中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
5期
89-90,91
,共3页
Orem护理模式%精神分裂症%社会功能%自尊%总体幸福感
Orem護理模式%精神分裂癥%社會功能%自尊%總體倖福感
Orem호리모식%정신분렬증%사회공능%자존%총체행복감
Orem self-care mode%Schizophrenia%Social function%Self-esteem%General well-being
目的：探讨Orem护理模式对康复期精神分裂症患者社会功能、自尊、总体幸福感的影响。方法：随机选取2008-2012年本院住院治疗的90例精神分裂症康复期患者的完整资料，根据护理方式的不同，将患者分为观察组与对照组，对照组接受精神科常规治疗和护理，观察组在常规治疗和护理的基础上，另接受以Orem护理理论为框架的特别护理干预。干预前及护理干预后的12周分别以自尊量表（SES）、住院患者观察量表（NOSIE-30）、总体幸福感量表（GWB）对两组患者护理干预前后的状态进行评估。结果：治疗12周后，两组精神状态的恢复情况差异不明显（P>0.05）；观察组在采用Orem的自理模式12周后，社会能力、个人卫生、社会兴趣的积极因子方面显著提高，激惹、退缩、抑郁的消极因子改善明显，与对照组比较差异有统计学意义（P<0.05）；观察组在GWB评分与SES评分方面，与对照组比较差异有统计学意义（P<0.01）。结论：运用Orem护理模式对改善康复期精神分裂症患者的社会功能、自尊状态及总体幸福感方面均有显著的效应，具有显著的临床推广价值。
目的：探討Orem護理模式對康複期精神分裂癥患者社會功能、自尊、總體倖福感的影響。方法：隨機選取2008-2012年本院住院治療的90例精神分裂癥康複期患者的完整資料，根據護理方式的不同，將患者分為觀察組與對照組，對照組接受精神科常規治療和護理，觀察組在常規治療和護理的基礎上，另接受以Orem護理理論為框架的特彆護理榦預。榦預前及護理榦預後的12週分彆以自尊量錶（SES）、住院患者觀察量錶（NOSIE-30）、總體倖福感量錶（GWB）對兩組患者護理榦預前後的狀態進行評估。結果：治療12週後，兩組精神狀態的恢複情況差異不明顯（P>0.05）；觀察組在採用Orem的自理模式12週後，社會能力、箇人衛生、社會興趣的積極因子方麵顯著提高，激惹、退縮、抑鬱的消極因子改善明顯，與對照組比較差異有統計學意義（P<0.05）；觀察組在GWB評分與SES評分方麵，與對照組比較差異有統計學意義（P<0.01）。結論：運用Orem護理模式對改善康複期精神分裂癥患者的社會功能、自尊狀態及總體倖福感方麵均有顯著的效應，具有顯著的臨床推廣價值。
목적：탐토Orem호리모식대강복기정신분렬증환자사회공능、자존、총체행복감적영향。방법：수궤선취2008-2012년본원주원치료적90례정신분렬증강복기환자적완정자료，근거호리방식적불동，장환자분위관찰조여대조조，대조조접수정신과상규치료화호리，관찰조재상규치료화호리적기출상，령접수이Orem호리이론위광가적특별호리간예。간예전급호리간예후적12주분별이자존량표（SES）、주원환자관찰량표（NOSIE-30）、총체행복감량표（GWB）대량조환자호리간예전후적상태진행평고。결과：치료12주후，량조정신상태적회복정황차이불명현（P>0.05）；관찰조재채용Orem적자리모식12주후，사회능력、개인위생、사회흥취적적겁인자방면현저제고，격야、퇴축、억욱적소겁인자개선명현，여대조조비교차이유통계학의의（P<0.05）；관찰조재GWB평분여SES평분방면，여대조조비교차이유통계학의의（P<0.01）。결론：운용Orem호리모식대개선강복기정신분렬증환자적사회공능、자존상태급총체행복감방면균유현저적효응，구유현저적림상추엄개치。
Objective:To investigate the effect of clinical Orem mode on maintaining the self-respect and overall well-being in patients with recovery schizophrenia. Method:Clinical data of 90 patients with schizophrenia in period of convalescence were investigated. According to the different methods of nursing care,the patients were randomly divided into observation group and control group. The control group received routine treatment and psychiatric nursing,on the basis of routine treatment and nursing,the observation group received Orem self-care mode. The samples were take out for assessment after 12 weeks by SES,NOSIE-30,GWB. Result:After treatment for 12 weeks,mental state recovery of two groups was not obvious difference (P>0.05). Through Orem self-care mode intervention,the self-esteem,self-efficacy and social support could be improved,irritability,depression and other negative emotions were improved,compared with the control group,the differences were significant(P<0.05). The GWB score and SES score of the observation group were higher than the control group,compared with the control group,the differences were significant(P<0.01). Conclusion:Orem self-care mode has remarkable effect of improving the state of social function,self-esteem and general well-being of patients with schizophrenia,has significant clinical value.
