Orem自护理论在老年肺癌患者术后静脉血栓栓塞症预防中应用.docVIP

Orem自护理论在老年肺癌患者术后静脉血栓栓塞症预防中应用 　　[摘要] 目的 探讨Orem自护理论在老年肺癌患者术后静脉血栓栓塞症预防中的应用效果。 方法 选择2013年1月～2014年12月在辽宁省肿瘤医院（以下简称“我院”）胸外科住院行肺叶切除术的293例老年患者作为对照组，对其实施常规预防护理；选择2015年1月～2016年12月在我院行肺叶切除术的316例老年患者作为干预组，应用Orem自护理论进行预防护理。 结果 干预组患者静脉血栓栓塞症发生率低于对照组，差异有统计学意义（P 0.05）；干预组患者出院前日常生活活动能力评分和患者满意度均高于对照组，差异有统计学意义（P 0.05）。 结论 应用Orem自护理论可以有效预防老年肺癌患者术后静脉血栓栓塞症的发生，提高患者的自理能力，密切护患关系，节省医疗资源。 　　[关键词] Orem自护理论；老年肺癌患者；静脉血栓栓塞症；预防 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）04（b）-0144-04 　　[Abstract] Objective To explore the application of Orem self-care mode on the prevention of venous thromboembolism in elderly patients with lung cancer after operation. Methods 293 elderly surgery patients with lung cancer from January 2013 to December 2014 in Thoracic Department of Liaoning Cancer Hospital Institute （our hispital for short） were set as control group and received routine nursing methods. 316 elderly surgery patients with lung cancer from January 2015 to December 2016 in our hospital were set as intervention group and received Orem self-care mode. Results The incidence of venous thromboembolism in the intervention group was lower than that in the control group， with statistically significant difference （P 0.05）. The Activity of Daily Living score and patient′s satisfaction in the intervention group were higher than those in the control group， with statistically significant difference （P 0.05）. Conclusion Orem self-care mode can effectively prevent the occurrence of postoperative venous thromboembolism in elderly patients with lung cancer， improve the self-care ability of patients， close nurse-patient relationship and save medical resources. 　　[Key words] Orem self-care mode； Elderly patients with lung cancer； Venous thromboembolism； Prevention 　　?o脉血栓栓塞症（venous thromboembolism，VTE）是肺癌患者常见的严重并发症之一，年发病率为40‰～100‰[1]，包括深静脉血栓形成（deep vein thrombosis，DVT）和肺栓塞（pulmonary thromboembolism，PTE）。国外研究显示，在未给予预防措施的前提下约29%的癌症患者术后会并发DVT[2]。因DVT栓子脱落导致的PTE死亡率高达70%[3]。PTE致死率高且发病隐匿，60%以上的病例在发病前无任何征兆[4]，漏诊、误