应用Orem的自理理论指导胃肠引流患者自我口腔护理的可行性研究.pdfVIP

· 18 · 护士进修杂志 2004年 1月第 19卷第 1期 应用Orem的自理理论指导胃肠引流患者 自我口腔护理的可行性研究 李松梅 (东南大学医学院附属徐州医院胸外科，江苏 徐州 221OO9) 摘 要 目的探讨应用Orem的自理理论指导留置胃肠引流患者进行自我口腔护理的可行性。方法 将 230 例留置胃肠引流患者随机分成口腔护理组(对照组)115例，自我口腔护理组(观察组)115例，通过专职护士的培训 指导，对两组患者口腔护理后的舒适度、心理状态、医疗费用和护理工作时间进行对比研究。结果 观察组患者口腔 舒适度明显优于对照组(PO．01)，心理状态表现为明显放松，对康复充满信心(PO．O1)，医疗费用及护理工作 时间明显也低于对照组。结论 对于留置胃肠引流患者，完全可以充分发挥其自理潜力进行自我口腔护理。 关键词 自我口腔护理 胃肠引流 Orem的自理理论 Feasibility study Oil oral self--nursing by appb4ngOrem self-care theory for patients with gastric--intestinal drainage Li Songmei (Dept．of chect surgory，A l ltliated Xuzhou Hospital of Medical college of DongNan University 221009) Al~a-net Objective To study the feasibility on oral self-nursing by applyirig Orem self-care theory for patients with gastric-intestinal drainage．Method 230 cases in-hospiml patients with retaining gastric-intestinal drainage from JurL 2002 tO Fe b．2003 in the hospita1 were selected and randomly divided into ora1 nursing group(contro1，1 15 ca— ses)and oral stir-nursing group(observation，115 cases)．Trained and instructed by specialized nurses，the extent of comfortable，psychologica1 status，medical fee and timing needed for nurse were observed and compared between the twO groups．Result The extent of oral comfortable in observation group iS significant exceeded that in control group．The patients in observation group are psychological relax and confident．The medical charge and time needed f0r nursing in observation group are remarkably lower than that in contro1 group．Candmkm The self-nursing poten— tial could be developed for conducting oral self-nursing for patient with retaining gastric-intestinal drainage． Key words Or