Orem干预对老年肺结核患者生活质量及心理状态的影响  

EFFECTS OF OREM INTERVENTION ON THE LIFE QUALITY AND PSYCHOLOGICAL STATE OF ELDERLY PATIENTS WITH PULMONARY TUBERCULOSIS

作　　者：曾华志[1] 叶敏涛[1] 邓秋燕[1] 

机构地区：[1]广州市胸科医院,广东广州510095

出　　处：《现代医院》2015年第7期85-87,共3页Modern Hospitals

基　　金：广东省医学科研基金项目(编号:A2014577)

摘　　要：目的探讨自我护理模式(Orem)干预对老年肺结核患者生活质量及心理状态的影响。方法选取68例老年肺结核患者随机分为对照组(n=31)和观察组(n=37)。对照组仅给常规护理,观察组给予Orem干预。比较两组患者健康调查量表(SF-36)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分及满意度。结果干预后,观察组SF-36八个维度评分显著升高,与对照组比较差异具有统计学意义(p<0.05);观察组SDS及SAS评分显著降低,与对照组比较差异具有统计学意义(p<0.05)。对照组和观察组患者对护理工作满意度分别为77.4%(24/31)、94.6%(35/37),两组比较差异具有统计学意义(p<0.05)。结论采用Orem干预可有效改善老年肺结核患者生活质量及心理状态,值得临床推广使用。Objective To evaluate the effect of Orem intervention on the living quality and psychological state of elderly patients with pulmonary tuberculosis. Methods Sixty - eight elderly patients with pulmonary tuberculosis were randomly divided into control group （ n = 31 ） and observation group （ n = 37 ）. Orem intervention was applied in the observation group, while routine nursing was used in the control group. The score of short -form -36 health survey （SF -36 ） , self- rating depression scale （SDS）, self -rating anxiety scale （SAS） and satisfaction were compared between the two groups. Results After the intervention, the SF -36 scores of observation group were significantly increased in 8 dimensions, compared with control group, with statistically significant differences （p 〈0.05）. Compared with the control group, the SDS and SAS scores of the observation group were significantly decreased statistically （p 〈 0.05 ）. The satisfaction rates of the control group and the observation group were respectively 77.4% （24/ 31 ） and 94.6% （35/37）, with statistically significant differences （p 〈 0.05 ）. Conclusion Orem intervention can effectively improve the living quality and psychological state of elderly patients with pulmonary tuberculosis, worth clinical promotion.

关 键 词：肺结核 OREM自理模式 生活质量 心理状态 

分 类 号：R521[医药卫生—内科学]