中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
1期
34-36
,共3页
康复护理%Orem自护模式%下肢动脉闭塞症%支架植入
康複護理%Orem自護模式%下肢動脈閉塞癥%支架植入
강복호리%Orem자호모식%하지동맥폐새증%지가식입
Rehabilitation nursing%Orem self-protection%Arteriosclerosis obliterans%Stent implantation
目的 探讨Orem自护模式对下肢动脉闭塞症支架植入患者术后康复知识掌握情况及并发症、不良反应发生情况的影响.方法 将100例下肢动脉闭塞症支架植入术患者按随机数字表法随机分为观察组和对照组各50例,观察组患者给予Orem自护模式,对照组患者给予常规护理模式,比较两组患者康复知识的掌握情况及术后并发症、不良反应的发生情况.结果 两组患者足部护理知识掌握情况比较,差异无统计学意义(P＞0.05)；观察组患者对疾病的相关知识、行走训练、Buerger运动、服用抗凝药的注意事项知识的掌握情况均明显优于对照组,差异均有统计学意义(x2分别为11.42,9.76,19.05,7.48；P＜0.01)；两组患者术后肺部感染、出血、过度灌注综合征及尿潴留不良反应和并发症比较,差异无统计学意义(P＞0.05)；观察组发生腰背疼痛、压疮、下肢血管再栓塞例数分别为3,0,1例,均低于对照组的13,5,6例,差异均有统计学意义(x2分别为7.44,5.60,3.85;P ＜0.05).结论 Orem自护模式能促进ASO支架植入患者的术后康复,增强患者的自理能力.
目的 探討Orem自護模式對下肢動脈閉塞癥支架植入患者術後康複知識掌握情況及併髮癥、不良反應髮生情況的影響.方法 將100例下肢動脈閉塞癥支架植入術患者按隨機數字錶法隨機分為觀察組和對照組各50例,觀察組患者給予Orem自護模式,對照組患者給予常規護理模式,比較兩組患者康複知識的掌握情況及術後併髮癥、不良反應的髮生情況.結果 兩組患者足部護理知識掌握情況比較,差異無統計學意義(P＞0.05)；觀察組患者對疾病的相關知識、行走訓練、Buerger運動、服用抗凝藥的註意事項知識的掌握情況均明顯優于對照組,差異均有統計學意義(x2分彆為11.42,9.76,19.05,7.48；P＜0.01)；兩組患者術後肺部感染、齣血、過度灌註綜閤徵及尿潴留不良反應和併髮癥比較,差異無統計學意義(P＞0.05)；觀察組髮生腰揹疼痛、壓瘡、下肢血管再栓塞例數分彆為3,0,1例,均低于對照組的13,5,6例,差異均有統計學意義(x2分彆為7.44,5.60,3.85;P ＜0.05).結論 Orem自護模式能促進ASO支架植入患者的術後康複,增彊患者的自理能力.
목적 탐토Orem자호모식대하지동맥폐새증지가식입환자술후강복지식장악정황급병발증、불량반응발생정황적영향.방법 장100례하지동맥폐새증지가식입술환자안수궤수자표법수궤분위관찰조화대조조각50례,관찰조환자급여Orem자호모식,대조조환자급여상규호리모식,비교량조환자강복지식적장악정황급술후병발증、불량반응적발생정황.결과 량조환자족부호리지식장악정황비교,차이무통계학의의(P＞0.05)；관찰조환자대질병적상관지식、행주훈련、Buerger운동、복용항응약적주의사항지식적장악정황균명현우우대조조,차이균유통계학의의(x2분별위11.42,9.76,19.05,7.48；P＜0.01)；량조환자술후폐부감염、출혈、과도관주종합정급뇨저류불량반응화병발증비교,차이무통계학의의(P＞0.05)；관찰조발생요배동통、압창、하지혈관재전새례수분별위3,0,1례,균저우대조조적13,5,6례,차이균유통계학의의(x2분별위7.44,5.60,3.85;P ＜0.05).결론 Orem자호모식능촉진ASO지가식입환자적술후강복,증강환자적자리능력.
Objective To discuss the effect of Orem self protection mode on the postoperative rehabilitation knowledge,complications as well as adverse reactions of patients with arteriosclerosis obliterans (ASO) after stent implantation.Methods A total of 100 patients with ASO after stent implantation were randomly divided into the observation group and the control group according to a random number table method,each with 50 cases.The observation group received Orem self-protection mode,while the control group received conventional nursing mode.Two groups rehabilitation knowledge,postoperative complications and adverse reactions were compared.Results There was no statistically significant difference in foot nursing knowledge between two groups (P ＞ 0.05).Patients in the observation group had better knowledge of the disease,walking exercise,Buerger exercise and notes on taking anticoagulant drugs than those in the control group,and the differences were statistically significant (x2 =11.42,9.76,19.05,7.48,respectively; P ＜ 0.01).There were no statistically significant differences in adverse reaction and complications including pulmonary infection,bleeding,cerebral hyperperfusion syndrome and urine retention between two groups (P ＞ 0.05).Cases of lumbago and dorsalgia,pressure sore and re-embolization of lower limb blood vessels were 3,0 and 1 in the observation group,and 13,5 and 6 in the control group,and the differences were statistically significant (x2 =7.44,5.60,3.85,respectively; P ＜0.05).Conclusions Orem self-care mode can promote the postoperative rehabilitation of patients with ASO stent implantation,and improve their self-care ability.
