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目的探讨Orem自理模式在支气管哮喘患儿中的应用价值。方法选取2012年12月至2014年12月沈阳市儿童医院收治的124例支气管哮喘患儿作为研究对象,按照随机数字表法将其分为观察组与对照组,各62例。对照组患儿给予常规护理,观察组患儿在对照组基础上实施Orem自理模式护理。干预后随访12个月,比较两组患儿自我护理行为评分、哮喘控制情况及生命质量。结果干预后,观察组患儿的正确规范用药、坚持定期复诊及避免触发因素评分均明显高于对照组,差异均有统计学意义(均P<0.05);观察组患儿哮喘控制率明显高于对照组,差异有统计学意义(P<0.05);干预后,观察组患儿的生命质量症状维度、活动维度及情感维度评分均明显高于对照组,差异均有统计学意义(均P<0.05)。结论在支气管哮喘患儿护理过程中实施Orem自理模式,可提高患儿自我护理能力,有效控制哮喘,提升其生命质量。
Objective To explore the value of Orem self-care model in children with bronchial asthma. Methods A total of 124 children with bronchial asthma admitted to Shenyang Children’s Hospital from December 2012 to December 2014 were selected as study subjects and divided into observation group and control group according to random number table method, each of 62 cases. Children in the control group were given routine care, and children in the observation group were treated with Orem self-care model on the basis of the control group. After 12 months of follow-up, self-care behavior scores, asthma control and quality of life were compared between the two groups. Results After the intervention, the children in the observation group had the correct normative medication, insisted on the routine referral and the factors that prevented the triggering factor were significantly higher than those in the control group (all P <0.05), and the control rate of asthma in the observation group was significantly higher In the control group, the difference was statistically significant (P <0.05). After intervention, the symptom dimensions, activity dimension and emotional dimension of the quality of life in the observation group were significantly higher than those in the control group, the differences were statistically significant (P <0.05). Conclusion Orem self-care model can be used to improve children’s self-care ability, control asthma and improve their quality of life in children with bronchial asthma.