CAJ | 학술논문

目的：评价 Orem 自护理论指导下的护理干预对冠状动脉硬化性心脏病(coronary atherosclerotic heart disease, CAD)患者健康认知及日常活动能力的的影响.方法便利抽样法选取2013年1－6月在北京安贞医院心血管内科住院治疗的80例CAD患者为研究对象,按随机数字表法将其分为对照组和观察组,每组40例.观察组患者接受 Orem自护理论指导下的护理干预,而对照组患者接受心内科常规护理,干预时间为10 d.两组患者在干预前后,分别进行患者日常生活活动能力、疾病认知程度、药物认知程度和健康生活方式等观察指标的评价.结果干预后,观察组患者的日常生活活动能力、疾病认知程度、药物认知程度和健康生活方式得分均高于干预前,差异均有统计学意义(均P＜0．05),且干预后观察组患者各项评分均优于对照组,差异有统计学意义(P＜0．05).结论 Orem自护理论指导下的护理干预是一种有效的护理干预方式,通过对不同活动能力的患者进行不同的护理系统干预和健康教育干预,可以提高患者的日常生活活动能力,促进其形成健康的生活方式.
목적：평개 Orem 자호이론지도하적호리간예대관상동맥경화성심장병(coronary atherosclerotic heart disease, CAD)환자건강인지급일상활동능력적적영향.방법편리추양법선취2013년1－6월재북경안정의원심혈관내과주원치료적80례CAD환자위연구대상,안수궤수자표법장기분위대조조화관찰조,매조40례.관찰조환자접수 Orem자호이론지도하적호리간예,이대조조환자접수심내과상규호리,간예시간위10 d.량조환자재간예전후,분별진행환자일상생활활동능력、질병인지정도、약물인지정도화건강생활방식등관찰지표적평개.결과간예후,관찰조환자적일상생활활동능력、질병인지정도、약물인지정도화건강생활방식득분균고우간예전,차이균유통계학의의(균P＜0．05),차간예후관찰조환자각항평분균우우대조조,차이유통계학의의(P＜0．05).결론 Orem자호이론지도하적호리간예시일충유효적호리간예방식,통과대불동활동능력적환자진행불동적호리계통간예화건강교육간예,가이제고환자적일상생활활동능력,촉진기형성건강적생활방식.
[Abstract ] Objective To evaluate the effectiveness of Orem self-care theory in nursing intervention effects on health recognition and daily activities of patients with coronary atherosclerotic heart disease.Methods Totally 80 patients with coronary atherosclerotic heart disease were randomly assigned to control group and observation group,with 40 cases in each group.The patients in the observation group received nursing intervention applied with Orem self-care theory,while the patients in control group received routine cardiology nursing care.The inter-vention lasted 10 days in total.The activities of daily living,disease knowledge,medication knowledge and healthy lifestyle scale before and after nursing intervention were evaluated between two groups.Results After the intervention,the scores of activities of daily living,disease knowledge,medication knowledge and healthy lifestyle scale in the observation group were significantly higher than those before nursing interven-tion (all P<0.05),and those of the control group(P<0.05).Conclusion Application of Orem self-care theory in nursing intervention is an effective nursing intervention model.In terms of the different capability of daily activities of patients,special nursing intervention and health education plays a significant role in the improvement of their ability of activities of daily living and promotion the formation of a healthy lifestyle.