Orem自理模式干预对慢性腰腿痛手术患者生存质量的研究.docVIP

Orem自理模式干预对慢性腰腿痛手术患者生存质量的研究[摘要] 目的 运用Orem自理模式对慢性腰腿痛手术患者进行干预护理，探讨两组患者生存质量的改善状况。 方法 将2013年10月～2014年4月我科诊断为慢性腰腿痛需手术的患者，随机分配至干预组（63例）和对照组（63例），干预组行Orem自理模式干预，对照组行常规护理模式。记录患者入院时、出院前、出院1个月、出院3个月的SF-36评分，SF-36与疼痛（VAS）与腰椎功能障碍指数（ODI）相关性，进行统计学分析。 结果 两组患者出院1个月在SF-36的8个维度的评分均较入院时改善，差异无统计学意义（P0.05），干预组患者出院3个月在SF-36的8个维度的评分与对照组比较差异有统计学意义（P0.05）。慢性腰腿痛手术患者的ODI与VSA评分呈正相关（r=0.483，P0.05）；SF -36中PF、RP、BP三个维度的评分与VAS和ODI评分呈负相关（P0.05）；GH、VT、SF三个维度的评分与ODI评分呈负相关（P0.05），VT这个维度的评分与年龄呈低度正相关（r=0.276，P0.05）。 结论 运用Orem自理模式对慢性腰腿痛手术患者干预护理，能为患者解除疼痛、恢复腰椎功能、提高QOL。[关键词] Orem自理模式；慢性腰腿痛；生存质量；评定[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2015）01-09-07[Abstract] Objective The purpose of this study is to discuss two groups of surgery patients of their improvements in quality of life by applying Orem Self-care Mode to do nursing intervention for those with chronic lumbocrural pain. Methods There were 126 surgery patients who had been diagnosed with the chronic lumbocrural pain in our department from October 2013 to April 2014.I continuous randomly distributed them to intervention group （63cases）and control group （63cases）.The former applied the Orem Self-care Mode，while the latter the routine nursing mode.Admitting tohospital，before hospital discharge，1 month after discharge， and 3 months after discharge，the SF-36 score of patients were all recorded for statistical analysis. Results 1 month after discharge，the eight dimensions in the SF-36 score of two groups of patients haven’t improved remarkably（P0.05），while 3 months safter discharge，the intervention group of patients improved more in the SF-36 score（P0.05）.The ODI score of patients with chronic lumbocrural pain was positively related to the VAS score（r=0.483，P0.05）；In the SF?C36 score，PF，RP and BP，these three dimensions were negatively correlated to the VAS score and the ODI score（P0.05），GH，VT and SF，these three dimensions were negatively correlated to the ODI score（P0.05） and VT this dimension was low positively related to age（r=0.276，P0.05）. Conclusion I