Effect of Orem self-care theory on the perioperative stress reaction and allomeric function recovery in elderly patients with fracture of proximal femur
10.3760/cma.j.issn.1674-2907.2017.21.016
- VernacularTitle:Orem自理护理模式对老年股骨近端骨折患者围术期应激反应及整体功能恢复的影响
- Author:
Xue CHEN
1
;
Yuanyuan SHI
;
Xijing LI
;
Heli ZHANG
Author Information
1. 吉林大学第二医院骨科
- Keywords:
Femoral fractures;
Perioperative nursing;
Orem self-care nursing;
Stress response
- From:
Chinese Journal of Modern Nursing
2017;23(21):2764-2768
- CountryChina
- Language:Chinese
-
Abstract:
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). 3 months after discharge, the good rates of hip joint were 66.7% in experimental group and 46.7% in control group, but the difference of two groups had no statistical significance (χ2=2.443, 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.
