摘要
目的探究以奥瑞姆自护理论为指导的健康教育干预在维持性血液透析患者中的作用。方法选取2019年2月至2021年2月在连云港市第二人民医院接受维持性血透的84例终末期肾脏病患者作为研究对象,采用随机分组法将其分为干预组、对照组,各42例。对照组行基础护理方法,干预组在对照组的基础上采用基于奥瑞姆自护理论的健康教育干预。对比分析2组患者的自护能力、疲乏程度及生活质量改善情况。分别采用自我护理能力量表(the exercise of self-care agency,ESCA)、Piper疲乏修订量表(revised piper fatigue scale,RPFS)、健康调查简表(the 36-item short from health survey,SF-36)评测。结果干预组患者的ESCA各项评分均高于对照组,差异具有统计学意义(P<0.05);干预组患者的RPFS量表各项评分均低于对照组,差异具有统计学意义(P<0.05);干预组患者的疲乏程度低于对照组,差异具有统计学意义(P<0.05);干预组患者的SF-36量表各项评分均高于对照组,差异具有统计学意义(P<0.05)。结论以奥瑞姆自护理论为指导的健康教育干预可以改善维持性血透患者的自护能力,有助于降低患者的疲乏程度,且提升患者的生活质量。
Objective To study the effects of health education intervention guided by Orem self-care theory on the patients with maintenance hemodialysis.Methods A total of 84 patients with end-stage renal disease treated in the hospital from February 2019 to February 2021 were enrolled as study subjects,and were randomly divided into the intervention and control groups,each consisting of 42 patients.The control group was given basic nursing method,while the intervention group was treated with health education intervention guided by Orem self-care theory on the basis of the control group.Assessments were made using the exercise of selfcare activity(ESCA)and revised Piper fatigue scale(RPFS),as well as the 36-item short from health survey(SF-36).Results The ESCA scores of the intervention group were higher than those of the control group,with statistical significance(P<0.05).The RPFS scores in the intervention group were lower than those in the control group,also with statistical significance(P<0.05).The degree of fatigue of the former was lower than that of the latter,also with statistical significance(P<0.05).The various scores of SF-36 in the intervention group were all higher than those in the control group,also with statistical significance(P<0.05).Conclusion Health education intervention guided by Orem self-care theory could improve the self-care ability of the patients with maintenance hemodialysis,help to reduce the degree of fatigue,and at the same time significantly improve their quality of life.
作者
杨思娟
卢小娟
王娟
江顺芹
李爱苏
Yang Sijuan;Lu Xiaojuan;Wang Juan;Jiang Shunqin;Li Aisu(Department of Hemodialysism,No.2 People’s Hospital of Lianyungang,Lianyungang 222000,China)
出处
《海军医学杂志》
2022年第8期860-864,共5页
Journal of Navy Medicine
关键词
奥瑞姆自护理论
健康教育
维持性血透
自护能力
疲乏程度
Orem theory
Health education
Maintenance of the hemodialysis
Self-care capacity
Degree of fatigue
