Orem自理学说在CRT-D患者超早期护理中的应用  

Application of Orem Self-care Theory in Super-early Nursing of CRT-D Patients

作　　者：熊海燕[1] 胡婷婷[1] 刘贺玲 蔡丁香 

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《现代医院》2017年第4期613-616,共4页Modern Hospitals

基　　金：广东省科技计划项目(编号:2012B061700025)

摘　　要：目的运用Orem自理学说在CRT-D患者超早期护理中的应用效果。方法将2011—2015年67例接受CRT-D患者按入院时间顺序分为对照组34例与观察组33例。对照组给予心内科常规护理,观察组在对照组基础上应用Orem自理学说进行超早期护理,包括完全补偿系统、部分补偿系统以及辅助教育系统,比较两组患者护理后并发症发生率、日常生活活动能力及生存质量。结果观察组CRT-D患者术后3个月自理能力较术后1个月显著提高;观察组患者运用Orem自理学说护理后MLHF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,差异均有统计学意义(P<0.05)。结论 CRT-D患者以Orem自理学说为指导的超早期规范化护理能够有效提高患者的生活质量。Objective Application effect of Orem self- care theory on CRT - D patients with super - early nursing. Methods Divide 67 samples from 2011 -2015 who accepted CRT -D into control group and observation group according to admission time sequence. The control group is given routine nursing in Department of Cardiology, while the observation group is based on the application of Orem theory in nursing, including the complete compensation system, part compensation system and auxiliary education system. Two groups of patients after nursing complication rate, activities of daily living and quality of life wer compared. Results Self - care ability of the observation group improved significantly after 3 months of the surgery; After using Orem self -~ care theory, the MLHF score and ADL score of the observation group are both better than the control group, and the difference is statistically significant （P 〈 0. 05）. Conclusion Orem self - care theory in CRT - D patients could effectively improve the quality of life of patients.

关 键 词：自理学说 CRT-D 超早期护理 

分 类 号：R473.5[医药卫生—护理学]