Orem自理理论对重症烧伤患者生活质量的影响

目的：观察Orem自理理论对重症烧伤患者生活质量的影响。方法：选择我科2008年4月～2009年8月间收治的重症烧伤患者50例为研究对象,随机将患者分为常规护理组（对照组,n=25）和应用Orem自理理论护理组（研究组,n=25）,研究组患者运用Orem自理理论（即采用完全及部分补偿性护理和支持教育指导）来指导重症烧伤患者的功能锻炼,护理干预期为半年。用＂APACHEⅡ评分系统＂评价两组患者入组之初病情的严重程度;护理干预结束时以＂SF-36健康量表＂评价两组患者的生活质量,比较两组患者生活质量的差异。结果：两组患者年龄、性别构成比、文化程度构成比、烧伤面积以及医保支付率比较差异无统计学意义（P〉0.05）;入组时两组患者APACHEⅡ评分为（32.6±10.3）分vs（34.1±11.6）分,差异无统计学意义（P〉0.05）;在＂SF-36健康量表＂的八个维度中,除生理职能（RP）评分在两组间差异无统计学意义（P〉0.05）外,而在生理功能（PF）、总体健康（GH）、情感职能（RE）、社会功能（SF）、活力（VT）、精神健康（MH）评分方面,研究组均高于对照组,两组比较有统计学差异（P〈0.01或P〈0.05）,而躯体疼痛（BP）评分研究组低于对照组,差异有统计学意义（P〈0.05）。结论：将Orem自理理论应用于大面积烧伤患者的护理,可有效地提高患者的生活质量。

The effect of Orem self-nursing theory on the quality of life in patients with major burns

Objective：To observe the effect of Orem self-nursing theory on the quality of life in patients with major burns.Methods：Twenty-five patients with major burns from our department as the study group,who guided by Orem self-nursing theory and the control group included 25 patients with major burns,who received conventional nursing care.APACHEⅡ was used to assess the severity of the patients at the beginning of the study,and SF-36 health scale was used to assess the patient＇s quality of life at the end of the study.Results：There were no significant differences between the age,gender,area of burns,knowledge degree and APACHE II scale between the two groups（P0.05）.There was no difference between the RP scale between the two groups（P0.05）,while the PF,GH,VT,SF,RE,MH scale in the study group were significantly higher than those in the control group（P0.05）,the BP scale in the study group was significantly lower than that in the control group（P0.01）.Conclusion：The Orem self-nursing theory can improve the major burn patient＇s quality of life.