Volume 20 Issue 3
Mar.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(3): 514-518
LI Ling-yan, WANG Hong-yu, LIU Shuang-chi, XU Wen-qing, ZHANG Yan-fang, TAN Yi. Analysis of the influence of Orem's self-nursing theory on patients with malignant obstructive jaundice undergoing percutaneous transhepatic cholangial drainage[J]. Chinese Journal of General Practice, 2022, 20(3): 514-518. doi: 10.16766/j.cnki.issn.1674-4152.002390
Citation: LI Ling-yan, WANG Hong-yu, LIU Shuang-chi, XU Wen-qing, ZHANG Yan-fang, TAN Yi. Analysis of the influence of Orem's self-nursing theory on patients with malignant obstructive jaundice undergoing percutaneous transhepatic cholangial drainage[J]. Chinese Journal of General Practice, 2022, 20(3): 514-518. doi: 10.16766/j.cnki.issn.1674-4152.002390
shu

Analysis of the influence of Orem's self-nursing theory on patients with malignant obstructive jaundice undergoing percutaneous transhepatic cholangial drainage

doi: 10.16766/j.cnki.issn.1674-4152.002390
  • 1.

    Department of Hepatobiliary Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 SK2020ZD32

 BYTM2019023

 by51201208

 2020byzd100

  • Received Date: 2021-09-08
    Available Online: 2022-08-13
    Abstract
  •   Objective  To explore the effect of the nursing method of Orem's self-care theory on the self-care ability, nursing satisfaction rate and disease-related knowledge of patients with percutaneous transhepatic cholangial drainage (PTCD).  Methods  Ninety-three patients who underwent PTCD treatment for malignant obstructive jaundice in a third-class hospital in a city from May 2020 to March 2021 were divided into the experimental group (47 cases) and control group (46 cases) according to the random number table. The observation group was given routine nursing care, and the experimental group was given nursing intervention based on self-care theory. The intervention period was one month. The two groups of patients were compared for their self-care ability, nursing satisfaction rate and disease knowledge mastery.  Results  After one month of intervention, the four dimensions of self-care ability in the experimental group were (25.71±2.38) points, (16.29±2.87) points, (35.79±3.84) points and (47.45±4.76) points, and those in the control group were (23.06±3.42) points, (13.75±3.11) points, (32.68±4.12) points and (38.26±3.49) points. The difference was statistically significant (all P < 0.05). The nursing satisfaction rate of the experimental group was 95.7%, and that of the control group was 77.3%. The difference was statistically significant (χ2=6.574, P=0.010). There were statistically significant differences in the scores of wound observation, PTCD tube nursing, complication observation and nursing, diet knowledge and activity knowledge between the two groups (all P > 0.05).  Conclusion  The application of self-care theory to patients undergoing PTCD can improve patients' self-care ability and nursing satisfaction rate, and promote patients to better grasp disease knowledge.

     

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