Effects of Comprehensive Nursing Based on Orem’s Self-Care Theory on Symptom Improvement and Pregnancy Outcome in Patients with Antiphospholipid Syndrome: A Retrospective Cohort Study

Abstract

Objective. A retrospective cohort study was conducted to explore the effects of comprehensive nursing based on Orem’s self-care theory on symptom improvement and pregnancy outcomes in patients with antiphospholipid syndrome (APS). Methods. Sixty patients with antiphospholipid antibody syndrome treated in our hospital from February 2019 to April 2021 were enrolled. The control group received comprehensive nursing, while the study group received comprehensive nursing based on Orem’s self-care theory. Nursing satisfaction, self-nursing ability, anxiety score, social support status, pregnancy outcome, and the score of life quality were compared between the two groups. Results. First of all, we compared the nursing satisfaction, the study group was very satisfied in 23 cases, satisfactory in 5 cases, general in 2 cases, the satisfaction rate was 100.00%. While in the control group, 11 cases were very satisfied, 10 cases were satisfied, 4 cases were general, and 5 cases were dissatisfied, the satisfaction rate was 83.33%. The nursing satisfaction in the study group was higher compared to the control group ( P < 0.05 ). Secondly, the self-concept, sense of self-care responsibility, self-nursing skills, health knowledge, and total score of the study group were higher compared to the control group ( P < 0.05 ). After intervention, the anxiety scores of the two groups decreased. Compared between the two groups, the anxiety scores of the study group before intervention and 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention were lower compared to the control group ( P < 0.05 ). The comparison of social support showed that the scores of objective support, subjective support, utilization of support, and total score of social support in the study group were higher compared to the control group ( P < 0.05 ). The number of abortions in the control group was lower compared to the control group, and the number of full-term deliveries was higher compared to the control group ( P < 0.05 ). Finally, we compared the scores of life quality. After nursing, the scores of life quality of the two groups increased. Of note, the scores of physiological function, psychological function, social function, and health self-cognition in the study group were lower compared to the control group ( P < 0.05 ). Conclusion. Comprehensive nursing for patients with APS based on Orem’s self-care theory can effectively improve clinical symptoms and pregnancy outcome and play a positive role in facilitating patients’ nursing satisfaction and self-nursing ability, which can also effectively strengthen mental health and social support, this nursing model is worth popularizing in clinic.

Effect of Early Rehabilitation Nursing on Motor Function and Living Ability of Patients with Traumatic Brain Injury Based on Orem’s Self-Care Theory

“…It reflects the patient's own value and gives full play to the patient's self-care ability. At the same time, it shortens the nurse-patient relationship, enhances job satisfaction, enhances communication and understanding between nurses and patients, and promotes the harmonious development of the nurse-patient relationship [ 31 , 32 ]. The same idea can be found in the study put forward by Zhiying Yang et al [ 33 ], who have applied new methods in the study, and the conclusions drawn can also give some support to this study.…”

Antiphospholipid syndrome

“…It presents with venous or arterial thrombosis and/ or pregnancy morbidity, with antiphospholipid antibodies (aPLs) present in lab studies. 1,2 APS often occurs as a primary condition but can also present with other systemic autoimmune diseases, such as systemic lupus erythematosus (SLE). 1,3,4 The key signs of APS include venous thromboembolism (VTE), myocardial infarction (MI), stroke, pregnancy complications (such as miscarriage and clotting), and fetal death.…”

“…1,3,4 The key signs of APS include venous thromboembolism (VTE), myocardial infarction (MI), stroke, pregnancy complications (such as miscarriage and clotting), and fetal death. 1,2 People diagnosed with APS have a greater risk of cardiovascular events than individuals with traditional cardiovascular risk factors. 1 Healthcare practitioners need to recognize the clinical manifestations of APS because although there's no cure, it's a treatable condition that can become lifethreatening if it's not identified early.…”

“…Self-care Self-care is important to maximize independence and engage patients with APS in promoting health and wellness. 2 • Encouraging patients to take ownership of care improves recovery time, decreases overdependence, and promotes a realization that the patient's role in managing the disease is attainable. • Patients need to know that changes in their ability to provide self-care are likely to occur as the disease progresses.…”

“…Self-care is important to maximize independence and engage patients with APS in promoting health and wellness 2…”