摘要目的：观察 Orem 自护理论在老年腰椎手术切口感染患者中的应用效果。方法回顾性分析2013年1月至2015年6月60例行腰椎手术治疗的老年患者的临床资料，按照不同护理方案分为2组，对照组28例行常规护理，实验组32例接受 Orem 自护理论的护理干预，对比两组临床护理效果。结果对照组切口感染率10.71%及其他并发症总发生率17.85%高于实验组的0.00%、6.25%；此外，实验组生活质量评分高于对照组(P<0.05)。结论 Orem 自护理论在老年腰椎手术切口感染患者中具有积极应用效果，值得推广。

abstractsObjective To observe the application effects of Orem self-care theory applied in senile patients with incision infection after spine operation. Methods Clinical data of 60 cases of senile patients who received spine operation from January 2013 to June 2015 were analyzed retrospectively. All the patients were divided into two groups according to the different nursing plan. 28 cases of the control group received routine nursing, while 32 cases of the ex-perimental group were given the nursing intervention of Orem self-care theory. The clinical nursing effects of the two groups were compared. Results The incision infection rate and the total rate of other complications of the control group were 10. 71% and 17. 85% respectively, which was higher than that of 0. 00% and 6. 25% of the experimental group. Moreover, the score of life quality of the experimental group was higher than that of the control group ( P <0. 05). Conclusions Orem self-care theory has a positive effect in senile patients with incision infection after spine operation, and it is worth to be popularized.