应用Orem自护理论护理干预对胃溃疡患者生活质量的影响

The effect of application of Orem self-care theory on the life quality of patients with gastric ulcer

目的探讨Orem自护理论对胃溃疡（gastric ulcer,GU）患者的积极意义,为GU患者提供最佳护理方案,以期提高患者生活质量。方法将2013年1～6月收治的GU患者200例按随机数表法分为观察组和对照组各100例,两组均进行常规护理,观察组在常规护理的基础上依据Orem自护理论,从饮食指导、心理护理、技能培训三方面对患者进行护理干预。采用自我护理能力量表和生活质量简易量表对两组患者进行比较。结果干预后观察组在自护能力、自护知识和自护技能方面的得分均高于对照组,差异有统计学意义（P〈0.05）。观察组患者出院时、出院后1个月、出院后两个月的生活质量得分均高于对照组,差异有统计学意义（P〈0.05）。结论提高GU患者的自护能力可以明显改善患者的生活质量。

Objective To explore the positive significance of Orem self-care in patients with gastric ulcer（GU） in order to provide the best care plan for GU patients,thus to improve the quality of life of the patients.Methods Two hundred patients with GU treated in our hospital between January,2013 and June,2013 were randomly divided into observation and control groups,100 cases in each group.The both groups received routine nursing care while the observation group also received an intervention in diet guidance,psychological care and skills training according to Orem self-care theory.Comparison was performed between the two groups by using Self care ability scale and quality of life scale.Results Self-care ability,self-care knowledge and self-care skills of the observation group were higher than that in the control after the intervention（P 〈 0.05）.The quality of life score in the observation group at discharge,a month after discharge and two months after discharge were all higher than that of the control group（P 〈 0.05）.Conclusion Improvement of patients＇ self nursing ability can obviously improve their quality of life.