Orem自护理论配合饮食指导对心肌梗死患者的影响  

Effect of Orem Self-care Theory and Dietary Guidance on Patients with Myocardial Infarction

作　　者：谢军娇 管志敏 王昭昭 Xie Junjiao;Guan Zhimin;Wang Zhaozhao(Tongji Hospital Affiliated to Tongji Medical College,Wuhan Hubei 430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430000

出　　处：《齐鲁护理杂志》2018年第14期1-4,共4页Journal of Qilu Nursing

基　　金：2015年华中科技大学同济医学院附属同济医院科研基金项目(编号:2015D007)

摘　　要：目的:探讨Orem自护理论配合饮食指导对心肌梗死患者饮食习惯、服药依从性及自护能力的影响。方法:将124例心肌梗死患者随机分为配合组和对照组各62例,对照组采取心血管内科常规护理干预,配合组在对照组基础上采取Orem自护理论配合饮食指导进行干预。比较两组干预前及干预2周后服药依从性、自护能力、生活质量,干预2周后饮食习惯及心血管不良事件发生情况。结果:干预2周后,两组合理用药自我效能量表(SEAMS)评分、自我护理能力量表(ESCA)评分、慢性病患者生活质量测定量表-冠心病分量表(QLICD-CHD)各项评分及总分均显著高于干预前(P<0.05),且配合组高于对照组(P<0.05);配合组饮食习惯各项评分及总分均明显高于对照组(P<0.05);配合组心血管不良事件总发生率明显低于对照组(P<0.05)。结论:Orem自护理论配合饮食指导能有效改善心肌梗死患者饮食习惯,提高患者服药依从性及自护能力,降低心血管不良事件发生风险。Objective： To explore the effects of Orem self-care theory and dietary guidance on eating habits,medication compliance and self-care ability in patients with myocardial infarction. Methods： A total of 124 patients with myocardial infarction were randomly divided into a combination group and a control group,62 cases in each group. The control group took the routine nursing intervention in the cardiovascular medicine department,and the group adopted the Orem self-care theory and the diet guidance on the basis of the control group. Drug compliance,self-care ability,quality of life,and eating habits and adverse cardiovascular events after 2 weeks of intervention were compared between the two groups before and 2 weeks after intervention. Results： After 2 weeks of intervention,the scores and total scores of the two groups of rational drug use self-efficacy scale（SEAMS）,self-care ability scale（ESCA）,chronic disease quality of life scale and coronary heart disease subscale（QLICD-CHD） were significantly higher than those before intervention（P〈0. 05）,and the combination group was higher than the control group（P〈0. 05）. The scores and total scores of the diet habits of the combination group were significantly higher than those in the control group（P〈0. 05）,and the total incidence of adverse cardiovascular events in the group was significantly lower than that of the control group（P〈0. 05）. Conclusion： Orem self-care theory combined with dietary guidance can effectively improve the diet habits of patients with myocardial infarction,improve the compliance and self-care ability of the patients,and reduce the risk of cardiovascular adverse events.

关 键 词：OREM自护理论 饮食指导 心肌梗死 生活质量 

分 类 号：R473.5[医药卫生—护理学]