Orem自理模式对强直性脊柱炎患者生存质量的影响

Effect of Orem self-care mode on the quality of life of patients with ankylosing spondylitis

目的探讨Orem自理模式对强直性脊柱炎患者生存质量的影响。方法选取于住院治疗的78例强直性脊柱炎患者作为研究对象,依据护理模式的不同,随机分为对照组(常规护理模式)和研究组(Orem自理模式),每组各39例。采用SAS、SDS级QOL对患者的负面情绪及生存质量进行评价。并采用自制问卷,对患者就护理满意度进行调查。结果护理前两组患者SAS、SDS评分较高,且差异无统计学意义(P>0.05),护理后两组患者SAS、SDS评分均有所降低,但研究组降低程度优于对照组(P<0.05)。护理前两组患者QOL评分无显著差异(P>0.05),护理后研究组各指标评分均高于对照组(P<0.05)。研究组不满意1例(2.5%),护理满意度97.4%,对照组不满意4例(10.3%),护理满意度为87.4%,两组比较差异具有统计学意义(P<0.05)。结论强直性脊柱炎护理中运用Orem自理模式,能有效激发患者的主观能动性,提升护士的专业技能和护理水准,有效缓解护理中的不良负面情绪,促进疾病的康复,全面提升患者生存质量及改善预后,临床值得推广运用。

Objective to study the effect of Orem self-care mode on the quality of life in patients with ankylosing spondylitis. Methods 78 patients with ankylosing spondylitis were selected as the research object, and randomly divided into control group （routine nursing model） and research group （Orem self-care mode）, 39 cases in each group. The negative emotions and quality of life of patients were evaluated by SAS and SDS QOL. Using self-made questionnaire survey, the patients were investigated with satisfaction. Results SDS and SAS score of the two groups before nursing were no significant difference （P〉0.05）. SDS and SAS score after nursing of research group were significantly less than the control group （P〈0.05）. There was no significant difference in QOL score before nursing between the two groups （P〉 0.05）. The QOL score of the research group after nursing were significantly higher than that of the control group （P〈0.05）. The satisfaction rate of the research group （97.4%） was higher than that of control group （87.4%） （P〈0.05）. Conclusion The application of Orem self-care mode in the nursing care of patients with ankylosing spondylitis can effectively stimulate the subjective initiative, improve the professional skills and nursing level, alleviate the negative emotions, promote the rehabilitation of the disease and improve the quality of life and prognosis of patients.