Orem自理模式在改善慢性心力衰竭患者治疗遵从性及知识掌握情况中的效果观察

Observation on the Effect of Orem Self-Care Model in Improving the Treatment Compliance and Mastering Situation of Knowledge of Patients with Chronic Heart Failure

目的:探讨Orem自理模式在改善慢性心力衰竭患者治疗遵从性及知识掌握情况中的效果。方法:将2009年4月-2012年1月在笔者所在医院进行治疗的64例慢性心力衰竭患者根据随机数字表法分为对照组(常规护理组)和观察组(Orem自理模式组),每组32例,将两组患者干预前及干预后1、2周的治疗遵从性、知识掌握情况及心理状况进行统计及比较。结果:干预后1、2周观察组的治疗遵从性、知识掌握情况较佳率均高于对照组,而心理状况评分也优于对照组,差异均有统计学意义(P<0.05)。结论:Orem自理模式在改善慢性心力衰竭患者治疗遵从性及知识掌握情况中的效果较佳,可使患者在较佳的心态下接受治疗。

Objective ：To study the effect of Orem self-care model in improving the treatment compliance and mastering situation of knowledge of patients with chronic heart failure.Methods ：64 patients with chronic heart failure from April 2009 to January 2012 were divided into control group（routine nursing group）and observation group（Orem self-care modelgroup）with 32 cases according to random number table, then the treatment compliance, mastering situation of knowledge and psychological status of two groups before and after the intervention at first and second week were analyzed and compared.Results ：Then better rates of treatment compliance and mastering situation of knowledge of observation group after the intervention at first and second week were all higher than those of control group, the psychological status acore were all better than those of control group, there were all significant differences（P〈0.05）.Conclusion ：The effect of Orem self-care model in improving the treatment compliance and mastering situation of knowledge of patients with chronic heart failure is better, and the patients are treated under the better mind.