CAJ | 학술논문

目的：探讨 Orem 自理模式在腔镜辅助颈部小切口甲状腺手术患者中的运用效果。方法将64例腔镜辅助颈部小切口甲状腺手术患者，随机分为观察组和对照组各32例，对照组按照常规护理模式进行护理，观察组在常规护理的基础上应用Orem自理模式对进行护理，比较两组患者护理知识的掌握情况、主动参与护理的意识和住院满意度。结果观察组患者护理知识掌握、主动参与护理和满意度分别达到84．4％，75．0％，93．8％，均高于对照组，两组比较差异均有统计学意义（χ2值分别为7．273，10．656，9．143；P＜0．01）。结论 Orem自理模式干预能有效帮助患者掌握护理知识，促进患者主动参与护理，提高患者及家属的满意度。
목적：탐토 Orem 자리모식재강경보조경부소절구갑상선수술환자중적운용효과。방법장64례강경보조경부소절구갑상선수술환자，수궤분위관찰조화대조조각32례，대조조안조상규호리모식진행호리，관찰조재상규호리적기출상응용Orem자리모식대진행호리，비교량조환자호리지식적장악정황、주동삼여호리적의식화주원만의도。결과관찰조환자호리지식장악、주동삼여호리화만의도분별체도84．4％，75．0％，93．8％，균고우대조조，량조비교차이균유통계학의의（χ2치분별위7．273，10．656，9．143；P＜0．01）。결론 Orem자리모식간예능유효방조환자장악호리지식，촉진환자주동삼여호리，제고환자급가속적만의도。
Objective To observe the Orem self-care mode in patients treated with Miccoli endoscopy assisted thyroidectomy .Methods Sixty-four patients treated with Miccoli endoscopy assisted thyroidectomy were randomly divided into control group ( 32 cases ) and observation group ( 32 cases ) , patients in control group were treated with routine nursing care and the observation group was treated with routine nursing care plus Orem self-care mode.Mastering nursing knowledge , actively participating in nursing and the inpatients ’ satisfaction degree of nursing were compared in two groups .Results Rates of mastering nursing knowledge , actively participating in nursing , and satisfaction of nursing in observation group were 84.4%, 75.0%, 93.8%, higher than the control group, the differences were significantly (χ2 =7.273,10.656,9.143, respectively;P<0.01). Conclusions By using Orem self-care mode patients with Miccoli endoscopy assisted thyroidectomy can effectively master nursing knowledge , actively participate in nursing and improve the satisfaction .