Orem自理模式对三叉神经射频热凝术后患者自护能力及口腔健康状况的影响  

Effect of Orem self-care mode on self-care ability and oral health in patients after radiofrequency thermocoagulation of trigeminal neuralgia

作　　者：夏建妹 邓康 陈德健 朱志红 谢可越 方丽 姚明 XIA Jianmei;DENG Kang;CHEN Dejian;ZHU Zhihong;XIE Keyue;FANG Li;YAO Ming(Department of Pain,Affiliated Hospital of Jiaxing University,Jiaxing,Zhejiang 314000,China)

机构地区：[1]嘉兴大学附属医院疼痛科,浙江嘉兴314000

出　　处：《中华全科医学》2025年第4期708-712,共5页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2022KY1239);嘉兴市科技计划项目(2023AY31013)。

摘　　要：目的为解决三叉神经痛射频热凝术后患者因面部麻木引发无感自伤性口腔溃疡继而导致口腔健康状况恶化的问题,本研究将Orem自理模式应用于三叉神经痛射频热凝术后患者并探讨其在改善患者自护能力及口腔健康状况中的临床价值。方法回顾性选取2016年1月-2022年4月嘉兴大学附属医院疼痛科收治并行三叉神经痛射频热凝手术的患者90例为研究对象,根据术后护理模式不同分为观察组(46例)和对照组(44例)。观察组接受Orem自理模式,对照组接受传统护理模式。比较2组患者干预前后自我护理能力测定量表评分、口腔健康影响程度量表评分、三叉神经痛生活质量量表评分。结果观察组干预3个月后的自我护理能力测定量表各维度(自我概念、自护技能、自护责任感、健康知识水平)评分[(28.78±2.11)分、(21.91±2.02)分、(41.83±3.20)分、(61.13±3.98)分]均明显优于对照组[(25.25±4.11)分、(19.75±3.29)分、(38.45±6.35)分、(54.20±9.64)分,P<0.05];观察组干预3个月后的口腔健康影响程度量表总分为(13.67±2.87)分,明显优于对照组[(17.73±4.23)分,P<0.05];观察组干预3个月后的三叉神经痛生活质量量表各维度(三叉神经痛发作、心理维度、社会维度)评分[(9.50±2.25)分、(10.70±2.29)分、(10.16±2.09)分]均明显优于对照组[(7.87±1.64)分、(9.24±2.51)分、(8.30±1.44)分,P<0.05]。结论Orem自理模式能有效改善三叉神经射频热凝术后患者自护能力及口腔健康状况,提升生活质量,值得临床推广应用。Objective This study aims to address the issue of self-injurious oral ulcers caused by facial numbness in patients following radiofrequency thermocoagulation for trigeminal neuralgia,which contributes to the deterioration in oral health.By applying Orem's self-care model,this study explores the clinical value in enhancing self-care abilities and oral health in these patients.Methods A retrospective analysis was conducted on 90 patients who underwent radiofrequency thermocoagulation for trigeminal neuralgia at the Pain Department of Affiliated Hospital of Jiaxing University from January 2016 to April 2022.Based on different postoperative nursing models,patients were divided into an observation group and a control group.The observation group consisted of 46 patients who received Orem's self-care model,while the control group included 44 patients who received traditional nursing care.The scores for the exercise of self-care agency scale,oral health impact profile,and quality of life scale for trigeminal neuralgia were compared for both groups before and after the intervention.Results Three months after the intervention,the scores in all dimensions of the self-care ability scale(self-concept,self-care skills,self-care responsibility,health knowledge level)for the observation group[(28.78±2.11)points,(21.91±2.02)points,(41.83±3.20)points,and(61.13±3.98)points]were significantly higher than those of the control group[(25.25±4.11)points,(19.75±3.29)points,(38.45±6.35)points,and(54.20±9.64)points,P<0.05].The total score of the oral health impact profile for the observation group was(13.67±2.87)points,which was significantly better than that of the control group[(17.73±4.23)points,P<0.05].The scores in all dimensions of the quality of life scale for trigeminal neuralgia(trigeminal neuralgia attacks,psychological dimension,social dimension)for the observation group[(9.50±2.25)points,(10.70±2.29)points,and(10.16±2.09)points]were significantly better than those of the control group[(7.87±1.64)points,(9.24±2.51

关 键 词：三叉神经痛 自护能力 自护模式 口腔健康 生活质量 

分 类 号：R473.74[医药卫生—护理学] R745.1[医药卫生—临床医学]