Orem自理理论在宫颈癌术后患者护理中的应用

目的 探讨Orem自理理论在宫颈癌术后护理中的应用.方法 将90例宫颈癌术后患者采取随机分组法分为观察组45例,对照组45例,对照组患者按宫颈癌术后常规护理及一般的健康教育,观察组在此基础上,应用Orem自理理论评估患者的自理能力,采用不同的护理系统和个性化健康教育知识宣教,让患者主动参与护理活动.结果 观察组患者术后开始下床活动时同、肛门排气时间分别是(38.16±4.62)h和(46.16±9.82)h,明显早于对照组(66.18±5.82)h和(68.54+10.16)h],且发生恶心呕吐、腹胀的消化道症状也减少;观察组发生尿路感染和尿潴留分别是4例(8.89%)和8例(18.78%),明显低于对照组的12例(26.67%)和19例(42.22%),两组比较差异有统计学意义(均P<0.05).结论 将Orem自理理论用宫颈癌术后患者的护理,可加快患者术后健康的恢复,减轻家庭和社会的负担,提高生存质量.

Application of Orem self-nursing theory on patients under nursing after uterine neck cancer operation

Objective To explore the application of Orem self-nursing theory on patients under nursing after uterine neck cancer operation.Methods 90 patients after uterine neck cancer operation were randomly divided into two groups.45 cases as observation group and 45 cases as control group.The patients in the control group use normal nursing and common health education after uterine neck cancer operatlon;the observation group applies Orem selfnursing theory to assess the patients' nursing ability and uses different nursing system and personality health education knowledge for the promotion to let the patients to participate in the nursing activity based on the situation.Results Activity time after out of bed,gas releasing time of anus in observation group are evidently earlier than that of the control group,also have vomit and abdominal distension digestion system symptom decrease after the patients operation;the urethra infection and retention of urine rate are significantly lower than that of the control group and the difference is remarkable(P < 0.05 ).Conclusion The Orem self-nursing theory are used in nursing of patients after uterine neck cancer operation to facilitate the recovery of health after patients operation so as to relieve the burden of family and society and improve quality of living of patients.