摘要
目的探讨Orem自理理论在食管癌患者术后护理中的应用及对患者并发症发生的影响。方法选择2019年1月至2020年4月接收的食管癌患者中选取84例患者相关资料进行研究,依据术后护理方案的不同分这对照组和研究组,每组42例。对照组给予常规护理,研究组在护理中应用Orem自理理论干预。对比2组患者生活质量评分、2组患者术后并发症发生状况、2组患者自我护理能力以及对比2组患者术后恢复指标水平。结果研究组生理功能、躯体疼痛等生活质量评分均高于对照组(P<0.05);研究组术后并发症总发生率为21.5%低于对照组的45.2%(P<0.05);研究组患者各项自我护理能力评分及总评分均高于对照组(P<0.05);研究组术后引流管留置时间、雾化治疗时间以及住院天数均少于对照组(P<0.05)。结论将Orem自理理论应用至食管癌患者术后护理中,可有效降低患者术后并发症几率,利于患者生活质量水平及自我护理能力的提升,降低康复指标水平,值得推广。
Objective To investigate the application effects of Orem self-care theory in postoperative nursing for patients with esophageal cancer and its effects on the incidence of complications.Methods The relevant data of 84 patients with esophageal cancer who were treated in our hospital from January 2019 to April 2020 were retrospectively analyzed.According to different groups of postoperative care plans,these patients were divided into control group and research group,with 42 cases in each group.The patients in control group were treated by routine nursing,however,the patients in research group were treated by postoperative nursing based on Orem self-care theory.The life quality scores,the incidence of postoperative complications and the self-care ability as well as the postoperative recovery indexes were observed and compared between the two grousp.Results The scores of life quality including physiological function and physical pain in research group were significantly higher than those in control group(P<0.05).The total incidence of postoperative complications in research group was 21.5%,which was significantly lower than that(45.2%)in control group(P<0.05).Moreover the self-care ability scores and total scores in research group were significantly higher than those in control group(P<0.05),and the postoperative drainage tube indwelling time,nebulization treatment time and hospitalization days in research group were significantly less than those in control group(P<0.05).Conclusion The postoperative nursing based on Orem self-care theory for the patients with esophageal cancer can effectively reduce the incidence of postoperative complications,improve the life quality and self-care ability of patients,therefor,it is worthy of clinical promotion.
作者
卢红
潘慧
王安
程燕
LU Hong;PAN Hui;WANG An(Department of Cardiothoracic Surgery,People’s Hospital of Yixing City,Jiangsu,Yixing 214200,China)
出处
《河北医药》
CAS
2021年第23期3607-3610,共4页
Hebei Medical Journal
关键词
OREM自理理论
食管癌
术后护理
并发症
Orem theory of self-care
esophageal cancer
postoperative nursing
complications
