Orem自护模式在老年糖尿病护理中的应用效果分析

目的探讨Orem自护模式在老年糖尿病患者护理中的应用效果。方法选取2017年12月-2018年9月在中国科学技术大学第一附属医院老年医学科收治的64例老年糖尿病患者,按照随机数字表法分为观察组和对照组,每组32例。观察组在常规护理同时给予Orem自护模式护理干预,对照组仅给予常规护理。采用糖尿病特异性生存质量量表(A-DQOL)和日常生活能力量表(ADL)的Barthel指数进行评分,比较干预前后2组患者的生存质量和自我护理能力。结果采用Orem自护模式护理干预后,观察组A-DQOL评分为(66.11±4.48)分,对照组为(80.88±4.38)分,差异有统计学意义(t=-13.336,P<0.05);观察组Barthel评分为(83.24±3.65)分,对照组为(72.61±3.35)分,差异有统计学意义(t=12.137,P<0.05);对于糖尿病相关知识的知晓率及各项健康行为率观察组均优于对照组,差异具有统计学意义(均P<0.05)。结论 Orem自理模式的应用可显著提高患者的生存质量和自护能力,同时提高患者对疾病知识的认知能力,促使其选择更加健康的行为模式,有助于控制控制血糖及预后康复。

Analysis of the application effect of Orem self-care mode in the nursing of elderly patients with diabetes

Objective To explore the application effect of Orem self-care mode in nursing care of elderly patients with diabetes. Methods Sixty-four elderly patients with diabetes treated in department of geriatrics of the first affiliated hospital of USTC from December 2017 to September 2018 were selected as samples. The total cases were divided into observation group and control group according to the random digital table method, with 32 cases in each group. The observation group received Orem self-care nursing intervention, while the control group only received routine nursing. The quality of life and self-care ability of the two groups before and after intervention were compared based on Adjusted Diabetes-specific Quality Of Life Scale (A-DQOL) and Activity of Daily Living Scale (ADL). Results After Orem self-care mode nursing intervention, the A-DQOL grades of the observation group and the control group were (66.11±4.48) and (80.88±4.38), respectively. The difference was statistically significant(t=-13.336, P<0.05); the Barthel grades of the observation group and the control group were (83.24±3.65) and (72.61±3.35), respectively. The difference was statistically significant (t=12.137, P<0.05); The knowledge awareness rate about diabetes and health behavior rate in the observation group were better than those in the control group, and the difference was statistically significant (all P<0.05). Conclusion The application of Orem self-care mode can significantly improve the survival quality, self-care ability and cognitive ability of patients with disease knowledge, and promote patients to choose a healthier behavior pattern, which is conducive to blood sugar control and prognosis rehabilitation.