Orem自理模式在造血干细胞移植极期护理的应用  

Application of Orem Self-care Mode in Nursing of Patients with Hematopoietic Stem Cell Transplantation during Extreme Period

作　　者：高珠玲 方文添[1] 翁依妹[1] 陈晓红[1] GAO Zhuling;FANG Wentian;WENG Yimei(Fujian Institute of Hematological Diseases/Key Laboratory of Hematology in Fujian/Union Hospital Affiliated to Fujian Medical University,Fuzhou 350001,China)

机构地区：[1]福建省血液病研究所/福建省血液病学重点实验室/福建医科大学附属协和医院,福建福州350001

出　　处：《中国医学创新》2018年第27期72-75,共4页Medical Innovation of China

基　　金：国家和福建省临床重点专科建设项目资助[闽卫科教(2012)149号];福建省血液医学中心建设项目资助[闽政办(2017)4号]

摘　　要：目的:探讨在护理造血干细胞移植极期患者过程中运用Orem自理模式的临床分析及效果。方法:选取2017年1-12月某三级甲等医院血液科移植仓内的成人白血病患者68例作为研究对象,按照随机数字表法将其分为观察组(n=34)和对照组(n=34)。在实施干预过程中,对研究对象采取单盲法,观察组运用Orem自理模式进行自我护理,对照组则采用常规分级护理。比较两组出仓时生活质量评分以及移植仓内感染发生情况。结果:观察组各项生活质量评分及总分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组出院前感染发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:应用Orem自理模式可以降低造血干细胞移植极期患者的感染率,同时提高生存质量。Objective：To explore the clinical analysis and effect of Orem self-care mode in patients with hematopoietic stem cell transplantation during the extreme period.Method：A total of 68 adults patients with leukemia in hematology department transplantation warehouse of a tertiary hospital from January to Decembe 2017 were selected as the study objects.According to the random number table method,they were divided into observation on group（ n=34） and control group（ n=34）.In the intervention process,the study objects were given single blind method,the observation group was received Orem self-care mode,the control group was treated with routine grading nursing mode.The quality of life score and the incidence of infection in ward and transplanted warehouse between the two groups were compared.Result：The scores of life quality and total scores in the observation group were significantly higher than those in the control group,the differences were statistically significant（ P〈0.05）.The incidence of infection in the observation group before discharge was significantly lower than that in the control group, the difference was statistically significant（ P〈0.05）.Conclusion：Orem selfcare mode can reduce the infection rate and improve the quality of life of patients with hematopoietic stem cell transplantation during extreme period.

关 键 词：OREM自理模式 造血干细胞移植 极期 护理 

分 类 号：R473.73[医药卫生—护理学]