Orem 自理护理模式在阿尔兹海默病患者中的应用效果  

Application effects of Orem self-care nursing mode on patients with Alzheimer

作　　者：王恩石 孙爱国[1] 马维丽[1] 关雨晴[1] 滕海艳 王丹[1] 

机构地区：[1]哈尔滨医科大学附属第一医院神经内科,150001

出　　处：《中华现代护理杂志》2016年第17期2458-2461,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨临床应用 Orem 自理护理模式对阿尔兹海默病（AD）患者并发症与生活质量的改善效果。方法选取2013年7月—2015年7月收治的 AD 患者184例，采用随机数字表法将其分为对照组与观察组各92例，对照组患者采用常规临床护理模式，观察组患者给予 Orem 自理护理模式，比较两组患者护理后并发症发生率、智商水平、日常生活活动能力及生活质量，均行统计学分析。结果观察组患者护理后 DQOL 评分、MMSE 评分及 ADL 评分均优于对照组，其临床并发症发生率明显低于对照组，组间比较差异均有统计学意义（P ＜0．05）。结论 AD 患者采用 Orem 自理护理模式能够良好改善其日常生活活动能力、智商水平及生活质量，亦可积极抑制并发症发生。Objective To explore the application effects of Orem self-care nursing mode on improving the complications and quality of life in patients with Alzheimer.Methods The study investigated 184 Alzheimer patients who were hospitalized from July 2013 to July 2015.The participants were divided into the control group （n =92）and the intervention group （n =92）using the random number table.The control group received routine nursing care while the intervention group received Orem self-care nursing mode.The incidence of complications,IQ level,the activity of daily living and quality of life were compared between the two groups. Results The intervention group performed significantly higher scores of DQOL,MMSE and ADL assessment as well as a lower incidence rate of complications compared to the control group （P 〈0.05）.Conclusions The Orem self-care nursing mode not only can effectively improve the activity of daily living,IQ level and the quality of life but also can prevent the related complications for patients with Alzheimer.

关 键 词：阿尔兹海默病 并发症 生活质量 Orem自理护理模式 

分 类 号：R473.74[医药卫生—护理学]