Orem Self-care Mode Research Articles

Orem自理模式配合早期康复训练在膝关节交叉韧带损伤患者干预中的应用

Orem自理模式配合早期康复训练在膝关节交叉韧带损伤患者干预中的应用

The application effect of Orem self-care mode in the nursing of natural childbirth

Objective To explore the effect of Orem self-care model in the nursing of natural childbirth. Methods A total of 188 natural parturients were randomly divided into observation group and control group, 94 cases in each group.The observation group was treated with Orem self-care mode, and the control group was given routine nursing.The nursing effect of the two groups was compared by the Self-Assessment Scale and Symptom Self-Rating Scale, Hamilton Anxiety Scale and Hamilton Depression Scale respectively after production.The hospitalization time, role reversal, complication rate and satisfaction rate of the two groups were calculated and compared by questionnaire. Results The ESCA score of the observation group was significantly higher than that of the control group.The scores of SCL-90, HAMA and HAMD of the observation group were significantly lower than those of the control group, and the differences were statistically significant(P<0.05). The duration of hospitalization of the observation group was shorter than that of the control group, and the mother's role conversion of the observation group was faster than that of the control group.The incidence of complications of the observation group was lower than that of the control group, and the maternal satisfaction of the observation group was higher than that of the control group, and the differences were statistically significant(P<0.05). Conclusions Orem self-care mode applied in the natural birth maternal care can significantly improve maternal self-nursing ability, make the maternal role-change taken quickly, enhance the awareness for children and their own, improve the quality of care and maternal satisfaction. Key words: Orem self-care mode; Natural childbirth puerpera; Primipara

Nursing effect of cataract postoperative patients conducted with Orem self-care mode

Objective To study the application value of Orem self-care mode on cataract postoperative mode. Methods A total of 108 cataract patients received in our hospital from May, 2015 to May, 2016 were used as the objects of study, which were divided into control group and observation group.Health education, mental nursing, daily nursing and other usual nursing were conducted to control group.On the basis of nursing in control group, the nursing of Orem self-care mode was conducted to observation group.The behaviors of following doctor's instruction, nursing effect, anxiety, depressive state, nursing satisfaction and living quality of patients were compared for both groups. Results After operations, the rate of patients in control group insisting on diet therapy and exercise, correct medication, keeping eyes clean, having regular subsequent visit and behaviors of following doctor's instruction was inferior to it of observation group(P<0.05). The effective rate of control group was 68.5%, which was inferior to 87.0% in observation group(P<0.05). After nursing, SAS and SDS scores of patients in both groups were somewhat reduced compared with it before treatment.In addition, the decline degree of it in observation group was superior to control group(P<0.05). The nursing satisfaction of patients in control group was 83.3%, which was inferior to 96.3% in observation group.After nursing intervention, the index scores of patients' life quality in control group were significantly inferior to it in observation group(P<0.05). Conclusions After operation, the nursing effect on cataract patients is significant after Orem self-care mode is implemented.It can effectively relieve clinical symptoms, strengthen treatment effect and promote visual recovery. Key words: Orem self-care mode; Cataract; Postoperative application; Quality of life; Compliance behavior

Effect of Orem self-care theory on the perioperative stress reaction and allomeric function recovery in elderly patients with fracture of proximal femur

Objective To investigate the impact of Orem self-care mode on perioperative stress response and overall functional recovery of elderly patients with proximal femoral fractures nursing. Methods The elderly patients with proximal femoral fractures of the Second Hospital of Jilin University were divided into experimental group and control group, and the control group patients were given conventional nursing, when the experimental group patients were given Orem self-care nursing on the basis of conventional nursing. Contrastively analysis were implemented in the perioperative anxiety, depression and other negative stress reaction change, functional exercise compliance, hip joint function and daily life function change of the two group patients. Results When the patients were out of hospital, the anxiety (14.9±6.2) and depression (13.3±4.8) scores of the experimental group patients were significantly lower than that in the control group (t=2.303, 3.347; P 0.05) . After 3 months discharge, the daily life function total score was (68.4±9.2) in experimental group and (62.2±8.4) in control group (t=2.726, P<0.01) . Conclusions Orem self-care nursing mode can effectively improve the perioperative negative psychological stress reaction of the old patients with proximal femoral fractures, improve their behavior compliance and self-nursing ability, and it also has great significance on promoting the overall patients postoperative function recovery. Key words: Femoral fractures; Perioperative nursing; Orem self-care nursing; Stress response

