Orem自理理论对全髋关节置换术患者生活质量影响研究.docVIP

Orem自理理论对全髋关节置换术患者生活质量影响研究 　　【摘要】 目的 探讨Orem自理理论对全髋关节置换术患者生活质量的影响。方法 120例行人工全髋关节置换术老年患者， 按入院单双号分为对照组和观察组， 各60例。对照组患者实施常规骨科护理， 观察组患者在对照组基础上应用Orem自理理论实施护理。比较两组患者术前、术后2周、1个月、3个月、6个月生活质量水平。结果 两组患者术前Barthel 评分比较差异无统计学意义（P0.05）；术后2周、1个月、3个月、6个月， 观察组患者Barthel 评分分别为（65.45±11.48）、（70.23±1.32）、（81.41±2.01）、（92.21±2.11）分， 均高于对照组的（56.22±13.33）、（66.42±1.23）、（75.21±1.84）、（86.41±1.92）分， 差异具有统计学意义（P0.01）。结论 对全髋关节置换术患者采用Orem自理理论实施护理能有效提高患者的心理应激能力及生活质量。 　　【关键词】 Orem自理理论；全髋关节置换术；生活质量 　　DOI：10.14163/j.cnki.11-5547/r.2017.36.095 　　Study on the effect of Orem self-care theory on quality of life in patients undergoing total hip replacement TANG Shun-luan， XIAO Zhi-zhen， HONG Yu-ling. Department One of Orthopeadic Surgery， Shantou Hospital Affiliated to Shantou Central Hospital of Zhongshan University， Shantou 515031， China 　　【Abstract】 Objective To discuss the effect of Orem self-care theory on quality of life in patients undergoing total hip replacement. Methods A total of 120 elderly patients undergoing total hip replacement were divided by admission single and double numbers into control group and observation group， with 60 cases in each group. The control group received conventional orthopedics nursing， and the observation group received Orem self-care theory for nursing on the basis of the control group. The quality of life before operation， at postoperative 2 weeks， 1 months， 3 months and 6 months was compared between the two groups. Results Both groups had no statistically significant difference in Barthel score before operation （P0.05）. In postoperative 2 weeks， 1 months， 3 months and 6 months， the observation group had Barthel score respectively as （65.45±11.48）， （70.23±1.32）， （81.41±2.01） and （92.21±2.11） points， which were all higher than （56.22±13.33）， （66.42±1.23）， （75.21±1.84） and （86.41±1.92） points in the control group， and their difference was statistically significant （P0.01）. Conclusion The implementation of Orem self-care theory in patients with total hip replacem