基于加速康复外科理念的Orem护理模式对肠癌术后患者自我护理能力及心理健康的影响  

Impact of Orem Nursing Model Based on Enhanced Recovery after Surgery on Self-care Ability and Mental Health of Postoperative Patients with Colorectal Cancer

作　　者：裴菁[1] PEI Jing(Changzhou Traditional Chinese Medicine Hospital,Changzhou 213000,China)

机构地区：[1]常州市中医医院,江苏常州213000

出　　处：《中外医学研究》2025年第7期78-82,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨基于加速康复外科(ERAS)理念的Orem护理模式对肠癌术后患者自我护理能力及心理健康的影响。方法:选取2021年3月—2024年3月常州市中医医院收治的232例肠癌术后患者作为研究对象,通过随机数表法将其分为观察组和对照组,各116例。对照组实施常规护理,观察组在对照组基础上实施基于ERAS理念的Orem护理模式,两组护理周期为1个月。比较两组疼痛程度[视觉模拟评分法(VAS)和面部表情疼痛评分法(FPS-R)]、心理健康[贝克焦虑量表(BAI)和贝克抑郁量表(BDI)]、自我护理能力[自我护理能力量表(ESCA)]及康复效果(包括首次下床时间、首次肠蠕动时间、术后恢复时间和住院时间)。结果:护理后,两组VAS评分、FPS-R评分、BAI评分、BDI评分低于护理前,且观察组低于对照组,两组自我概念、自我责任感、自我护理技能及健康知识评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组首次下床时间、首次肠蠕动时间、术后恢复时间及住院时间均显著短于对照组,差异有统计学意义(P<0.05)。结论:基于ERAS理念的Orem护理模式能降低肠癌术后患者疼痛程度,改善心理健康,提高自我护理能力,并加速整体康复进程。Objective:To explore the impact of Orem nursing model based on enhanced recovery after surgery(ERAS)concept on selfcare ability and mental health of postoperative patients with colorectal cancer.Method:A total of 232 postoperative patients with colorectal cancer who admitted to Changzhou Traditional Chinese Medicine Hospital from March 2021 to March 2024 were selected as the study objects,and they were randomly divided into the observation group and the control group,with 116 cases in each group.The control group was given routine nursing,and the observation group was given Orem nursing mode based on ERAS concept on the basis of the control group,the nursing cycle of two groups were 1 month.The pain degree[visual analogue scale(VAS)and facial expression pain score(FPS-R)],mental health[Beck anxiety inventory(BAI)and Beck depression inventory(BDI)],self-care ability[self-care ability scale(ESCA)]and rehabilitation effect(including the first time of getting out of bed,the first time of intestinal peristalsis,postoperative recovery time and hospitalization time)were compared between two groups.Result:After nursing,the VAS scores,FPS-R scores,BAI scores and BDI scores of two groups were lower than those before nursing,and those of the observation group were lower than those of the control group,the scores of self-concept,self-responsibility,self-care skills and health knowledge of two groups were higher than those before nursing,and those of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05);the first time of getting out of bed,the first time of intestinal peristalsis,postoperative recovery time and hospitalization time of the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Orem nursing model based on ERAS concept can reduce the degree of pain in postoperative patients with colorectal cancer,improve mental health,improve self-care ability,and accelerate the overall reh

关 键 词：加速康复外科理念 OREM护理模式 自我护理能力 心理健康 肠癌术后康复 

分 类 号：R473.73[医药卫生—护理学]