Orem模式在老年慢性胃炎患者中的应用效果

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摘要目的探讨Orem模式在老年慢性胃炎患者中的应用效果。方法分析2013年1月～2018年1月大连医科大学附属大连市中心医院200例老年慢性胃炎患者临床资料，根据患者入院前后顺序进行分组，常规模式组90例和Orem模式组110例。观察两组患者对护理干预态度情况，患者模式实施前后自护水平评分、生活质量评分、自我管理评分和自我效能感评分及住院时间和护理满意度情况。结果 Orem模式组患者对护理干预态度较好的比例高于常规模式组，差异有统计学意义（P ＜ 0.05）。模式实施前，两组患者自护水平评分比较，差异无统计学意义（P ＞ 0.05），模式实施后，两组患者自护水平评分、生活质量评分均高于同组模式实施前，Orem模式组自护水平评分均高于常规模式组，差异均有统计学意义（均P ＜ 0.05），两组患者生活质量评分比较，差异无统计学意义（P ＞ 0.05）。模式实施前，两组患者自我管理评分和自我效能感评分比较，差异无统计学意义（P ＞ 0.05），模式实施后，两组患者自我管理评分和自我效能感评分均高于同组模式实施前，且Orem模式组均高于常规模式组，差异均有统计学意义（均P ＜ 0.05）。两组患者住院时间比较，差异无统计学意义（P ＞ 0.05），Orem模式组患者护理满意度高于常规模式组（P ＜ 0.05）。结论 Orem模式在老年慢性胃炎患者中应用，可以提高患者自我管理水平、自我管理和自我效能感，改善患者对于护理干预态度和满意度，值得临床推广应用。

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	王生金英李惠子

关键词 ： Orem模式, 老年慢性胃炎, 自护水平, 生活质量, 自我管理, 自我效能感

Abstract：Objective To explore the effect of Orem model in elderly patients with chronic gastritis. Methods The clinical data of 200 elderly patients with chronic gastritis from January 2013 to January 2018 in Dalian Municipal Central Hospital Affiliated Dalian Medical University were analyzed and grouped accord to the order of admission, 90 cases in the conventional mode group and 110 cases in the Orem mode group. The attitude of elderly patients to nursing intervention, the scores of self-care level, quality of life, self-management and self-efficacy, as well as the length of hospital stay before and after the implementation of the model and nursing satisfaction of the two groups were observed. Results The proportion of patients with better attitude towards nursing intervention in Orem model group was higher than that in the conventional model group, with statistically significant difference (P ＜ 0.05). Before the implementation of the model, there was no statistically significant difference in the scores of patients′ self-care level between the two groups (P ＞ 0.05). After the implementation of the model, the scores of self-care level and quality of life of patients in both groups were higher than those before the implementation of the model, the scores of self-care level in Orem model group were higher than those in the conventional model group, with statistically significant differences (all P ＜ 0.05). There was no significant difference in quality of life scores between the two groups (P ＞ 0.05). Before the implementation of the model, there were no statistically significant differences in self-management score and self-efficacy score between the two groups (P ＞ 0.05). After the implementation of the model, the scores of self-management and self-efficacy of patients in both groups were higher than those before the implementation of the model, and the Orem model group was higher than the conventional model group, with statistically significant differences (all P ＜ 0.05). There was no statistically significant difference in the length of hospital stay between the two groups (P ＞ 0.05), while the nursing satisfaction of Orem model group was higher than that of the conventional model group (P ＜ 0.05). Conclusion The application of Orem model in elderly patients with chronic gastritis can improve their self-management level, self-management and self-efficacy, and improve patients′ attitude and satisfaction with nursing intervention, which is worthy of clinical promotion and application.

