基于Orem自护理论的自护模式在高血压患者中的应用

Effect of Orem Self-Care Model in Hypertensive Patients

目的:探讨基于Orem自护理论的自护模式在高血压患者中的应用效果。方法:选取2019年1月1日~2022年6月30日收治的60例高血压患者作为研究对象,按照随机数字表法分为观察组和对照组各30例,对照组实施常规护理,观察组实施基于Orem自护理论的自护模式,于入院当日、出院前1 d比较两组血压指标[包括舒张压(DBP)、收缩压(SBP)]、自我护理能力[采用丹尼斯自我护理测评量表(DSCAI)]及行为依从性[采用高血压患者行为依从性量表(CHPS)]。结果:出院前1 d,两组DSCAI评分高于入院当日(P<0.05),DBP、SBP及CHPS评分均低于入院当日(P<0.05),且观察组优于对照组(P<0.05,P<0.01)。结论:基于Orem自护理论的自护模式能够改善高血压患者的舒张压、收缩压,提升其自我护理能力和行为依从性。

Objective:To explore the effect of Orem self-care model in hypertensive patients.Methods:Sixty hypertensive patients admit-ted from January 1,2019 to June 30,2022 were divided into observation group and control group according to random number method,with 30 cases in each group.The control group received routine care,while the observation group adopted Orem self-care model care.Compare blood pressure indicators including diastolic blood pressure(DBP)and systolic blood pressure(SBP),self-care ability using the Dennis self-care assessment scale(DSCAI),and behavioral compliance using the hypertensive patient behavioral compliance scale(CHPS)between the two groups on the day of admission and 1 day before discharge.Results:One day before discharge,the DSCAI scores of the two groups were higher than those on the day of admission(P<0.05),and the DBP,SBP,and CHPS scores were lower than those on the day of admis-sion(P<0.05),and the observation group was better than the control group(P<0.05,P<0.01).Conclusion:The implementation of Orem self-care model can improve the blood pressure index of hypertensive patients,enhance their self-care ability and behavior compliance.