奥伦自理模式对重症肌无力胸腺切除患者自护能力与心理弹性状态的影响  

Influence of Orem’s self-care mode on the self-care ability and psychological resilience state of patients with thymectomy for myasthenia gravis

作　　者：郑丽 余嵘 ZHENG Li;YU Rong(Department of Anorectal Surgery, Central Hospital of Longhua District of Shenzhen, Shenzhen 518110, Guangdong, CHINA)

机构地区：[1]深圳市龙华区中心医院肛肠科

出　　处：《海南医学》2019年第12期1620-1623,共4页Hainan Medical Journal

基　　金：广东省深圳市龙华区科技创新局资助项目(编号:201803)

摘　　要：目的研究奥伦自理模式对重症肌无力胸腺切除患者自护能力与心理弹性状态的影响。方法选取2016年8月至2018年9月期间深圳市龙华区中心医院收治的70例重症肌无力胸腺切除患者为研究对象,依据随机数表法分为对照组和观察组,每组35例。对照组进行常规重症肌无力胸腺切除术护理,观察组则以奥伦自理模式为指导进行护理。比较两组患者护理前及护理后5 d、10 d的自护能力(ESCA量表)、心理弹性状态(CD-RISC量表)及生活质量状态(WHOQOL-100量表)。结果护理前两组患者的ESCA量表、CD-RISC量表及WHOQOL-100量表评分比较差异均无统计学意义(P>0.05);护理后5 d及10 d,观察组患者的ESCA量表、CD-RISC量表及WHOQOL-100量表评分均明显好于对照组,差异均有统计学意义(P<0.05)。结论奥伦自理模式可有效改善重症肌无力胸腺切除患者的自护能力与心理弹性状态,具有较好地改善患者生活状态的作用。Objective To study and observe the influence of Orem’s self-care mode on the self-care ability and psychological resilience state of patients with thymectomy for myasthenia gravis. Methods A total of 70 patients with thymectomy for myasthenia gravis, who admitted to Central Hospital of Longhua District of Shenzhen from August 2016 to September 2018, were chosen and divided into the control group and observation group according to random number table method, with 35 cases in each group. The control group were performed with routine nursing of thymectomy for myasthenia gravis, and the observation group were conducted with nursing guided by Orem’s self-care mode.Then the self-care ability(ESCA scale), psychological resilience state(CD-RISC scale), and life quality state(WHOQOL-100 scale) of two groups before the nursing and at 5thand 10th day after the nursing were compared. Results The ESCA scale, CD-RISC scale and WHOQOL-100 scale of two groups before the nursing were compared, and there were no statistically significant differences(P>0.05);the ESCA scores, CD-RISC scores and WHOQOL-100 scores of the observation group at 5th and 10th day after the nursing were significantly better than those of control group, and there were statistically significant differences(P<0.05). Conclusion The Orem’s self-care mode can effectively improve the self-care ability and psychological resilience state of patients with thymectomy for myasthenia gravis, so it has better improvement role for the life state.

关 键 词：奥伦自理模式 重症肌无力 胸腺切除 自护能力 心理弹性状态 

分 类 号：R685[医药卫生—骨科学]