Effect of Orem self-care mode on the self-care ability and psychological status in patients with stroke rehabilitation

Objective To explore the effect of Orem self-care mode on the self-care ability and psychological status in patients with stroke rehabilitation .Methods Sixty stroke patients who met the inclusion criteria were randomly divided into the observation group and the control group in random order , each with 30 cases.The control group received traditional conventional nursing , while the observation group received Orem self-care mode on the basis of conventional nursing .The nurses observation scale for inpatient evaluation＆nbsp;（ NOSIE） was used to assess the clinical effect before the intervention and two months after the intervention , and the psychological status was evaluated by Symptom Checklist-90 （ SCL-90 ） .Results No significant differences were found in the scores of NOSIE and SCL-90 between two groups before intervention （P〉0.05）.The scores of total NOSIE, social function, social interest, personal hygiene were respectively （ 123.49 ±13.24 ）, （32.76 ±5.29）, （33.59 ±7.28）, （26.34 ±3.52） in the observation group two months after intervention , and were significantly higher than （107.57 ±11.23）, （26.32 ±4.09）, （23.29 ±4.28）, （19.29 ±3.19） in the control group;the scores of withdrawal and depression were respectively （4.02 ±2.12）, （2.03 ±1.24） in the observation group two months after intervention , and were significantly lower than （6.87 ±1.05）, （3.78 ± 1.09） in the control group, and the differences were statistically significant （t=5.023, 5.275, 6.680, 8.129, 6.598, 5.805, respectively;P〈0.01）.The total score of SCL-90 and the factor scores of depression , anxiety, somatization, interpersonal were respectively （109.59 ±21.37）, （1.81 ±0.45）, （1.23 ±0.42）, （1.09 ± 0.47）, （1.32 ±0.43） in the observation group, and were significantly lower than （130.42 ±29.47）, （2.45 ±0.73）, （2.13 ±0.29）, （3.41 ±0.92）, （2.32 ±0.47） in the control group, and the differences were statistically significant （ t =3.134, 4.088, 9.658, 8.311, 8.598, respectively; P 〈0.01 ）. Conclusions Application of Orem self-care mode plays a significant role in the improvement of self-careability and psychological status of patients with stroke rehabilitation , especially in depression and anxiety . Key words: Stroke; Rehabilitation; Orem self-care mode; Self-care ability; Psychological status

Effect of Orem self-care theory on self-care ability and treatment of patients with peptic ulcer

Objective To examine the effect of Orem self-care mode,a trinity of individualized nursing pattern based on Orem self-care theory,on patients with peptic ulcer(PU).Methods Totals of 77 patients with PU were randomly divided into the observation group (n =39) and the control group (n =38).The control group received conventional nursing,while the observation group was intervened by the trinity of individualized nursing pattern based on Orem self-care theory.ESCA and PU healing stage index were used to compare two groups.Results There was no statistically significant difference of score in self-care ability,self-care knowledge and self-care skills before intervention (P ＞ 0.05).The score of self-care ability,self-care knowledge and selfcare skills was respectively (126.21 ± 14.31),(42.81 ± 4.97),(36.71 ± 5.56) after intervention in the observation group,higher than (114.52 ± 16.76),(37.42 ± 5.30),(31.78 ± 4.68) in the control group,and the differences were statistically significant (t =3.284,3.917,3.602,respectively; P ＜ 0.01).The score of PU healing was also better in the observation group than in the control group,with statistically significant difference (x2 =5.3,P ＜ 0.05).Conclusions The trinity of individualized nursing pattern based on Orem selfcare theory can improve the self-care ability of patients with peptic ulcer and promote their healing,thus is an effective nursing mode. Key words: Peptic ulcer; Treatment effect; Orem self-care theory; Individualized nursing; Self-care ability

The effects of Orem self-care mode on living ability and postoperative recovery of patients with percutaneous nephrolithotomy

