基于Orem理论护理在冠状动脉粥样硬化性心脏病中的应用

The effect of nursing in patients with coronary heart disease based on Orem theory

目的针对冠状动脉粥样硬化性心脏病患者实施Orem理论护理,分析该护理模式对患者服药依从性及生活方式的影响。方法选取2015年8月至2018年4月本院收治的冠状动脉粥样硬化性心脏病患者158例,将其按照随机数表法分为对照组和观察组,各79例。对照组患者实施常规护理模式,观察组患者接受Orem理论护理,观察并分析两组患者护理后服药依从性及生活方式的变化情况。结果护理后,观察组患者ADL评分较对照组高,差异有统计学意义(P<0.05);观察组患者服药依从率较对照组高(93.68%比68.35%),差异有统计学意义(P<0.05);观察组患者出现吸烟、饮酒、高脂饮食、缺乏运动及体质量超标现象比例均低于对照组,差异均有统计学意义(均P<0.05)。结论针对冠状动脉粥样硬化性心脏病实施Orem理论护理,可有效提高其服药依从性,提高其生活活动能力且改善其生活方式,促进其病情恢复。

Objective To carry out Orem theoretical nursing for patients with coronary atherosclerotic heart disease,to analyze its effect on the compliance and lifestyle of patients.Methods 158 patients with coronary atherosclerotic heart disease treated in our hospital from August 2015 to April 2018 were divided into control group and observation group according to the random number table,79 cases in each group.The patients in the control group received the routine nursing model,while the patients in the observation group received Orem theoretical nursing.The changes of the drug compliance and lifestyle of the two groups were observed and analyzed after nursing.Results After nursing,ADL score in the observation group was significantly higher than that in the control group(P<0.05);the compliance rate(93.68%)in the observation group was significantly higher than that in the control group(68.35%)(P<0.05);the proportion of smoking,drinking,high-fat diet,lack of exercise,and excessive body mass in the observation group were lower than those in the control group(P<0.05).Conclusion Orem theoretical nursing for coronary atherosclerotic heart disease can effectively improve their compliance,improve their ability of life,improve their lifestyle,and promote their recovery.