Orem自护理论对养老机构冠心病患者生活质量的影响

Effect of Orem Self- Care Nuring Theory on the Quality of Life in Patients with Coronary Heart Disease in the Geriatric Nursing Home

目的探讨Orem自护理论对养老机构冠心病患者生活质量的影响。方法从锦州市养老机构中选取60名冠心病患者,随机分成实验组和对照组,实验组采用Orem自护理论的护理方法,对照组采用传统的护理方法,进行为期8周的护理干预,采用西雅图心绞痛量表(Seattle Angina Questionnaire,SAQ)对实验前后生活质量的评定。结果实验组生活质量各维度得分均较对照组高,差异有统计学意义(P<0.05),心绞痛发作频率(Anginal Frequency,AF)维度除外。结论Orem自护理论优于传统的护理方法,可以在养老机构中推行Orem自护理论,提高冠心病患者的疾病认识能力和治疗满意度,加强其自护能力,改善患者的生活质量。

Objective To explore the effect of Orem Self- care Theory on the quality of life in patients with coronary heart disease in the geriatric nursing home. Methods 60 patients with coronary heart disease from the geriatric nursing homes in Jinzhou City were selected and divided into experimental group and control group randomly. During 8 weeks,the experimental group was nursed based on Orem Self- care Nursing Theory,while the control group was nursed with the traditional method. Then their quality of life was assessed by SAQ（ Seattle Angina Questionnaire） before and after the intervention. Result All dimension scores of life quality in the experimental group are higher than those in the control group. The differences were of statistical significance（ P 0. 05）,with the exception of AF（ Anginal Frequency）. Conclusion Orem Self- care Nursing Theory is superior to the traditional nursing method,and we can spread it in the geriatric nursing homes to improve percepitivity of patients with coronary heart disease and their satisfaction with treatment,and thus to enhance their self nursing ability and improve their life quality.