Orem自理理论对宫颈癌患者术后尿潴留的影响

Effect of Orem self-care theory on urinary retention after radical hysterectomy

目的探讨Orem自理理论对宫颈癌术后尿潴留的影响。方法将78例宫颈癌行子宫切除术患者随机分为干预组和对照组各39例，对照组采用常规护理模式，干预组遵循Orem自理理论为患者提供完全补偿系统护理。比较两组患者术后尿潴留和焦虑、抑郁发生率，分析尿潴留发生的危险因素。结果干预组患者发生尿潴留11例，对照组20例，差异有统计学意义（x2=4．336，P〈0．01），术后1个月，干预组中出现焦虑或抑郁患者10例，对照组32例，差异有统计学意义（x2=24．968，P〈0．01）。结论Orem自理理论不仅可降低宫颈癌术后尿潴留的发生，还可减少患者术后焦虑、抑郁，具有显著社会效益和经济效益。

Objective To study the effects of Orem self-care theory on urinary retention after radical hysterectomy. Methods Totals of 78 patients with cervical carcinoma, undergoing successful hysterectomy, were recruited and randomly divided into control group （ n = 39 ） and intervention group （ n = 39 ）. Control group received the routine nursing, while intervention group received fully bucking-out system care according to Orem self-care theory. Then, the incidence of urinary retention, anxiety or depression were observed and compared, and the risk factors were analyzed. Results After the intervention, there were 11 cases with urinary retention in intervention group, and 20cases with urinary retention in control group, and the difference was statistically significant （11 vs 20;X^2 = 4. 336,P 〈 0.01 ）. One month later after operation, the incidence of anxiety or depression in intervention group was significantly lower than that of control group （10 vs 32; X^2 = 24. 968 ,P 〈 0.01 ）. Conclusions Orem self-care theory, which not only decreases the occurrence of urinary retention after radical hysterectomy, but reduces the incidence of anxiety and depression symptom, has significant social and economic benefits.