Orem自理理论在老年股骨颈骨折患者围术期护理中的应用

Application of Orem self- care theory to the perioperative nursing care in elderly patients with fracture of femoral neck

目的:探讨Orem自理理论在老年股骨颈骨折患者围术期护理中的应用效果。方法:将我院骨科收治的140例老年股骨颈骨折患者随机分为观察组和对照组各70例,对照组采取常规护理,观察组在常规护理基础上采取Orem自理理论护理。比较两组患者术中应激、术后关节功能和负面情绪。结果:观察组患者肾上腺素、去甲肾上腺素、肾素、血管紧张素水平及汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、疼痛数字量表NRS评分均低于对照组(P<0.05),Harris、HSS关节功能评分均高于对照组(P<0.05)。结论:按照Orem自理理论给予患者护理干预有助于控制术中应激、改善关节功能、缓解负面情绪,在老年股骨颈骨折围术期中具有积极的应用价值。

Objective：To investigate the application effect of Orem self-care theory in elderly patients with fracture of femoral neck. Methods：140 elderly patients with fracture of femoral neck treated in our hospital were randomly divided into the observation group and the control group（70 cases in each group）. The routine nursing care was taken in the control group and the Orem self-care theory was addi-tionally adopted in the observation group. The intraoperative stress,postoperative joint function and negative emotions of the patients were compared between the two groups. Results：The level of patientˊs epinephrine,norepinephrine,rennin and angiotensin and the scores of HA-MA,HAMD,SAS,SDS and NRS were lower in the observation group than the control group（P〈0. 05）;Harris and HSS scores of joint function were higher in the observation group than those in the control group（P〈0. 05）. Conclusion：Implementation of nursing interven-tion in the perioperative period in the light of Orem self-care theory is conducive to the control of intraoperative stress,improvement of joint function and alleviation of the negative sentiment of the elderly patients with fracture of femoral neck.