中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
14期
144-146
,共3页
重症烧伤%Orem自理理论%心理状况%烧伤健康量表
重癥燒傷%Orem自理理論%心理狀況%燒傷健康量錶
중증소상%Orem자리이론%심리상황%소상건강량표
Severe burns%Orem self-care theory%Psychological condition%Burns health questionnaire
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。
目的：探討Orem自理理論在重癥燒傷患者臨床護理中的應用效果及其對患者生活質量的影響。方法將60例重癥燒傷患者按照護理方式隨機分為對照組（n=30）與觀察組（n=30），分彆採用常規護理與Orem自理護理模式。比較兩組護理榦預前後心理狀況變化情況、護理滿意度、護理後生活質量。結果（1）兩組護理榦預後心理狀況均顯著優于護理榦預前，且觀察組護理榦預前後心理狀況改善程度顯著大于對照組，且兩組榦預後SAS及SDS評分組間比較，差異均具有統計學意義（P<0.05）；（2）對照組患者護理滿意度為70.00%，顯著低于觀察組的93.33%（P<0.05）；（3）根據簡明燒傷健康量錶（BSHS-A），觀察組患者護理榦預後BSHS-A總分及各維度評分顯著低于對照組（P<0.05）。結論與常規護理模式比較，將Orem自理理論用于重癥燒傷患者的臨床護理中，其效果顯著，患者的生活質量明顯改善，應在臨床護理中廣汎應用。
목적：탐토Orem자리이론재중증소상환자림상호리중적응용효과급기대환자생활질량적영향。방법장60례중증소상환자안조호리방식수궤분위대조조（n=30）여관찰조（n=30），분별채용상규호리여Orem자리호리모식。비교량조호리간예전후심리상황변화정황、호리만의도、호리후생활질량。결과（1）량조호리간예후심리상황균현저우우호리간예전，차관찰조호리간예전후심리상황개선정도현저대우대조조，차량조간예후SAS급SDS평분조간비교，차이균구유통계학의의（P<0.05）；（2）대조조환자호리만의도위70.00%，현저저우관찰조적93.33%（P<0.05）；（3）근거간명소상건강량표（BSHS-A），관찰조환자호리간예후BSHS-A총분급각유도평분현저저우대조조（P<0.05）。결론여상규호리모식비교，장Orem자리이론용우중증소상환자적림상호리중，기효과현저，환자적생활질량명현개선，응재림상호리중엄범응용。
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 com-pared before and after the psychological status of nursing intervention. Results (1)Two nursing intervention psycho-logical 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),ob-served in patients after nursing intervention BSHS-A total score and dimension scores of obser vation group were sig-nificantly 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.