Objective To investigate the application effect of Orem self-nursing mode in percutaneous nephrolithotomy.Methods One hundred cases of percutaneous nephrolithotomy were divided into the observation group and the control group,the control group was given conventional nursing care,the observation group was given Orem self-care mode based on the control group.Results Postoperative anal exhaust time,pull fistulization time,complications and hospital stay in the observation group were significantly less than those in the control group (P ＜ 0.05).Barthel index,comfort,nursing satisfaction after 7d of the operation in the observation group were significantly higher than those in control group,pain score was significantly lower than that in the control group (P ＜ 0.05).Conclusions Orem selfcare mode could improve the percutaneous nephrolithotomy self-care ability of the patient and family,improve patient's living ability,promote postoperative recovery. Key words: Orem self-care mode; Percutaneous nephrolithotomy; Living ability; Postoperative recovery

The influence of Orem's serf-care mode on the psychology, birth process and postpartum lactation of parturients with natural delivery

Objective To study the influence of Orem's self-care mode for the psychology,birth process and postpartum lactation of parturients with natural delivery.Methods Ninety four parturients with natural delivery from October 2011 to March 2012 were selected as research object,and they were randomly divided into control group and observation group with 47 cases in each group.The control group was intervened with routine nursing,while the observation group was intervened with Orem's self-care mode,then all the birth process and total birth process,the rate of forceps delivery and postpartum hemorrhage,BSES score and SCL-90 score before and after the intervention at first and forth week of two groups were compared.Results The all the birth process and total birth process of observation group were all shorter than those of control group.The rates of forceps delivery and postpartum hemorrhage were both lower than those of control group.BSES score and SCL-90 score after the intervention at first and forth week were all better than those of control group,all P ＜ 0.05.There were all significant differences.Conclusions The influence of Orem's self-care mode for the psychology,birth process and postpartum lactation of parturients with natural delivery is bigger,and it can comprehensively improve the state of parturients. Key words: Orem's self-care mode; Natural delivery; Psychology; Birth process; Ostpartum lactation

Application value of Orem's self-care mode in nursing of patients with stroke

Objective To discuss the application value of Orem's self-care mode in the nursing of patients with stroke. Methods 88 patients with acute stroke in our hospital were selected from January 2008 to January 2011.All patients were divided into the control group and the observation group with 44patients in each group. The control group was treated by conventional medical care, and the observation group was treated by Orem's self-care mode. The ADL of two groups was observed before and after treatment. Results After treatment, the Barthel index of the control group and the observation group were significantly increased. But compared with the control group, the Barthel index of the observation group increased significantly. Conclusions By Orem's self-care mode, patients with stroke can improve their ADL and their quality of life. Key words: Orem's self-care mode; Stroke; Application value

Application of Orem self-care mode in senile patients undergoing artificial total hip replacement

：Objective To explore theeffect of Orem serf -care mode in senile patients undergoing artifi-cial total hipreplacement. Methods 90 patients who would be undergoing unilateral artificial total hipreplace-ment were divided into two groups randomly: 45 patients were in interventiongroup, treated with Orem serf -care mode;45 patients were in control group, treated withregular nursing. On the admission and 7th after operation, The patients in two groups weretested in their serf-preserve sense, nursing knowledge and initiative of participa-tion innursing care, evaluated with the HAMA scales. The time of patients'movement and dischargeafter opera-tion were also observed. Results Compared with those in control group, theserf -preserve sense, nursing knowledge, initiative of participation in nursing care andHAMA score were improved significantly in intervention group. And the time ofpatients'movement and discharge after operation were also decreased. Conclusions Apply-ingthe Orem self -care mode in senile patients undergoing artificial total hip replacementcould relieve anxious e-motion, improve self-care ability, help patients recover earlierand improve life quality. Key words: Orem self-care mode; Artificial total hip replacement; Nursing

The application of Orem self-care mode during nursing the patient with acute myocardial infarction

Objective To explore the application of orem self- care mode during nursing the patient with acute myocardial infarction nnrsing. Methods It was evaluated that the ability of patients to take care of themselves a e.cording to Orem self- care mode. The patients were provided different help by 3 lands of nursing approaches and letting the patients participate in nursing programs actively. Results The ability of self - care of patients was improved and the patients could get off bed to have movement ahead. The days of monitor were shortened, the days of hospitalization were shortened, the cost was reduced and incidence of complications was decreased. Conclusion Orem self- care mode is one of scientific method and to improve significantly the quality of life of the patients and technical capacity of nurses. Key words: Orem self-care mode; Acute myocardial infarction ; Nursing