Orem 自理模式在腔镜辅助颈部小切口甲状腺手术患者中的应用

Application of Orem self-care mode in patients with Miccoli endoscopy assisted thyroidectomy

目的：探讨 Orem 自理模式在腔镜辅助颈部小切口甲状腺手术患者中的运用效果。方法将64例腔镜辅助颈部小切口甲状腺手术患者，随机分为观察组和对照组各32例，对照组按照常规护理模式进行护理，观察组在常规护理的基础上应用Orem自理模式对进行护理，比较两组患者护理知识的掌握情况、主动参与护理的意识和住院满意度。结果观察组患者护理知识掌握、主动参与护理和满意度分别达到84．4％，75．0％，93．8％，均高于对照组，两组比较差异均有统计学意义（χ2值分别为7．273，10．656，9．143；P＜0．01）。结论 Orem自理模式干预能有效帮助患者掌握护理知识，促进患者主动参与护理，提高患者及家属的满意度。

Objective To observe the Orem self-care mode in patients treated with Miccoli endoscopy assisted thyroidectomy .Methods Sixty-four patients treated with Miccoli endoscopy assisted thyroidectomy were randomly divided into control group （ 32 cases ） and observation group （ 32 cases ） , patients in control group were treated with routine nursing care and the observation group was treated with routine nursing care plus Orem self-care mode.Mastering nursing knowledge , actively participating in nursing and the inpatients ’ satisfaction degree of nursing were compared in two groups .Results Rates of mastering nursing knowledge , actively participating in nursing , and satisfaction of nursing in observation group were 84.4%, 75.0%, 93.8%, higher than the control group, the differences were significantly （χ2 =7.273,10.656,9.143, respectively;P〈0.01）. Conclusions By using Orem self-care mode patients with Miccoli endoscopy assisted thyroidectomy can effectively master nursing knowledge , actively participate in nursing and improve the satisfaction .