运用Orem自理理论指导重度烧伤患者康复护理的效果观察

目的 观察Orem自理理论指导重度烧伤患者康复护理效果。方法 2000年1月至2002年12月的重度烧伤患者150例为观察组(采用Orem自理理论进行康复护理),抽取1997年1月至1999年12月条件相似的患者131例为对照组(常规护理),比较观察组干预前后SAS与SDS评分的差异,以及两组患者的再次整复率和致残率。结果 观察组患者干预后焦虑、抑郁状态有显著改善(P<0.05);观察组的再次整复率及致残率比对照组明显降低(P<0.05)。结论 应用Orem自理理论指导重度烧伤患者的心理康复及肢体功能康复,效果显著。

Clinical Observation on Outcome of Rehabilitation Nursing of Major Burn Patients Using Orem Theory as the Guidance

Objective To observe the outcome of rehabilitation nursing of major burns using Orem Theory as the guidance. Methods The study group included 150 major burn patients admitted from Jan. 2000 to Dec. 2002, who received rehabilitation nursing using Orem Theory, and the control group included 131 major burn patients of matched conditions, who received routine nursing care. SAS and SDS scores of the study group before and after nursing intervention, and the re - taxis and disability rates between the two groups were compared. Results Anxiety and depression of the study group improved significantly after nursing intervention (P<0.05). The re-taxis and disability rates of the study group were significantly lower than those of the control group (P<0.05). Conclusion The outcome of nursing intervention using Orem Theory is evident with regard to psychological rehabilitation and functional rehabilitation of extremity.