Background. Hip fractures of elderly patients are a public health problem worldwide, mostly lying in bed for a long time; therefore, the importance of life quality in such patients is an issue beyond question. Orem’s self-care model is a nursing pattern which is introduced with the purpose of improving the self-care ability of individuals, especially the patients suffering from diseases with limits on activity. Objective. The aim of this study was to determine the effects of Orem’s self-care program on life quality of senile patients with hip fractures. Methods. A randomized clinical trial study was conducted on 130 eligible old patients suffering from hip fractures who were selected using easy sampling methods and allocated randomly into two groups of experiment and control. The data were collected through validated questionnaires including visual analogue scale (VAS) and Barthel index for them. The experiment group was treated according to Orem’s self-care model, and the control group was treated on the basis of the traditional care model. The data of complications including pneumonia, deep venous thrombosis, urinary infection, wound problem, and bedsore were also gathered. Results. As revealed, mean scores of VAS and Barthel index one week after operation in the experiment group were significantly different from the control one (, ). The changes of VAS and Barthel index six weeks postoperatively of the two groups were also statistically significant (, ). Compared with the control group, the difference of complications reduced significantly in the experiment group (). Accordingly, educational intervention according to Orem’s self-care model seemed to be effective in promoting self-care ability for these senile patients. Conclusions. According to the obtained results, a self-care program based on Orem’s model for elderly patients with hip fractures can improve life quality and reduce perioperative complications significantly. Therefore, it is recommended that this nursing program should be taken into account as a part of treatment measures for these patients.

中文翻译：

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Orem自理模型对老年髋部骨折患者生活质量的影响。

背景。老年患者的髋部骨折是世界范围内的公共健康问题，大部分躺在床上很长一段时间。因此，在这类患者中生活质量的重要性是一个毫无疑问的问题。Orem的自我护理模型是一种护理模式，旨在提高个人（尤其是患有活动受限疾病的患者）的自我护理能力。目标。这项研究的目的是确定Orem的自我保健计划对老年髋部骨折患者的生活质量的影响。方法。对130名符合条件的老年髋部骨折患者进行了一项随机临床试验研究，这些患者使用简单的抽样方法进行选择，并随机分为两组实验和对照组。通过验证的问卷收集数据，包括视觉模拟量表（VAS）和Barthel指数。实验组根据Orem的自我护理模型进行治疗，对照组按照传统护理模型进行治疗。还收集了包括肺炎，深静脉血栓形成，尿路感染，伤口问题和褥疮在内的并发症数据。结果。如图所示，实验组术后1周的VAS和Barthel指数的平均得分与对照组相比有显着差异（， ）。两组术后6周VAS和Barthel指数的变化也具有统计学意义（， ）。与对照组相比，实验组的并发症差异明显减少（）。因此，根据Orem的自我保健模型进行的教育干预似乎可以有效地提高这些老年患者的自我保健能力。结论。根据获得的结果，基于Orem模型的老年髋部骨折患者自我保健程序可以改善生活质量并显着减少围手术期并发症。因此，建议将这些护理计划作为对这些患者的治疗措施的一部分。