摘要
目的研究Orem自护模式联合营养干预对老年脆性骨盆骨折(FFP)患者自我管理行为和康复效果的影响。方法纳入我院收治的老年FFP患者86例,随机分为对照组和Orem组,各43例。对照组给予常规护理,Orem组行Orem自护模式联合营养干预。比较2组护理后的自我管理行为评分、康复效果、营养状态指标和并发症发生率。结果Orem组护理后的用药情况、饮食情况、康复训练、主动学习、复查、睡眠质量评分,白蛋白(ALB)、转铁蛋白(TF)和血红蛋白(Hb)水平均明显高于对照组,住院时间、骨折愈合时间、下床时间以及并发症发生率均明显低于对照组(P<0.05)。结论Orem自护模式联合营养干预能够有效改善老年FFP患者的自我管理行为、康复效果和营养状态,降低并发症发生风险,值得推广。
Objective To evaluate the effects of Orem self-care model combined with nutritional intervention on self-management behavior and rehabilitation of elderly patients with fragile pelvic fracture(FFP).Methods A total of 86 elderly FFP patients admitted to our hospital were enrolled and randomly divided into control group and Orem group,with 43 cases in each group.The control group was given routine care,and the Orem group received Orem self-care mode combined with nutritional intervention.The self-management behavior scores,rehabilitation effects,nutritional status indicators and complication rates of the two groups after nursing were compared.Results The medication,diet,rehabilitation training,active learning,review,sleep quality scores,serum albumin,transferrin and hemoglobin of the Orem group after nursing were significantly higher than those of the control group(P<0.05),while the hospitalization time,fracture healing time,time to get out of bed,and incidence of complications were significantly lower than those of the control group(P<0.05).Conclusion The Orem self-care model combined with nutritional intervention can effectively improve the self-management behavior,rehabilitation effect and nutritional status of elderly FFP patients,and reduce the risk of complications.It is worthy of promotion.
作者
王小芳
朱锦
Wang Xiaofang;Zhu Jin(Department of Orthopedics,Tangdu Hospital,the Second Affiliated Hospital of Air Force Military Medical University,Xi′an 710038,China)
出处
《山西医药杂志》
CAS
2022年第7期743-746,共4页
Shanxi Medical Journal