基于Orem理论的围手术期精细护理在舒尔曼病手术患者中的应用效果

doi:10.3969/j.issn.2095-378X.2025.04.019

外科研究与新技术（中英文） ›› 2025, Vol. 14 ›› Issue (4): 391-395.doi: 10.3969/j.issn.2095-378X.2025.04.019

基于Orem理论的围手术期精细护理在舒尔曼病手术患者中的应用效果

黄婉琪, 孟怡辰, 张志玉

海军军医大学第二附属医院骨科,上海 200003

收稿日期:2025-08-04 出版日期:2025-12-28 发布日期:2026-01-02
通讯作者: 张志玉,电子信箱：zhangzyspine2001@163.com
作者简介:黄婉琪（2002—）,女,学士,护士,从事临床骨科护理工作
基金资助:
国家自然科学基金面上项目（82372360）

Application effect of perioperative fine nursing based on Orem's theory in surgical patients with Scheuermann's disease

HUANG Wanqi, MENG Yichen, ZHANG Zhiyu

Department of Orthopedics, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China

Received:2025-08-04 Online:2025-12-28 Published:2026-01-02

摘要/Abstract

摘要： 目的探讨基于Orem理论的精细护理在舒尔曼病手术患者中的应用效果,以期为临床护理提供理论依据和实践指导。方法选取2023年3月—2025年1月收治的舒尔曼病患者114例,按随机数字表法分为观察组和对照组（每组各57例）。明确手术指征后于全身麻醉下行脊柱后凸矫形手术,对照组围手术期行常规护理,观察组在对照组基础上予以Orem理论的精细护理干预。比较两组患者围手术期相关指标及护理干预后矫形相关指标、生活质量评分和自护能力评分。结果所有患者均顺利完成手术,观察组术后相关并发症总发生率为8.77%,低于对照组的22.81%（P<0.05）。随访结束时,观察组后凸Cobb角小于对照组（P<0.05）;观察组的自我护理能力量表各维度评分明显高于对照组,差异具有统计学意义（P<0.05）;生活质量方面,观察组自我形象/外观和功能活动两项模块的评分较对照组更高（P<0.05）。结论基于Orem理论的精细护理用于舒尔曼病患者中可有效促进患者术后恢复,降低并发症发生率,提高患者生活质量和自护能力。

关键词: 精细护理, Orem理论, 舒尔曼病, 围手术期, 生活质量, 自护能力

Abstract: Objective To explore the application effect of fine nursing based on Orem's theory in surgical patients with Scheuermann's disease, aiming to provide a theoretical basis and practical guidance for clinical nursing. Methods A total of 114 patients with Scheuermann's disease admitted between March 2023 and January 2025 were selected and randomly divided into an observation group and a control group using a random number table, with 57 cases in each group. After confirming surgical indications, all patients underwent posterior spinal kyphosis correction surgery under general anesthesia. The control group received conventional perioperative nursing, while the observation group received additional fine nursing interventions based on Orem's theory. Perioperative-related indicators, orthopedic-related parameters, quality of life scores, and self-care ability scores were compared before and after nursing intervention. Results All patients successfully completed the surgery. The total incidence of postoperative complications in the observation group was 8.77%, significantly lower than that in the control group （22.81%, P<0.05）. At the end of follow-up, the kyphotic Cobb angle in the observation group was smaller than that in the control group （P<0.05）. The scores of all dimensions of the Exercise of Self-Care Agency Scale in the observation group were significantly higher than those in the control group, with statistically significant differences （P<0.05）. Regarding quality of life, compared with the control group, the observation group showed higher scores in the self-image/appearance and functional activity modules of the Scoliosis Research Society-22 questionnaire at the final follow-up （P<0.05）. Conclusion Fine nursing based on Orem's theory can effectively promote postoperative recovery, reduce complication rates, and improve quality of life and self-care ability in patients with Scheuermann's disease.

Key words: Fine nursing, Orem's theory, Scheuermann's disease, Perioperative period, Quality of life, Self-care ability

中图分类号:

R473.6

黄婉琪, 孟怡辰, 张志玉. 基于Orem理论的围手术期精细护理在舒尔曼病手术患者中的应用效果[J]. 外科研究与新技术（中英文）, 2025, 14(4): 391-395.

HUANG Wanqi, MENG Yichen, ZHANG Zhiyu. Application effect of perioperative fine nursing based on Orem's theory in surgical patients with Scheuermann's disease[J]. Surgical Research and New Technique, 2025, 14(4): 391-395.

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基于Orem理论的围手术期精细护理在舒尔曼病手术患者中的应用效果

Application effect of perioperative fine nursing based on Orem's theory in surgical patients with Scheuermann's disease

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