Orem自理理论改善乙型肝炎肝硬化患者生存质量的分析

Analysis of Orem Self-care Theory in Improving Quality of Life of Hepatitis B Cirrhosis Patients

目的探讨Orem自理理论在改善乙型肝炎肝硬化患者生存质量中的应用。方法 144例乙型肝炎肝硬化患者,按照随机数字法分为实验组和对照组,各72例。对照组采取常规的护理模式,实验组则在对照组的基础采取Orem自理模式,经相应的护理干预后比较两组患者的生活质量及CES-D评分。结果实验组患者躯体功能、心理功能、社会功能、认知功能、总生活质量得分均显著优于对照组(P<0.05)。实验组在肝部状况、困乏、系统症状、活动能力、情感方面的得分均显著优于对照组,而焦虑比较无统计学意义(P>0.05)。结论 Orem自理理论应用于乙型肝炎肝硬化患者的护理中,能够有效的提高患者的自理能力,改善生存质量。

Objective To discuss the application of Orem self-care theory in improving quality of life of hepatitis B cirrhosis patients. Methods 144 cases of hepatitis B cirrhosis were randomly divided into experimental group and control group, 72 cases each. Control group received regular nursing mode, while experimental group applied Orem self-care mode. Results Experimental group＇s physical function, psychological function, social function, cognitive function, total quality of life scores were better than control group（P〈0.05）. Experimental group＇s liver condition, sleepy condition, symptoms, activity ability and emotional scores were better than control group, while there was no significant difference of anxiety（P〈0.05）. Conclusion Orem self-care theory in the nursing of hepatitis B cirrhosis patients can effectively improve their self-care ability and can improve quality of life.