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目的探讨学龄期支气管哮喘患儿采用Orem自理护理模式的效果分析。方法选择2012年3月-2014年6月就诊的学龄期支气管哮喘患儿74例,根据随机数字表随机分为研究组和对照组,每组各37例,研究组采用Orem自理护理模式护理,对照组给予常规护理。观察各组患儿于治疗前和治疗1年后的肺功能、治疗依从性和生存质量。结果治疗1年后,两组患儿的第1秒用力呼气容积、呼气高峰流量较治疗前均提高(P<0.05),并且研究组治疗1年后上述指标高于对照组(P<0.05)。与对照组相比,研究组患儿在实施Orem自理护理模式干预1年后的完全依从率提高(P<0.05)。儿童哮喘生命质量问卷量表结果显示,与治疗前相比,研究组和对照组在治疗1年后情感维度、症状维度和活动维度评分均升高(P<0.05),并且研究组各维度评分高于对照组(P<0.05)。结论 Orem自理护理模式应用于学龄期支气管哮喘患儿的护理中,能有效改善患儿的肺功能,提高患儿的治疗依从性和生活质量。
Objective To investigate the effect of using Orem self-care nursing model in children with school-age asthma. Methods Seventy-four children with school-age asthma were enrolled in this study from March 2012 to June 2014. The patients were randomly divided into study group and control group according to a random number table, with 37 cases in each group. The study group used Orem self- The control group was given routine care. Observe the pulmonary function, treatment compliance and quality of life of children in each group before treatment and after 1 year of treatment. Results After 1 year of treatment, forced expiratory volume in 1 second and peak expiratory flow in both groups were significantly higher than those before treatment (P <0.05), and the above indexes in study group were higher than those in control group (P < 0.05). Compared with the control group, the compliance rate of children in study group after one-year intervention with Orem self-care model increased (P <0.05). Results of questionnaire of children’s asthma quality of life questionnaire showed that in the study group and the control group, the emotional dimension, symptom dimension and activity dimension score increased after 1 year of treatment (P <0.05), and the score of each dimension in the study group Higher than the control group (P <0.05). Conclusion Orem self-care model used in nursing children with school-age asthma, can effectively improve children’s lung function and improve treatment compliance and quality of life in children.