奥瑞姆自护理论护理对老年胃溃疡患者负性情绪及睡眠质量的影响

The effect of Orem Self-care Theory Nursing on Negative Emotions and Sleep Quality in Elderly Gastric Ulcer Patients

目的:探讨奥瑞姆(Orem)自护理论护理对老年胃溃疡患者负性情绪及睡眠质量的影响。方法:选取2022年2月至2023月2月泉州市第一医院G7区消化内科收治的老年胃溃疡患者88例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组44例。对照组患者行常规护理,观察组患者行Orem自护理论护理。比较分析2组患者的负性情绪、胃溃疡有关症状、自护能力量表(ESCA)、生命质量量表(SF-36)。结果:护理前,2组负性情绪、ESCA、SF-36评分及睡眠指标比较,差异无统计学意义(均P>0.05);护理后,观察组焦虑自评评分(SAS)、抑郁自评评分(SDS)低于对照组,胃痛、餐后早饱、食欲下降等症状缓解时间均短于对照组,ESCA、SF-36评分高于对照组,观察组睡眠时间长于对照组、入睡时间短于对照组、觉醒次数少于对照组,差异均有统计学意义(均P<0.05)。结论:奥瑞姆自护理论护理可帮助患者调节情绪,提升自护能力,继而促进胃溃疡症状的缓解,显著提升患者的生命质量。

Objective:To explore the impact of Orem self-care theory nursing on negative emotions and sleep quality in elderly gastric ulcer patients.Methods:A total of 88 elderly patients with gastric ulcers admitted to Quanzhou First Hospital from February 2022 to February 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 44 cases in each group.The control group received routine nursing,while the observation group received Orem self-care theory nursing.Compare the negative emotions,symptoms related to gastric ulcers,Exercise of Self-care Agency(ESCA),and the Mos Item Short From Health Survey(SF-36)between the two groups of patients.Results:Before nursing,there was no statistically significant difference in negative emotions,ESCA,SF-36 scores,and sleep indicators between the two groups(P s>0.05).After nursing,the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)of the observation group were lower than those of the control group.The relief time of symptoms such as stomach pain,early satiety after meals,and decreased appetite in the observation group was shorter than that in the control group,with significant differences.The ESCA and SF-36 scores in the observation group were higher than those in the control group.The observation group slept longer than the control group,fell asleep faster than the control group,and had fewer awakenings than the control group.The differences between the two groups were statistically significant(P s<0.05)Conclusion:Orem self-care theory nursing can help patients regulate their emotions,improve their self-care ability,and then promote the relief of gastric ulcer symptoms,significantly improving the quality of life of patients.