Orem理论在哮喘患者干预中的应用

Application of Orem's self-care theory based intervention on patients with asthma

目的探讨基于Orem理论的干预对支气管哮喘患者生活质量和干预满意度的影响。方法采用方便抽样的方法选取住院治疗的339例女性支气管哮喘患者作为研究对象,采取病区对照,对照组169例,治疗组170例,对照组采用常规护理措施,干预组采取基于Orem理论的系列干预措施,比较两组患者的生活质量和护理满意度。结果干预组的生活质量总分(127.94±13.59)明显高于对照组(121.32±13.06),且差异有统计学意义(t=7.573,P<0.05);干预组的治疗满意度为90.6%,也远高于对照组的54.4%,且差异有统计学意义(χ~2=55.634,P<0.001)。结论基于Orem理论的干预措施可显著提升支气管哮喘患者的生活质量,提高患者满意度,值得临床推广。

Objective To explore the effect of Orem＇ s self-care theory based intervention on improving quality of life and patient satisfaction of patient with asthma. Methods Totally 339 cases of asthma hospitalized for treatment were recruited in this study with convenience sampling method. According to different wards, they were divided into control group （169 cases） and intervention group （170 cases）. The control group received routine nursing, while the intervention group received Orem＇s self-care theory based intervention. Quality of life and patient satisfaction were compared between two groups. Results The quality of life score in the intervention group （127.94±13.59） was remarkably higher than that （121.32±13.06） in the control group, and the difference was statistically significant （t = 7.573, P 〈0.05）. The patient satisfaction of the intervention group （90.6 %） was significantly higher than that （54.4%） of the control group （χ2 = 55.634, P 〈 0. 001）. Conclusion Orem＇s self-care theory based intervention can remarkably improve the quality of life and patient satisfaction of patients with asthma. It is worth applying in clinical nursing.