基于Orem自理模式的延续性护理对糖尿病合并COPD患者的影响分析  

Effect of Continuous Nursing Based on Orem Self-care Mode on Patients with Diabetes Mellitus Complicated with COPD

作　　者：吴转英 孙朦 成砚 WU Zhuanying;SUN Meng;CHENG Yan(Department of Respiratory and Critical Care Medicine,Affiliated Hospital of Yangzhou University,Yangzhou 225000,Jiangsu,China)

机构地区：[1]扬州大学附属医院呼吸与危重症医学科,江苏扬州225000

出　　处：《糖尿病新世界》2025年第5期170-173,共4页Diabetes New World

摘　　要：目的基于Orem自理模式的延续性护理在糖尿病(diabetes mellitus,DM)合并慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者护理中的实践效果。方法选取2022年6月—2024年6月扬州大学附属医院收治的84例DM合并COPD患者,采用不同护理方式分为两组。对照组(42例)采用常规护理,研究组(42例)接受基于Orem自理模式的延续性护理,对比两组血糖水平、生活质量评分、护理满意度。结果护理后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,生理领域、心理领域、社会关系领域、环境领域评分均高于对照组,差异均有统计学意义(P均<0.05)。研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于Orem自理模式的延续性护理能够更有效地控制DM合并COPD患者的血糖水平,提高其生活质量及护理满意度。Objective The practical effect of continuous nursing based on Orem self-care model in the nursing of patients with diabetes mellitus(DM)complicated with chronic obstructive pulmonary disease(COPD).Methods A total of 84 patients with DM complicated with COPD admitted to the Affiliated Hospital of Yangzhou University from June 2022 to June 2024 were selected and divided into two groups by different nursing methods.The control group(42 cases)received routine nursing,and the study group(42 cases)received continuous nursing based on Orem self-care mode.The blood glucose levels,quality of life scores and nursing satisfaction were compared between the two groups.Results After nursing,the levels of fasting plasma glucose,2-hour postprandial plasma glucose,glycated hemoglobin A1c in the study group were lower than those in the control group,and the scores of physiological field,psychological field,social relations field,environmental field were higher than those in the control group,the differences were statistically significant(all P<0.05).The nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Continuous nursing based on Orem self-care model can more effectively control the blood glucose level of patients with DM complicated with COPD,improve their quality of life and nursing satisfaction.

关 键 词：OREM自理模式 延续性护理 糖尿病 慢性阻塞性肺疾病 护理效果 

分 类 号：R473.6[医药卫生—护理学]