奥瑞姆自理理论在糖尿病患者早期护理干预中的应用效果分析

Analysis on Application Effect of Orem Self-care Theory in Early Nursing Intervention Among Diabetic Patients

目的探讨糖尿病患者早期护理干预中应用奥瑞姆自理理论的效果。方法选取解放军89医院2010年2月到2011年2月间100例糖尿病患者为研究对象,按照随机数字法分为常规组和干预组,常规组50例患者给予常规护理,干预组50例患者应用奥瑞姆自理理论进行护理干预,观察两组的应用效果。结果常规组患者对糖尿病知识知晓评分为(67.3±4.6)分,干预组患者对糖尿病知识知晓评分为(83.2±3.2)分,常规组患者对糖尿病知识知晓评分明显的低于干预组患者对糖尿病知识知晓评分,差异有统计学意义(P<0.05)。干预前常规组和干预组的生活质量总评分分别为(67.7±5.3)、(68.1±5.1)分;干预前常规组和干预组的生活质量总评分比较差异无统计学意义(P>0.05);干预后常规组和干预组的生活质量总评分分别为(71.3±5.5)、(84.6±4.7)分;干预后两组的生活质量总评分比较差异有统计学意义(P<0.05)。干预后常规组和干预组组间糖化血红蛋白分别为(7.5±1.1)、(6.0±0.6)mg/dl,差异有统计学意义(P<0.05)。结论糖尿病患者早期护理中应用奥瑞姆自理理论进行干预是可行的,能够有效的提高患者及其家属的认识,并改善患者生活质量,值得临床中应用。

Objective To explore the application effect of Orem self-care theory in the early nursing intervention among diabetic patients. Methods During February,2010 - February,2011,100 cases of diabetic patients were selected for the study,divided into conventional group and intervention group according to the random digital method, 50 patients were treated with routine care, 50 in the intervention group were treated with application of Orem self-care theory in nursing intervention,the application effects were observed. Results The scores of diabetes knowledge were （67.3±4.6） points in the intervention group, while the scores were （83.2 ±3.2） in the intervention group, significantly lower in the conventional group than in the inLervention group, comparison of data with significant differences （ P 〈0. 05）, with statis- tical significance. Before intervention, the overall quality of life scores were （ 67.7 ± 5.3） points and （ 68. 1± 5.1） points ; in the conventional and intervention groups, with no significant differences （ P 〈0. 05）, without statistical significance; the overall quality of life scores were （71.3±5.5） points and （84.6±4.7） points respectively after intervention;with significant differences （ P d0.05）,and statistical significance. The glycosylated hemoglobin were （7.5± 1.1） and （6.0±0.6） in the conventional group and the intervention group,compared with significant differences （ P 〈0.05） and statistical sig- nificance. Conclusion The apFlieation of Orem self-care theory in early nursing intervention among diabetic patients is feasible, which can effectively improve the awareness of patients and their families, improve the patients＇ quality of life, and is worthy of clinical application.