Application of Orem's self-care model in postoperative rehabilitation of patients undergoing digit replantation
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View abstract on PubMed
Summary
This summary is machine-generated.Orem's self-care model significantly improved digit replantation outcomes. Patients using this model showed better functional recovery, sensory restoration, and daily living abilities compared to conventional nursing methods.
Area Of Science
- Orthopedics
- Nursing Science
- Rehabilitation Medicine
Background
- Digit replantation is crucial for restoring function after traumatic amputations, often affecting low-income workers.
- Orem's self-care model offers a potential framework for optimizing nursing care in digit replantation, but its clinical efficacy requires further investigation.
- Limited research exists on the application and impact of Orem's self-care model in the context of digit replantation.
Purpose Of The Study
- To explore the impact of Orem's self-care model on the recovery outcomes of patients undergoing digit replantation.
- To compare the effectiveness of Orem's self-care model versus conventional nursing in improving functional recovery, self-efficacy, and daily living abilities post-replantation.
Main Methods
- A single-center retrospective observational study involving 389 patients who underwent digit replantation.
- Patients were divided into an experimental group (Orem's self-care model) and a control group (conventional nursing).
- Propensity score matching was used to ensure comparability between groups, followed by statistical analysis (t-test, ANOVA, chi-square) of functional recovery, self-efficacy, daily living ability, sensory recovery, and complication rates.
Main Results
- The experimental group demonstrated significantly higher functional recovery scores at 2 and 6 months post-discharge (P < .001).
- Improved daily living ability (P < .001) and enhanced self-efficacy (P < .05) were observed in the experimental group at 6 months.
- While complication rates were similar, the experimental group showed a lower trend, and sensory recovery showed early signs of improvement.
Conclusions
- Orem's self-care model significantly enhances physical recovery, including functional and sensory restoration, and daily living abilities in digit replantation patients.
- The model also promotes psychological well-being by fostering greater self-efficacy among patients.
- Orem's self-care model is an effective nursing strategy for improving comprehensive outcomes in digit replantation.
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