基于Orem自理理论的多学科协作护理模式对髋部创伤性骨折患者的应用效果分析

Application Effect Analysis of Multidisciplinary Team Nursing Mode Based on Orem Self-care Theory in Patients with Traumatic Hip Fracture

目的:探究基于Orem自理理论的多学科协作(MDT)护理模式对髋部创伤性骨折患者的应用效果。方法:选取2021年1月—2022年9月梧州市工人医院收治的200例髋部创伤性骨折患者作为研究对象,根据护理干预方式的不同分为观察组与对照组,各100例。对照组采用常规护理,观察组采用基于Orem自理理论的MDT护理干预。比较两组患者日常生活能力、负性情绪、护理满意度。结果:护理前,两组日常生活能力评分比较,差异无统计学意义(P>0.05);护理后,观察组日常生活能力评分高于对照组,差异有统计学意义(P<0.001)。护理前,两组焦虑、抑郁评分比较,差异无统计学意义(P>0.05);护理后,观察组焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.001)。观察组护理满意度高于对照组,差异有统计学意义(P<0.001)。结论:基于Orem自理理论的MDT护理模式对髋部创伤性骨折患者的护理效果显著,能有效提高患者的日常生活能力,改善患者焦虑、抑郁情绪,提升患者护理满意度。

Objective:To explore the application effect of multidisciplinary team(MDT)nursing mode based on Orem self-care theory in patients with traumatic hip fracture.Methods:A total of 200 patients with traumatic hip fracture admitted to Wuzhou Gongren Hospital from January 2021 to September 2022 were selected as the study subjects.According to the difference of nursing intervention,they were divided into observation group and control group,with 100 cases in each group.The control group adopted conventional nursing,while the observation group adopted MDT nursing intervention based on Orem self-care theory.The activities of daily living,negative emotion and nursing satisfaction were compared between the two groups.Results:Before nursing,there was no significant difference in the scores of activities of daily living between the two groups(P>0.05).After nursing,the scores of activities of daily living in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.001).Before nursing,there was no significant difference in anxiety and depression scores between the two groups(P>0.05).After nursing,the anxiety and depression scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.001).Nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.001).Conclusion:The MDT nursing mode based on Orem self-care theory has a significant nursing effect in patients with traumatic hip fracture,which can effectively improve patients'activities of daily living,ameliorate patients'anxiety and depression,and improve patients'nursing satisfaction..