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LI Yali, WANG Shengli. Effect of Morita therapy combined with Orem self-care intervention on prognosis of acute traumatic fracture patients with depression[J]. Journal of Clinical Medicine in Practice, 2019, 23(17): 123-126. DOI: 10.7619/jcmp.201917035
Citation: LI Yali, WANG Shengli. Effect of Morita therapy combined with Orem self-care intervention on prognosis of acute traumatic fracture patients with depression[J]. Journal of Clinical Medicine in Practice, 2019, 23(17): 123-126. DOI: 10.7619/jcmp.201917035
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Effect of Morita therapy combined with Orem self-care intervention on prognosis of acute traumatic fracture patients with depression

  • Department of Orthopedics, Tangdu Hospital of Air Force Military Medical University, Xi′an, Shaanxi, 710038

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  • Received Date: May 08, 2019
  • Accepted Date: July 21, 2019
  • Available Online: February 28, 2021
  • Published Date: September 14, 2019
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    • Abstract
  •   Objective  To investigate the effect of Morita therapy combined with Orem self-care intervention on prognosis of acute traumatic fracture patients with depression.
      Methods  Totally 86 acute traumatic fracture patients with depression were selected and randomly divided into control group (routine nursing intervention) and observation group (Morita therapy combined with Orem self-care intervention) according to admission order, with 43 cases in each group. Hamilton Depression Scale (HAMD) was used to evaluate depression in both groups. Generic Quality of Life Inventor-74 (GQOLI-74) was used to assess quality of life in both groups. The awareness rate of health knowledge, nursing satisfaction degree and incidence of complications were compared between the two groups.
      Results  After intervention, the HAMD scores in both groups were significantly lower than those before treatment, and the HAMD score of the observation group was significantly lower than that of the control group (P < 0.05). After intervention, the awareness rate of health knowledge and nursing satisfaction score of the observation group were significantly higher than those of the control group (P < 0.05). After intervention, the scores of physical function, psychological function, social function and material function in both groups were significantly higher than those before intervention, and the scores of physical function and psychological function in the observation group were significantly higher than those in the control group (P < 0.05). The incidence rate of complications in the observation group was significantly lower than that in the control group (P < 0.05).
      Conclusion  For acute traumatic fracture patients with depression, the Morita therapy combined with Orem self-care intervention can alleviate depression, improve prognosis and quality of life, and improve self-care ability.
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    • References (20)
  • [1]
    邱良诚, 陈彦青, 吴晓丹, 等. 术中应用右美托咪定对女性患者急性创伤后应激障碍的影响[J]. 中华麻醉学杂志, 2018, 38(5): 521-524. doi: 10.3760/cma.j.issn.0254-1416.2018.05.003
    [2]
    蔡正强, 彭兰林, 陈政, 等. 骨折后患者应激水平对凝血功能变化与骨折愈合进度的影响[J]. 中华创伤骨科杂志, 2017, 19(4): 353-356. doi: 10.3760/cma.j.issn.1671-7600.2017.04.015
    [3]
    袁丹妮, 李艳, 李薇薇, 等. Orem护理模式对老年髋部骨折患者术后伴急性精神障碍的改善作用分析[J]. 国际精神病学杂志, 2016, 43(6): 1086-1088. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201606037.htm
    [4]
    陈雪, 史媛媛, 李溪晶, 等. Orem自理护理模式对老年股骨近端骨折患者围术期应激反应及整体功能恢复的影响[J]. 中华现代护理杂志, 2017, 23(21): 2764-2768. doi: 10.3760/cma.j.issn.1674-2907.2017.21.016
    [5]
    张培琰, 吉中孚. 精神病诊断治疗学[M]. 北京: 中国医药科技出版社, 1998: 112-114.
    [6]
    郭春芳. Orem自我护理理论在单纯胸腰椎压缩性骨折病人康复中的应用[J]. 家庭护士, 2008, 6(10): 900-901. https://www.cnki.com.cn/Article/CJFDTOTAL-JTHS200810049.htm
    [7]
    胡旭强, 钱敏才, 林敏, 等. 斯奈思-汉密尔顿快感量表中文版测评抑郁症患者的效度和信度[J]. 中国心理卫生杂志, 2017, 31(8): 625-629. doi: 10.3969/j.issn.1000-6729.2017.08.008
    [8]
    钟慧. 综合护理在改善卵巢癌化疗患者心理健康及生存质量中的应用[J]. 实用临床医药杂志, 2018, 22(8): 76-78, 88. doi: 10.7619/jcmp.201808023
    [9]
    Baerg J, Thirumoorthi A, Hazboun R, et al. Cervical spine injuries in young children: pattern and outcomes in accidental versus inflicted trauma[J]. J Surg Res, 2017, 219: 366-373. doi: 10.1016/j.jss.2017.06.053
    [10]
    赵艳君, 俞群, 汪斐, 等. 四肢骨折患儿焦虑抑郁情绪及影响因素分析[J]. 海军医学杂志, 2018, 39(1): 75-78, 84. doi: 10.3969/j.issn.1009-0754.2018.01.022
    [11]
    Yuan J, Cao Y, Li J, et al. Diversities and disparities of fracture systems in the Paleogene in DN gas field, Kuqa Depression, Tarim Basin[J]. Oil & Gas Geology, 2017, 38(5): 840-850. http://d.wanfangdata.com.cn/Periodical/syytrqdz201705003
    [12]
    Higueras M V, Galván D F, González M C, et al. International development cooperation from the D. Orem self-care theory[J]. Revista De Enfermeriía, 2013, 36(5): 48-51. http://europepmc.org/abstract/med/23815062
    [13]
    何荣霞. 森田疗法对骨折后抑郁患者的治疗效果[J]. 中国健康心理学杂志, 2014, 22(9): 1335-1336. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201409024.htm
    [14]
    韩莲英, 胡婷, 俞春丽, 等. Orem自理理论对老年骨折患者功能性健康型态的影响[J]. 山东医药, 2013, 53(5): 45-47. doi: 10.3969/j.issn.1002-266X.2013.05.016
    [15]
    罗莉, 张宇珊, 谢星, 等. 新森田疗法与康复疗法对康复期精神分裂症患者的疗效比较[J]. 国际精神病学杂志, 2017, 44(1): 42-45. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201701012.htm
    [16]
    李逢战, 路惠捷, 杨群, 等. 森田心理疗法在我国的本土化应用[J]. 中国医药导报, 2017, 14(24): 54-57. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201724014.htm
    [17]
    Taylor S G, Renpenning K E, Geden E A, et al. A theory of dependent-care: A corollary theory to orem′s theory of self-care[J]. Nurs Sci Q, 2001, 14(1): 39-47. doi: 10.1177/08943180122108030
    [18]
    吴春兰. 基于Orem自理理论的康复护理指导脑梗死偏瘫患者应用研究[J]. 实用临床医药杂志, 2017, 21(2): 4-6, 16. doi: 10.7619/jcmp.201702002
    [19]
    Mohammadpour A, Rahmati Sharghi N, Khosravan S, et al. The effect of a supportive educational intervention developed based on the Orem′s self-care theory on the self-care ability of patients with myocardial infarction: a randomised controlled trial[J]. J Clin Nurs, 2015, 24(11/12): 1686-1692. doi: 10.1111/jocn.12775/abstract
    [20]
    戴亚芬. Orem护理模式对腰椎手术患者的应用研究[J]. 实用临床医药杂志, 2007, 11(6): 65-66. doi: 10.3969/j.issn.1672-2353.2007.06.033
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