Orem自理模式下分级干预时肘管综合征患者的临床研究

Clinical study of graded intervention plan based on Orem’s self-care theory for patients with cubital tunnel syndrome

目的 探讨奥瑞姆(Orem)自理模式下分级干预对肘管综合征患者的临床效果。方法 纳入2019年4月至2022年3月收治的肘管综合征患者80例,随机分为对照组和观察组,每组40例。对照组采用常规干预,观察组实施Orem自理模式下分级别干预方案,比较2组的干预效果。结果 观察组的功能恢复优良率为95.00%高于对照组的75.00%(P<0.05)。2组干预后的疼痛水平评分均低于干预前,且观察组低于对照组(P<0.05)。2组干预后的睡眠质量评分均低于干预前,观察组低于对照组(P<0.05)。观察组的并发症发生率为2.50%低于对照组的20.00%(P<0.05)。观察组护理满意度评分高于对照组(P<0.05)。结论 肘管综合征患者中实施Orem自理模式下分级干预,可促进患者功能恢复,减轻患者疼痛感,帮助患者改善睡眠质量和减少并发症,患者的护理满意度高。

Objective To explore the clinical efficacy of a graded intervention plan based on Orem's self-care theory in patients with cubital tunnel syndrome.Methods A total of 80 patients with cubital tunnel syndrome admitted from April 2019 to March 2022 were included as the study subjects.They were randomly divided into the control group(n=40) and observation group(n=40).Patients in the control group received routine intervention,while those in the observation group received a graded intervention plan based on Orem's self-care theory.Intervention effects of the two groups were compared.Results The excellent and good rate of functional recovery in the observation group was significantly higher than that of control group(95.00% vs 75.00%,P<0.05).The pain level scores of both groups after interventions were significantly lower than those before intervention,which were significantly lower in the observation group than those of the control group(P<0.05).The score of sleep quality in both groups after intervention was significantly lower than before intervention,which was significantly lower in the observation group than that of the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that of the control group(2.50% vs 20.00%,P<0.05).The nursing satisfaction score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Implementing a graded intervention plan based on Orem's self-care theory in patients with cubital tunnel syndrome can promote functional recovery,reduce pain,improve sleep quality,and lower the incidence of complications,with a high nursing satisfaction.