Orem自理模式对多发性硬化患者日常生活能力和不良情绪的影响

Effects of Orem's self-care mode on activities of daily living and unhealthy emotion of patients with multiple sclerosis

目的探讨Orem自理模式对多发性硬化(MS)患者日常生活活动能力和不良情绪的影响。方法 52例复发-缓解型MS急性期患者随机分为对照组和观察组,每组各26例,2组均予MS常规药物治疗,对照组给予常规护理干预,观察组在常规护理基础上运用Orem自理模式进行护理干预;采用Barthel指数评分、汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)对2组患者干预前后的日常生活活动能力(ADL)和精神心理状况进行评定。结果干预前2组患者的Barthel指数评分、HAMD和HAMA评分比较差异无统计学意义(P>0.05);干预后观察组的Barthel指数评分显著高于对照组,HAMD、HAMA评分显著低于对照组,2组比较差异均有统计学意义(P均<0.05)。结论 MS治疗过程中,应用Orem自理模式有利于减轻MS患者的焦虑、抑郁情绪,改善其日常生活活动能力,提高其生活质量。

Abstract： Objective To explore the effects of Orem＇ s self-care mode on activities of daily living and unhealthy emotion of patients with multiple sclerosis （MS）. Methods 52 patients with relapse-remitting MS were randomly divided into ob- servational group（n = 26） and control group（n = 26）. The patients in observational group were given Orem＇ s Self-care mode nursing intervention and the patients in control group received routine nursing care ; the Score of Barthel index, Ham- ilton Depression Rating Scales（HAMD） and Hamilton Anxiety Scale（HAMA） were used to assess the patients in both groups. Results Before the intervention, the score of Barthel index, HAMD and HAMA of two groups had no significant different （P 〉 0.05 ） ;after the intervention, the score of Barthel index of observational group was significantly higher than that of control group（ P 〈 0.05 ） , the HAMD and HAMA of observational group were significantly lower than those of con- trol group（ P 〈 0.05 ）. Conclusion The application of Orem＇ s self-care mode to the nursing intervention of MS patients can contribute to relieve the depression and anxiety mood of patients and improve their activities of daily living.