CAJ | 학술논문

目的创建以Orem自护理论为基础的三位一体个体化护理模式,检验该护理模式对消化性溃疡(PU)患者的效果.方法将77例消化性溃疡患者按随机数字法随机分为观察组39例及对照组38例,对照组给予常规护理,创建以Orem自护理论为基础的三位一体个体化护理模式对观察组进行干预.采用自我护理能力实施量表(ESCA)和消化性溃疡愈合分期指标对两组进行比较.结果干预前两组患者在自护能力、自护知识和自护技能3个方面得分比较,差异均无统计学意义(P＞0.05)；干预后观察组在自护能力、自护知识和自护技能方面的得分分别为(126.21±14.31),(42.81 ±4.97),(36.71 ±5.56)分,均高于对照组的(114.52±16.76),(37.42 ±5.30),(31.78±4.68)分,差异均有统计学意义(t分别为3.284,3.917,3.602；P＜0.01).观察组PU愈合情况优于对照组,差异有统计学意义(x2=5.3,P＜0.05).结论以Orem自护理论为基础的三位一体个体化护理模式能够提高消化性溃疡患者的自护能力,帮助患者全面康复,是一种行之有效的护理模式.
목적 창건이Orem자호이론위기출적삼위일체개체화호리모식,검험해호리모식대소화성궤양(PU)환자적효과.방법 장77례소화성궤양환자안수궤수자법수궤분위관찰조39례급대조조38례,대조조급여상규호리,창건이Orem자호이론위기출적삼위일체개체화호리모식대관찰조진행간예.채용자아호리능력실시량표(ESCA)화소화성궤양유합분기지표대량조진행비교.결과 간예전량조환자재자호능력、자호지식화자호기능3개방면득분비교,차이균무통계학의의(P＞0.05)；간예후관찰조재자호능력、자호지식화자호기능방면적득분분별위(126.21±14.31),(42.81 ±4.97),(36.71 ±5.56)분,균고우대조조적(114.52±16.76),(37.42 ±5.30),(31.78±4.68)분,차이균유통계학의의(t분별위3.284,3.917,3.602；P＜0.01).관찰조PU유합정황우우대조조,차이유통계학의의(x2=5.3,P＜0.05).결론 이Orem자호이론위기출적삼위일체개체화호리모식능구제고소화성궤양환자적자호능력,방조환자전면강복,시일충행지유효적호리모식.
Objective To examine the effect of Orem self-care mode,a trinity of individualized nursing pattern based on Orem self-care theory,on patients with peptic ulcer(PU).Methods Totals of 77 patients with PU were randomly divided into the observation group (n =39) and the control group (n =38).The control group received conventional nursing,while the observation group was intervened by the trinity of individualized nursing pattern based on Orem self-care theory.ESCA and PU healing stage index were used to compare two groups.Results There was no statistically significant difference of score in self-care ability,self-care knowledge and self-care skills before intervention (P ＞ 0.05).The score of self-care ability,self-care knowledge and selfcare skills was respectively (126.21 ± 14.31),(42.81 ± 4.97),(36.71 ± 5.56) after intervention in the observation group,higher than (114.52 ± 16.76),(37.42 ± 5.30),(31.78 ± 4.68) in the control group,and the differences were statistically significant (t =3.284,3.917,3.602,respectively; P ＜ 0.01).The score of PU healing was also better in the observation group than in the control group,with statistically significant difference (x2 =5.3,P ＜ 0.05).Conclusions The trinity of individualized nursing pattern based on Orem selfcare theory can improve the self-care ability of patients with peptic ulcer and promote their healing,thus is an effective nursing mode.