Orem自理模式联合舒适护理在肾穿刺活检并发症中的疗效分析

Curative effect of Orem self-care mode combined with comfortable nursing in the complications of renal biopsy

目的探讨Orem自理模式联合舒适护理在肾穿刺活检并发症中的应用效果。方法选取该院2018年5月至2019年6月肾内科收治的60例行肾穿刺活检术的患者作为研究对象,采用随机数字表法将其分为对照组(n=29)和观察组(n=31),对照组给予术后常规护理,观察组给予Orem自理模式联合舒适护理,观察两组患者自我护理能力、舒适度及并发症发生率。结果干预前,两组患者的自我护理能力评分差异有统计学意义(P>0.05);干预后,观察组自我护理能力评分明显高于对照组(P<0.05),观察组患者腰痛、排便困难、失眠、肢体麻木和烦躁等发生率明显低于对照组,舒适度高于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率(6.45%)明显低于对照组(27.59%),差异有统计学意义(P<0.05)。结论Orem自理模式联合舒适护理在肾穿刺活检并发症中的应用可促进患者自我护理能力及舒适度的提高,有利于并发症的发现和及时处理,降低并发症发生率。

Objective To explore the effect of Orem self-care mode combined with comfortable nursing in renal biopsy complications.Methods A total of 60 patients who underwent renal puncture biopsy in our hospital from May 2018 to June 2019 were randomly divided into the control group(n=29)and the observation group(n=31).The control group was given routine nursing after operation,and the observation group was given Orem self-care mode combined with comfortable nursing.The self-nursing ability,comfort and complication rate of the two groups were observed.Results Before intervention,there was no significant difference in self-care ability score between the two groups(P>0.05).After intervention,the self-care ability score of the observation group was significantly higher than that of the control group(P<0.05),the incidences of low back pain,difficulty in defecating,insomnia,limb numbness and irritability in the observation group were significantly lower than those in the control group,that is,the comfort level was higher than that in the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group(6.45%)was significantly lower than that of the control group(27.59%),and the difference was statistically significant(P<0.05).Conclusion The application of Orem self-care mode combined with comfort nursing in renal biopsy complications can promote the improvement of patients′self-nursing ability and comfort,which is beneficial to the discovery and timely treatment of complications,and reduce complication rate.