Key words： Orem mode Elderly chronic gastritis Self-nursing level Life quality Self-management Self-efficacy

引用本文:

王生金英李惠子. Orem模式在老年慢性胃炎患者中的应用效果[J]. 中国医药导报, 2019, 16(28): 186-封三.
WANG Sheng JIN Ying LI Huizi. Application effect of Orem model in elderly chronic gastritis patients. 中国医药导报, 2019, 16(28): 186-封三.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2019/V16/I28/186

[1] Choi MK，Kang MH，Kim MH. Dietary Intake Assessment and Biochemical Characteristics of Blood and Urine in Patients with Chronic Gastritis [J]. Clin Nutr Res，2015，4（2）：90-96.
[2] 练满娇.综合护理干预对慢性胃炎及消化性溃疡患者生活质量的影响[J].包头医学院学报，2016，32（3）：118-120.
[3] 谢磊，曹小勇.综合护理干预对慢性萎缩性胃炎患者治疗依从性及生活质量的影响[J].西南军医，2019，21（1）：71-73.
[4] 阳国兴，杜光会，张冲，等.健康教育在慢性胃炎护理干预中效果的随机对照试验[J].中国循证医学杂志，2018， 18（8）：812-815.
[5] Makki AM，Aldaqal SM，Alorabi SH，et al. Chronic gastritis in morbidly obese patients with sleeve gastrectomy [J]. Electron Physician，2016，8（1）：1786-1790.
[6] 刘燕.黛力新联合心理疏导对慢性胃炎的治疗效果[J].包头医学院学报，2016，32（12）：39-41.
[7] Shiratori S，Mabe K，Yoshii S，et al. Two cases of chronic gastritis with non-helicobacter pylori helicobacter infection [J]. Intern Med，2016，55（14）：1865-1869.
[8] 王威娜.系统护理干预对慢性胃炎及胃溃疡患者疗效、不良心理及生活质量的影响[J].中国现代医生，2018，56（14）：146-148.
[9] Sabry D，Ahmed R，Abdalla S，et al. Braf，Kras and Helicobacter pylori epigenetic changes-associated chronic gastritis in Egyptian patients with and without gastric cancer [J]. World J Microb Biot，2016，32（6）：92.
[10] 陈红艳.心理护理配合中药治疗慢性萎缩性胃炎的临床观察[J].光明中医，2018，33（9）：1334-1336.
[11] 李鹏，张澍田.慢性胃炎的内镜诊断标准及评价[J].临床消化病杂志，2006，18（3）：136-138.
[12] 王晓欢，黄勇刚，李鑫.以治未病思想指导萎缩性胃炎护理对患者依从性和癌变风险的影响[J].四川中医，2018，36（8）：220-222.
[13] Li L，Kong L，Song H. The therapeutic effect of zerumbone on chronic gastritis via antioxidant mechanisms [J]. Exp Ther Med，2017，14（3）：2505-2510.
[14] 黄艳荣.循证护理干预对慢性胃炎患者护理质量及生存质量的影响[J].护理实践与研究，2016，13（23）：7-9.
[15] Mira JJ，Guilabert M，Sempere L，et al. Opinions about the health care process of the patients with irritable intestine syndrome [J]. Rev Esp Enferm Dig，2015，107（4）：202-210.
[16] 谢磊，曹小勇.综合护理干预对慢性萎缩性胃炎患者治疗依从性及生活质量的影响[J].西南军医，2019，21（1）：71-73.
[17] Aasar?覬d KM，Mosti MP，Stunes AK，et al. Impaired skeletal health in patients with chronic atrophic gastritis [J]. Scand J Gastroenterol，2016，51（7）：774-781.
[18] 李娟，王宏.SF-36量表第二版应用于重庆市区居民生命质量研究的信效度检验[J].第四军医大学学报，2009， 30（14）：1342-1344.
[19] 阳国兴，杜光会，张冲，等.健康教育在慢性胃炎护理干预中效果的随机对照试验[J].中国循证医学杂志，2018， 18（8）：812-815.
[20] 王才康，胡中锋，刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学，2001，7（1）：37-40.
[21] Toyoda T，Shi L，Takasu S，et al. Anti-inflammatory effects of capsaicin and piperine on helicobacter pylori-induced chronic gastritis in Mongolian gerbils [J]. Helicobacter，2016，21（2）：131-142.