以Orem自理理论为框架的护理干预对前列腺增生患者自护能力的影响

目的探讨以Orem自理理论为框架的护理干预对前列腺增生（BPH）患者围手术期自护能力的影响。方法采用方便取样方法选取BPH患者128例，随机分为对照组和观察组各64例。对照组患者接受常规护理和健康教育，观察组在常规护理的基础上接受以Orem自理理论为框架的护理干预。采用自我护理能力测定量表（ESCA）评价患者的自护能力并比较两组患者术后膀胱痉挛的发生率。结果观察组患者自我护理能力、自护责任感、自我护理技能、健康知识水平得分分别（131．624-15．73），（28．31±5．14），（35．15±2．89），（45．27±3．15）分，均高于对照组患者（109．214-19．89），（21．53±7．18），（26．19±5．36），（38．17-4-4．10）分，差异具有统计学意义（t分别为4．316，-7．241，-8．676，-9．140；P〈0．05或P〈0．01）。观察组术后膀胱痉挛的发生率低于对照组，两组比较差异具有统计学意义（9．4％比23．4％；x^2=4．743，P〈0．05）。结论以Orem自理理论为框架的护理干预能够提高BPH患者的自护能力，降低膀胱痉挛的发生率，增加患者的主观幸福感，促进患者康复。

Effect of Orem self-care theory application on the self-care agency of patients with benign prostatic hyperplasia

Objective To explore the effect of the nursing intervention based on Orem self-care theory on the self-care ability of perioperative patients with benign prostatic hyperplasia （BPH）. Methods Convenient sampling method was used. Totals of 128 cases of BPH patients were recruited and randomly divided into control group and experimental group. The control group received routine nursing and health education, while the experimental group received the nursing intervention that based on Orem self-care theory. The Exercise of Self- Care Agency Scale was used to measure the self-care ability of patients, and the incidence of bladder spasm of two group was observed in post operation. Results There was significantly difference between experimental group and control group in the score of the dimension of self-concept [ （ 131.62±15.73 ） vs （ 109.21±19.89） ], the sense of self responsibility [ （28.31±5.14） vs （21.53±7.18） ], self-managemem skills [ （35.15±2.89） vs （26.19±5.36） ] and health knowledge level [ （45.27 ±3.15） vs （38.17±4. 10） ] （t =4. 316, -7. 241, - 8. 676, - 9. 140, respectively; P 〈 0. 05 or P 〈 0. 001 ）. The incidence of bladder spasm of experimental group （9.4%） was significantly lower than that of control group 23.4% （ X^2 = 4. 743, P 〈 0.05 ）. Conclusions The nursing intervention based on Orem self-care theory improve the self-care agency of patients with BPH. reduce the incidence of bladder spasm, improve their subiective euphoria and promote their recovery.