Orem自护理论在消化性溃疡患者自我护理能力及疗效中的应用效果观察  

Effect of Orem self-care theory on self-care ability and treatment of patients with peptic ulcer

作　　者：齐越[1] 秦杰[1] 邱坤鹏[1] 柳迪[1] 陈楠[1] 蔡林[2] 

机构地区：[1]哈尔滨医科大学附属第四医院消化内科,150001 [2]哈尔滨医科大学附属第四医院护理部,150001

出　　处：《中华现代护理杂志》2013年第24期2900-2902,共3页Chinese Journal of Modern Nursing

摘　　要：目的 创建以Orem自护理论为基础的三位一体个体化护理模式,检验该护理模式对消化性溃疡（PU）患者的效果.方法 将77例消化性溃疡患者按随机数字法随机分为观察组39例及对照组38例,对照组给予常规护理,创建以Orem自护理论为基础的三位一体个体化护理模式对观察组进行干预.采用自我护理能力实施量表（ESCA）和消化性溃疡愈合分期指标对两组进行比较.结果 干预前两组患者在自护能力、自护知识和自护技能3个方面得分比较,差异均无统计学意义（P＞0.05）；干预后观察组在自护能力、自护知识和自护技能方面的得分分别为（126.21±14.31）,（42.81 ±4.97）,（36.71 ±5.56）分,均高于对照组的（114.52±16.76）,（37.42 ±5.30）,（31.78±4.68）分,差异均有统计学意义（t分别为3.284,3.917,3.602；P＜0.01）.观察组PU愈合情况优于对照组,差异有统计学意义（x2=5.3,P＜0.05）.结论 以Orem自护理论为基础的三位一体个体化护理模式能够提高消化性溃疡患者的自护能力,帮助患者全面康复,是一种行之有效的护理模式.Objective To examine the effect of Orem self-care mode,a trinity of individualized nursing pattern based on Orem self-care theory,on patients with peptic ulcer（PU）.Methods Totals of 77 patients with PU were randomly divided into the observation group （n =39） and the control group （n =38）.The control group received conventional nursing,while the observation group was intervened by the trinity of individualized nursing pattern based on Orem self-care theory.ESCA and PU healing stage index were used to compare two groups.Results There was no statistically significant difference of score in self-care ability,self-care knowledge and self-care skills before intervention （P ＞ 0.05）.The score of self-care ability,self-care knowledge and selfcare skills was respectively （126.21 ± 14.31）,（42.81 ± 4.97）,（36.71 ± 5.56） after intervention in the observation group,higher than （114.52 ± 16.76）,（37.42 ± 5.30）,（31.78 ± 4.68） in the control group,and the differences were statistically significant （t =3.284,3.917,3.602,respectively; P ＜ 0.01）.The score of PU healing was also better in the observation group than in the control group,with statistically significant difference （x2 =5.3,P ＜ 0.05）.Conclusions The trinity of individualized nursing pattern based on Orem selfcare theory can improve the self-care ability of patients with peptic ulcer and promote their healing,thus is an effective nursing mode.

关 键 词：消化性溃疡 治疗结果 OREM自护理论 个体化护理 自护能力 

分 类 号：R473.5[医药卫生—护理学]