Orem自理模式护理在老年髋部骨折患者中的应用效果

Application effects of Orem self-care model nursing in elderly patients with hip fractures

目的:观察Orem自理模式护理在老年髋部骨折患者中的应用效果。方法:选取90例老年髋部骨折患者作为研究对象,以随机抽签法将其分为研究组和对照组各45例。对照组给予常规护理,研究组在对照组基础上给予Orem自理模式护理,比较两组护理前后负性情绪评分、髋关节功能评分和并发症发生率。结果:护理后,研究组汉密尔顿焦虑量表和汉密尔顿抑郁量表评分均低于对照组,Harris评分高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为4.44%(2/45),低于对照组的20.00%(9/45),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用Orem自理模式护理可降低老年髋部骨折患者负性情绪评分和并发症发生率,提高髋关节功能评分,效果优于单纯常规护理。

Objective:To observe application effects of Orem self-care model nursing in elderly patients with hip fractures.Methods:90 elderly patients with hip fractures were selected as the research objects,and were divided into study group and control group by using the random drawing method,45 cases in each group.The control group was given routine nursing,while the study group was given Orem self-care model nursing on the basis of that of the control group.The negative emotion score,the hip joint function score and the complication rate were compared between the two groups before and after the nursing.Results:After the nursing,the scores of Hamilton anxiety scale and Hamilton depression scale of the study group were lower than those of the control group;the Harris score was higher than that of the control group;and the differences were statistically significant(P<0.05).Further,the complication rate in the study group was 4.44%(2/45),which was lower than 20.00%(9/45)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Orem self-care model nursing on the basis of the routine nursing can reduce the negative emotion score and the complication rate of the elderly patients with hip fracture,and improve the hip joint function score.Moreover,it is superior to single routine nursing.