

机构地区：[1]郑州四六〇医院普外科,河南郑州450000 [2]联勤保障部队第九八八医院烧伤整形科&普外科,河南郑州450000

出　　处：《中国医疗美容》2024年第6期91-94,共4页China Medical Cosmetology

摘　　要：目的探究Orem自我护理理论延续护理对伤后瘢痕增生期患者的影响。方法回顾性分析郑州四六〇医院2021年5月-2022年12月收治的60例伤后瘢痕增生期患者的临床资料,依据护理方式分为对照组、研究组,每组各30例。对照组患者应用常规护理,研究组患者应用Orem自我护理理论延续护理。对比两组患者自我护理能力、瘙痒和疼痛感、负性情绪、患病体验感、护理满意度。结果研究组患者护理1个月、护理12个月的自我护理能力量表(ESCA)评分均高于对照组(P<0.05)。研究组患者护理1个月、护理12个月的瘙痒感评分、疼痛感评分均低于对照组(P<0.05)。研究组患者护理1个月、护理12个月的汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分均低于对照组(P<0.05)。研究组患者护理1个月、护理12个月的患病体验感评分明显低于对照组(P<0.05)。研究组患者护理满意度明显高于对照组(P<0.05)。结论Orem自我护理理论延续护理可有效提高伤后瘢痕增生期患者的自我护理能力,减轻瘙痒疼痛感、焦虑,降低抑郁情绪,改善患病体验感。Objective To explore and analyze the application value of nursing intervention in skin flap transplantation for repairing finger skin defects.Methods From October 2020 to October 2023,100 patients with finger skin defects admitted to our hospital were selected for nursing intervention,and the recovery status of patients before and after nursing was observed and analyzed.Results After nursing,the scores of Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in patients were lower than before nursing(P<0.05);After nursing,the active and passive range of motion of the patient's fifinger joints was higher than before nursing(P<0.05);After nursing,the patient's daily living activity score was higher than before nursing(P<0.05);The incidence of postoperative complications in patients was 3.00%,and nursing satisfaction was 96.00%.Conclusion The application of scientific nursing intervention in skin flflap transplantation for repairing fifinger skin defects can help patients improve their psychological state,promote fifinger function recovery,enhance daily life activities,reduce complications,and achieve high nursing satisfaction.

关 键 词：Orem自我护理理论 延续护理 伤后瘢痕增生期 自我护理能力 

分 类 号：R473.6[医药卫生—护理学]