纽曼自护理论对慢性阻塞性肺气肿患者疗效和睡眠质量的影响

目的探讨纽曼自护理论护理对慢性阻塞性肺气肿患者治疗效果和睡眠质量的影响。方法选择2011年10月—2013年1月120例慢性阻塞性肺气肿患者，采用随机数字表法，将患者随机分为观察组和对照组各60例，对照组采用呼吸内科常规护理，观察组在对照组的基础上给予纽曼自护理论模式护理。比较两组治疗效果（总有效率和肺功能）和睡眠质量（PSQI）变化。结果观察组治疗总有效率为96．67％，明显高于对照组的86．67％（P〈0．05）；观察组PaO：和PaCO2分别为（8．52±1．47）和（5.76±1．23）kPa，明显高于和低于对照组的（7．12±1．25）和（6．72±1．21）kPa（P〈0．05）。护理前，两组PSQI评分差异无统计学意义（P〉0．05）；护理后，观察组PSQI评分为（6．44±1．50），明显低于对照组的（7．64±1．52）分（P〈0．05）。结论纽曼自护理论护理可明显提高慢性阻塞性肺气肿患者的治疗效果和睡眠质量。

Influence of Orem self-care theory on efficacy and sleep quality in patients with chronic obstructive pulmonary emphysema

Objective ] To investigate the influence of Orem self-care theory on efficacy and sleep quality in patients with chronic obstructive pulmonary emphysema. Methods] 120 patients with chronic obstructive pulmonary emphysema collected from October 2011 to January 2013 were randomly divided into the observation group and the control group by using a random number table, 60 cases in each group. The control group was given routine medical care, and the observation group received Orem self-care theory nursing on the basis of control group. The efficiency （ total effective rate and lung function } and sleep quality （ PSQI } were com- pared between two groups. Results] The total effective rate of the observation group （96.67%） was higher than that of the control group （ 86.67% } significantly （ P 〈 0.05 ）. The PaO2 level in the observation group （ 8.52 ± 1.47 } kPa] was higher than that of the control group {7.12 ± 1.25 } kPa] significantly （ P 〈 0.05 }, while PaCO2 level in the observation group （ 5.76± 1.23 } kPa ] was lower than that of the control group （ 6.72 ± 1.21 } kPa ] significantly （ P 〈 0.05 }. Before nursing, there was no signif- icant difference in PSQ! scores between two groups （ P 〉 0.05 }. After nursing, PSQI score in the observation group （ 6.44 ± 1.50 ） was lower than that in the control group （7.64 ± 1.52 ） significantly （ P 〈 0.05 }. Conclusion] Orem self-care theory nursing can significantly improve the efficacy and sleep quality in patients with chronic obstructive pulmonary emphysema.