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

Abstract

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

CLC Number:

R473.6

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

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