Orem自理模式对糖尿病肾病患者认知程度及依从性的影响
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摘要
目的探讨Orem自理模式对糖尿病肾病患者认知程度及依从性的影响。方法选取我院2017年1月至2018年1月收治92例糖尿病肾病患者作为本次研究对象,采用入院先后顺序将其等分为研究组和对照组,对照组实施常规护理,研究组实施Orem自理模式。对比两组患者接受不同护理模式后认知水平评分、依从性、日常生活活动能力、社会功能恢复情况。结果研究组患者干预后认知水平评分、依从性及日常生活活动能力量表(ADL)评分均明显高于对照组,差异有统计学意义(P <0. 05);研究组患者干预后社会功能缺陷筛选量表(SDSS)评分明显低于对照组,差异有统计学意义(P <0. 05)。结论 Orem自理模式可有效通过提高患者认知程度,调动患者主观能动性,提高主动配合治疗和护理的依从性,进而改善患者生活质量和社会功能。
Objective To explore the effect of Orem self-care mode on cognitive level and compliance of patients with diabetic nephropathy.Methods To select 92 cases of patients with diabetic nephropathy admitted to our hospital from January 2017 to January 2018 as the study subjects. They were divided into study group and control group according to the order of admission. The control group was given routine nursing,and the research group was implemented by the Orem self-care mode. The cognitive level scores,compliance,activities of daily living,and social function recovery of patients in the two groups were compared after receiving different nursing modes. Results After the intervention,the cognitive level score,compliance and activities of daily living( ADL) score in the study group were significantly higher than those in the control group,and the difference was statistically significant( P < 0.05);the social disability screening schedule( SDSS) score in the study group was significantly lower than that in the control group,and the difference was statistically significant( P < 0. 05). Conclusion Orem self-care mode can improve patients' quality of life and social function by improving patients' cognitive level effectively,mobilizing subjective initiative,and improving the compliance of active treatment and nursing.
Objective To explore the effect of Orem self-care mode on cognitive level and compliance of patients with diabetic nephropathy.Methods To select 92 cases of patients with diabetic nephropathy admitted to our hospital from January 2017 to January 2018 as the study subjects. They were divided into study group and control group according to the order of admission. The control group was given routine nursing,and the research group was implemented by the Orem self-care mode. The cognitive level scores,compliance,activities of daily living,and social function recovery of patients in the two groups were compared after receiving different nursing modes. Results After the intervention,the cognitive level score,compliance and activities of daily living( ADL) score in the study group were significantly higher than those in the control group,and the difference was statistically significant( P < 0.05);the social disability screening schedule( SDSS) score in the study group was significantly lower than that in the control group,and the difference was statistically significant( P < 0. 05). Conclusion Orem self-care mode can improve patients' quality of life and social function by improving patients' cognitive level effectively,mobilizing subjective initiative,and improving the compliance of active treatment and nursing.
引文
[1]蒙花细,覃祚莲,陶小松.家庭跟进护理对老年糖尿病肾病维持性血液透析患者营养状况及生存质量的影响[J].护理实践与研究,2017,14(20):5-7.
[2]刘晔,曹素玉,刘瑶,等. Orem自理理论在经导管动脉化疗栓塞术后肝癌患者护理中的应用[J].中国介入影像与治疗学,2016,13(10):605-608.
[3]宋欣芫,郝洁,肖莉,等.护理专案改善在提高门诊慢性肾脏病患者自我管理能力中的应用研究[J].中华护理杂志,2017,52(6):692-697.
[4]刘颖,张春艳.认知护理干预在糖尿病肾病行血液透析患者中的应用[J].护理实践与研究,2017,14(10):37-38.
[5]唐楠,杜吉利,林萍.家庭关怀度对老年糖尿病肾病血液透析患者应对方式的影响[J].中国老年学杂志,2016,36(2):440-441.
[6]杨艳,赵琨,吕娅,等.多学科协作模式在老年糖尿病患者护理中的应用[J].医学研究生学报,2016,29(12):1318-1320.
[7]余方珍,吴晓霞.医院-社区-家庭护理干预对2型糖尿病患者饮食控制的影响[J].中国健康教育,2017,33(1):82-84.
[8]倪云霞,刘素珍,李继平,等.护士主导的管理模式对社区糖尿病患者血糖控制及就医行为的影响[J].中华护理杂志,2017,52(2):222-227.
[2]刘晔,曹素玉,刘瑶,等. Orem自理理论在经导管动脉化疗栓塞术后肝癌患者护理中的应用[J].中国介入影像与治疗学,2016,13(10):605-608.
[3]宋欣芫,郝洁,肖莉,等.护理专案改善在提高门诊慢性肾脏病患者自我管理能力中的应用研究[J].中华护理杂志,2017,52(6):692-697.
[4]刘颖,张春艳.认知护理干预在糖尿病肾病行血液透析患者中的应用[J].护理实践与研究,2017,14(10):37-38.
[5]唐楠,杜吉利,林萍.家庭关怀度对老年糖尿病肾病血液透析患者应对方式的影响[J].中国老年学杂志,2016,36(2):440-441.
[6]杨艳,赵琨,吕娅,等.多学科协作模式在老年糖尿病患者护理中的应用[J].医学研究生学报,2016,29(12):1318-1320.
[7]余方珍,吴晓霞.医院-社区-家庭护理干预对2型糖尿病患者饮食控制的影响[J].中国健康教育,2017,33(1):82-84.
[8]倪云霞,刘素珍,李继平,等.护士主导的管理模式对社区糖尿病患者血糖控制及就医行为的影响[J].中华护理杂志,2017,52(2):222-227.