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目的探究Orem自理学说对慢性乙肝患者日常生活能力与社会功能的影响。方法 2016年4月—2017年3月该研究从该辖区3个基层医院共纳选104例慢性乙肝患者作为该次研究对象,以临床护理方案座位研究分组依据,采用随机分组法将入选患者分为观察组与对照组,运用Orem自理学说指导观察组患者临床各项护理工作,对照组患者接受常规护理。分别在入院时与出院时采用ADL量表与SDSS量表评定患者日常生活能力与社会适应能力,同时调查两组患者焦虑发生情况。结果入院时ADL、SDSS评分组间比较差异无统计学意义(P>0.05),出院时两组患者ADL、SDSS评分均低于入院时,观察组出院时前述两项评分均明显低于对照组(P<0.05)。结论 Orem自理学说在慢性乙肝疾病患者康复护理中应用有助于提高患者日常生活能力与社会适应能力,该指导理论通过引导患者积极进行自我护理,从而使患者重新适应家庭、社会角色,兼具重要临床价值与良好经济效益,推荐临床多加应用与推广。
Objective To explore the influence of Orem self-care theory on daily living ability and social function in chronic hepatitis B patients. METHODS: From April 2016 to March 2017, 104 patients with chronic hepatitis B from 3 primary hospitals in the area were enrolled in this study. Based on the study grouping of clinical nursing programs and the randomized study, For the observation group and the control group, the use of Orem self-care doctrine to guide the observation group of clinical nursing work, the control group of patients receiving routine care. At the time of admission and discharge, ADL scale and SDSS scale were used to evaluate the daily living ability and social adaptability of patients, and to investigate the incidence of anxiety in both groups. Results There were no significant differences in ADL and SDSS scores between the two groups when they were admitted to hospital (P> 0.05). The ADL and SDSS scores of the two groups were lower than those of the two groups when they were discharged from hospital. The scores of the two groups were significantly lower than those of the control group (P <0.05). Conclusions Orem self-care theory can be used to improve daily living ability and social adaptability of patients with chronic hepatitis B disease. This guiding theory plays an important role in guiding patients to actively self-care so as to re-adapt the patients to family and social roles Clinical value and good economic benefits, recommended clinical application and promotion.