以Orem自理理论为指导的护理模式在持续性血液透析尿毒症患者中的应用效果  

Application Effect of Nursing Mode Guided by Orem Self-care Theory in Uremia Patients Undergoing Continuous Hemodialysis

作　　者：沈晓雪 李幼女 吴丹 SHEN Xiaoxue;LI Younü;WU Dan(Zhao’an County Hospital of Traditional Chinese Medicine,Zhao’an 363500,China;不详)

机构地区：[1]诏安县中医院,福建诏安363500

出　　处：《中外医学研究》2023年第22期101-105,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨以Orem自理理论为指导的护理模式在持续性血液透析(HD)尿毒症患者中的应用效果。方法:选取2020年2月-2022年3月诏安县中医院收治的持续性HD尿毒症患者82例。采用电脑随机法将患者分为常规组和干预组,各41例,常规组给予常规护理干预,干预组在常规组基础上给予以Orem自理理论为指导的护理干预,均干预3个月。评估干预前后两组焦虑情绪、抑郁情绪、睡眠质量、营养状况、生活质量及并发症发生情况。结果:干预后,两组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、匹兹堡睡眠质量指数(PSQI)评分较干预前下降,且干预组评分均低于常规组,差异有统计学意义(P<0.05);干预后,两组营养状况指标水平均升高,且干预组均高于常规组,差异有统计学意义(P<0.05);干预组并发症发生率低于常规组,差异有统计学意义(P<0.05);干预后,两组生活质量评分均升高,且干预组高于常规组,差异有统计学意义(P<0.05)。结论:对持续性HD尿毒症患者实施以Orem自理理论为指导的护理干预能有效改善患者焦虑、抑郁情绪及睡眠质量,提升机体的营养状况,降低并发症的发生率,从而提升患者整体生活质量。Objective:To investigate the application effect of nursing mode guided by Orem self-care theory in uremia patients with continuous hemodialysis(HD).Method:A total of 82 cases of uremia patients with continuous HD admitted to Zhao’an County Hospital of Traditional Chinese Medicine from February 2020 to March 2022 were selected.The patients were divided into routine group and intervention group by computer randomized method,41 cases in each group.The routine group was given routine nursing intervention,and the intervention group was given nursing intervention guided by Orem self-care theory on the basis of the routine group,both groups intervention for 3 months.The anxiety,depression,sleep quality,nutritional status,quality of life before and after intervention and incidence of complications of the two groups were evaluated.Result:After intervention,the scores of Hamilton anxiety scale(HAMA)score,Hamilton depression scale(HAMD)score,Pittsburgh sleep quality index(PSQI)score in the two groups were decreased compared with before intervention,and the scores in the intervention group were lower than those in the routine group,the differences were statistically significant(P<0.05).After intervention,the levels of nutritional status of the two groups were increased,and the levels in the intervention group were higher than those in the routine group,the differences were statistically significant(P<0.05).The incidence of complications in the intervention group was lower than that in the routine group,the difference was statistically significant(P<0.05).After intervention,the quality of life scores of the two groups were increased,and the scores in the intervention group were higher than those in the routine group,the differences were statistically significant(P<0.05).Conclusion:Nursing intervention guided by Orem self-care theory for patients with continuous HD uremia can effectively improve patients'anxiety,depression and sleep quality,improve the body's nutritional status,reduce the incidence of complications,and thus

关 键 词：尿毒症 血液透析 持续性 OREM自理理论 护理效果 

分 类 号：R473.5[医药卫生—护理学]