奥瑞姆(Orem)自理理论在重症烧伤患者临床护理中的应用效果及其对患者生活质量的影响

The application effect of Orem self-care theory in clinical care of patients with severe burns and its impact on the quality of life of patients

目的探讨Orem自理理论在重症烧伤患者临床护理中的应用效果及其对患者生活质量的影响。方法将60例重症烧伤患者按照护理方式随机分为对照组(n=30)与观察组(n=30),分别采用常规护理与Orem自理护理模式。比较两组护理干预前后心理状况变化情况、护理满意度、护理后生活质量。结果 (1)两组护理干预后心理状况均显著优于护理干预前,且观察组护理干预前后心理状况改善程度显著大于对照组,且两组干预后SAS及SDS评分组间比较,差异均具有统计学意义(P<0.05);(2)对照组患者护理满意度为70.00%,显著低于观察组的93.33%(P<0.05);(3)根据简明烧伤健康量表(BSHS-A),观察组患者护理干预后BSHS-A总分及各维度评分显著低于对照组(P<0.05)。结论与常规护理模式比较,将Orem自理理论用于重症烧伤患者的临床护理中,其效果显著,患者的生活质量明显改善,应在临床护理中广泛应用。

Objective To investigate the application effect of Orem theory in the clinical care of patients with severe burns and its impact on the quality of life of patients. Methods All 60 patients with severe burns in accordance with the way randomly divided into control group(n=30) with the observation group(n=30), respectively, with the use of conventional care nursing model of Orem. Changes, satisfaction with care, quality of life after treatment were compared before and after the psychological status of nursing intervention. Results(1)Two nursing intervention psychological status were significantly better than the pre-nursing intervention and nursing intervention group before and after the degree of psychological conditions improve significantly greater than in the control group, and the SAS and SDS scores were statistically significant differences(P<0.05);(2)the control group patient’s care satisfaction 70.00%, was significantly lower than 93.33% of the observation group(P<0.05);(3)based on simple burns health Scale(BSHS-A), observed in patients after nursing intervention BSHS-A total score and dimension scores of obser vation group were significantly lower than the control group(P<0.05). Conclusion Compared with usual care model, the theory of Orem for the clinical care of patients with severe burns, the effect is significant, the quality of life of patients is significantly improved, should be widely used in clinical care.