Orem自理理论在腹腔镜下行脾切除术后护理中的应用

UTILIZATION OF OREM'S THEORY OF SELF-CARE IN PATIENT UNDERGOING LAPAROSCOPIC SPLENECTOMY

目的:探讨Orem自理理论在腹腔镜下行脾切除术后护理中的应用效果。方法:将128例腹腔镜脾切除术病人随机分为对照组和实验组,对照组按术后常规进行护理,实验组在此基础上应用Orem完全补偿系统、部分补偿系统和支持教育系统进行护理干预,观察两组术后下床活动时间、肛门排气时间、肠蠕动恢复时间、患者对相关知识的掌握情况、病员满意度。结果:与对照组比较,实验组术后下床活动时间明显提前(χ2=18.57,P<0.01),术后肠蠕动恢复时间明显缩短(χ2=15.23,P<0.01),病员对疾病的认知度、护理满意度提高。结论:将Orem自理理论用于腹腔镜脾切除术后护理中,能调动和激发病人主观能动性,病员对疾病知识详细了解,提高自我护理能力,促进病员早日康复,增进了护患关系。

To evaluate the efficacy of Orem＇s theory of self-care in patient undergoing laparoscopic splenectomy. Methods：128 patients undergoing of laparoscopic splenectomy were randomly divided into control group and test group. The control group was treated with routine nursing, and the test group was treated with Orem complete back-up system,partial back-up system, supporting educational system and nursing intervene. The time for out-of-bed activity, gastrointestinal peristalsis and passage of gas by anus was recorded. The degree of satisfaction of nursing and degree of patient＇s cognition were investigated.Results：Comparing with control group, the time of out-of-bed activity and gastrointestinal peristalsis was shortened and the degree of cognition was raised, and the degree of satisfaction was heightened in test group; there was significant difference between two group（X^2=18.57 ,X^2-15.23 ,P〈0.0l ）. Conclusions：Orem^s theory of self-care in patient undergoing of laparoscopic splenectomy could mobilize patient＇ s subjective initiative,enhance the patient＇ s cognition,raise self- nursing capability, promote patient＇ s recovery and improve nurse-patient relationship.