白内障术后患者实施奥瑞姆自理模式的护理效果

目的 研究奥瑞姆自理模式在白内障患者术后护理中的应用价值.方法 将2015年5月～2016年5月该院收治的108例白内障患者作为研究对象,随机分为对照组和观察组.对照组采用健康教育、心理护理、日常护理等常规护理;观察组在对照组护理基础上开展奥瑞姆自理模式护理.比较两组患者遵医行为、护理效果、焦虑与抑郁状态、护理满意度及生活质量.结果 对照组患者术后坚持食疗与运动、正确用药、用眼卫生、定期复诊遵医行为率均差于观察组,差异有统计学意义(均P<0.05).对照组有效率68.5％低于观察组有效率87.0％,差异有统计学意义(P<0.05).护理后两组患者SAS、SDS评分较治疗前均有所降低,且观察组下降程度优于对照组,差异有统计学意义(均P<0.05).对照组患者护理满意度83.3％低于观察组护理满意度96.3％,差异有统计学意义(P<0.05).护理干预后,对照组患者生活质量各指标的评分均明显低于观察组,差异有统计学意义(均P<0.05).结论 白内障患者术后实施奥瑞姆自理模式护理效果显著,能有效缓解临床症状,增强治疗效果,促进视力恢复.

Nursing effect of cataract postoperative patients conducted with Orem self-care mode

Objective To study the application value of Orem self-care mode on cataract postoperative mode. Methods A total of 108 cataract patients received in our hospital from May, 2015 to May, 2016 were used as the ob-jects of study, which were divided into control group and observation group. Health education, mental nursing, daily nursing and other usual nursing were conducted to control group. On the basis of nursing in control group, the nursing of Orem self-care mode was conducted to observation group. The behaviors of following doctor ' s instruction, nursing effect, anxiety, depressive state, nursing satisfaction and living quality of patients were compared for both groups. Re-sults After operations, the rate of patients in control group insisting on diet therapy and exercise, correct medication, keeping eyes clean, having regular subsequent visit and behaviors of following doctor's instruction was inferior to it of observation group ( P<0. 05 ) . The effective rate of control group was 68. 5％, which was inferior to 87. 0％ in obser-vation group (P<0. 05). After nursing, SAS and SDS scores of patients in both groups were somewhat reduced com-pared with it before treatment. In addition, the decline degree of it in observation group was superior to control group ( P<0. 05 ) . The nursing satisfaction of patients in control group was 83. 3％, which was inferior to 96. 3％ in observa-tion group. After nursing intervention, the index scores of patients' life quality in control group were significantly inferi-or to it in observation group (P<0. 05). Conclusions After operation, the nursing effect on cataract patients is sig-nificant after Orem self-care mode is implemented. It can effectively relieve clinical symptoms, strengthen treatment effect and promote visual recovery.