Orem自理理论在断指再植术患者护理中的应用

The application of Orem＇s self--care theory to patient Nursing after finger replantation

目的：探讨0rem自理理论在断指再植术患者应用的可行性，为患者掌握更好的自我护理。方法：对2007年11月--2008年12月在我院实行断指再植术患者140例，随机分为观察组和对照组各70例，观察组用Orem自理理论进行护理，对照组实施常规护理。结果：运用Orem自理理论指导后，观察组的患者自我护理能力明显增强，患者在住院天数、并发症例数、护理满意度、知识掌握率等方面均有显著差异，P〈0．05。结论：自我护理的方法在断指再植术中应用具有可行性。

Objective：To explore the feasibility of Orem＇s self--care model for finger replantation. As a result,the patients can best perform the basic functions of self care. Methods： This research has been done at Jinsha Hospital of NanHai, and select 140 finger replantation patients from November 2007 to December 2008. In the randomized and single--blind trial,all cases are equally divided into two group, the observation group and the control group. The observation group are treated by use of Orem＇s self-- care model,the other settled by Conventional care. Results.. Under the direction of Orem＇s self--care theory, the observation group are obviously superior to the control in capability of self care. The observation group is significant differenc contrastly the control group （P〈0.05） in Hospital stay, complications, Nursing satisfaction and the levels of mastering know/edge. Conclusion： Orem＇s self--care model can be widely applied to amputated finger operation.