Orem自理模式干预对肺结核患者心理状态和生存质量的影响及疗效观察

Influence and curative effect observation of Orem self-care model intervention on psychological states and living quality of patients with tuberculosis(TB)

目的探讨Orem自理模式干预对肺结核患者心理状态及生存质量的影响及疗效观察。方法选取2015年1月~2016年9月治疗72例肺结核患者,随机分为观察组与对照组。两组均予以2RZE/4HR治疗方案,对照组予以常规干预方案,观察组在对照组基础上予以Orem自理模式干预,两组均干预6个月。观察并比较两组干预前后心理状态及生存质量的变化,并评估其临床效果。结果干预6个月后,两组SDS和SAS评分明显下降(P<0.05或P<0.01),且观察组下降较对照组更明显(P<0.05);两组生存质量各项评分明显升高(P<0.05或P<0.01),且观察组评分升高较对照组更明显(P<0.05);观察组患者临床总有效率优于对照组(χ2=4.18,P<0.05)。结论 Orem自理模式干预治疗肺结核患者能明显改善心理状态,缓解其抑郁及焦虑状态,促进病灶吸收,提高临床效果,改善其生存质量。

Objective To discuss influence and curative effect observation of Orem self-care model intervention on psychological states and living quality of patients with tuberculosis（TB）.Methods 72 cases with TB from January 2015 to September 2016 were divided into observation group and control group at random.The patients in two groups were given 2 RZE/4 HR therapeutic schedule,and the patients in control group were given routine intervention schedule,while the patients in observation group were additionally given Orem self-care model intervention on the basis of the treatment in control group,for 6 months＇ intervention for both groups.The changes of psychological states and living quality in two groups were observed and compared before and after intervention,and the clinical curative effect was evaluated as well.Results After 6 months＇ intervention,the SDS and SAS scores in two groups obviously declined than before（P〈0.05 or P〈0.01）,and the declining rates in observation group were much higher than those in control group（P〈0.05）.The living quality scores in two groups obviously increased than before（P〈0.05 or P〈0.01）,and the increasing rates in observation group were much higher than those in control group（P〈0.05）.The total clinical efficiency in observation group was better than that in control group（χ2=4.18,P〈0.05）.Conclusion The Orem self-care model intervention can obviously improve the psychological states of patients with TB,which can release the depression and anxiety condition,improve the lesions absorption,enhance clinical curative effect and improve the living quality.