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目的:探讨Orem自理理论在乳腺癌改良根治术后患者的应用价值。方法:将60例乳腺癌行改良根治术后患者随机分为对照组和研究组,每组30例。对照组采取术后常规进行护理,研究组在整体护理基础上,根据Orem自理理论的不同护理系统即全补偿系统、部分补偿系统和辅助教育系统给予护理干预,观察两组术后并发症的发生情况、患侧上肢功能恢复情况、健康知识掌握度、护理工作满意度。结果:两组皮下积液和皮瓣坏死的发生率比较无统计学意义(P>0.05),研究组患侧上肢水肿的发生率低于对照组(P<0.05),术后患肢功能恢复优于对照组(P<0.05);病人健康知识掌握度、患者出院满意度明显提高。结论:以Orem自理理论为指导的护理干预,可有效调动患者和家属的主观能动性,提高患者的自我护理能力和对疾病知识的认知度,改善患者预后,促进康复,增进护患关系,提高患者对护理工作的满意度。
Objective: To explore the value of Orem self-care theory in patients with modified radical mastectomy. Methods: Sixty patients with breast cancer underwent modified radical surgery were randomly divided into control group and study group, 30 cases in each group. The control group took routine postoperative nursing, the study group based on the overall care, according to Orem self-care theory of different nursing system that is full compensation system, part of the compensation system and assisted education system to give nursing intervention, observed two groups of postoperative complications Situation, ipsilateral upper limb function recovery, health knowledge master degree, nursing job satisfaction. Results: There was no significant difference between the two groups in the incidence of subcutaneous effusion and skin flap necrosis (P> 0.05). The incidence of upper extremity edema in the study group was lower than that of the control group (P <0.05) Which was better than that of the control group (P <0.05). Patient’s knowledge of health knowledge and patients’ discharge satisfaction were significantly improved. Conclusion: Nursing intervention guided by Orem self-care theory can effectively mobilize the subjective initiative of patients and their families, improve their self-care ability and knowledge of diseases, improve their prognosis, promote rehabilitation, and improve the relationship between nurses and patients Patient satisfaction with nursing work.