Orem模式在老年慢性胃炎患者中的应用效果

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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

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	WANG Sheng JIN Ying LI Huizi

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WANG Sheng JIN Ying LI Huizi. Application effect of Orem model in elderly chronic gastritis patients[J]. 中国医药导报, 2019, 16(28): 186-封三.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I28/186

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