基于OEC模式的护理在难治性哮喘患者中的应用效果

Application effect of nursing based on OEC model in patients with refractory asthma

目的探讨基于OEC模式的护理在难治性哮喘患者中的应用效果。方法以便利抽样法选取中国科学院大学深圳医院(光明)2019年1月—2021年1月收治的84例难治性哮喘患者作为研究对象。采用随机数字表法将其分成研究组及对照组,每组各42例。对照组接受常规护理干预,研究组则在对照组的基础上再接受基于OEC模式的护理。两组均连续干预3个月。分析两组护理质量,干预前、后心理状态以及日常生活活动能力变化情况,护理满意度等方面的差异。结果研究组健康教育、管理病房以及护理操作评分分别为(88.74±3.30)分、(90.40±2.31)分、(92.15±2.51)分,均高于对照组的(78.98±4.12)分、(80.55±3.78)分、(80.78±4.11)分(均P<0.001)。干预后研究组的SAS、SDS评分均低于对照组(均P<0.001)。干预后研究组及对照组的日常生活活动能力量表评分均高于干预前,且研究组高于对照组(均P<0.001)。研究组各项护理满意度评分均高于对照组(P<0.05或P<0.001)。结论基于OEC模式的护理对难治性哮喘患者护理质量的提升效果显著,同时有利于改善患者的心理状态以及日常生活活动能力,提高护理满意度。

Objective To study the application effect of nursing based on OEC model on patients with refractory asthma.Methods 84 patients with refractory asthma admitted to University of Chinese Academy of Sciences Shenzhen Hospital(Guangming)from January 2019 to January 2021 were selected as subjects by convenience sampling method.Random number table method was used to divide them into study group and control group,42 cases in each group.The control group was given with routine nursing intervention,while the study group was given with nursing based on OEC model to the control group.Both groups were done a continuous intervention for 3 months.The differences of nursing quality,psychological state and ability of daily living activities before and after intervention,nursing satisfaction and other aspects were analyzed.Results The scores of health education,management ward and nursing operation of study group were(88.74±3.30)points,(90.40±2.31)points,(92.15±2.51)points,which was higher than that of control group(78.98±4.12)points,(80.55±3.78)points,(80.78±4.11)points(P<0.001).After intervention,SAS and SDS scores in the study group were lower than that of control group(all P<0.001).After intervention,the ADL score of the study group and the control group was higher than before intervention,and the study group was higher than control group(all P<0.001).The nursing satisfaction score of the study group was higher than that of control group(P<0.05 or P<0.001).Conclusion Nursing based on OEC model has a significant effect on improving the nursing quality of patients with refractory asthma,and is conducive to improving their psychological state and ability of daily living activities,and improving nursing satisfaction.