【摘要】 目的探讨Orem自护模式对高血压患者临床护理疗效的影响。方法对105例高血压门诊患者随机分为实验组(n=53)和对照组(n=52),对照组接受常规药物治疗和健康教育,实验组在对照组的基础上给予Orem自护模式进行干预,在受试前、受试后6个月分别进行降压疗效评价、自我管理能力评定和护理满意度调查。结果两组患者收缩压和舒张压均较受试前明显下降,但实验组较对照组下降更显著(P值均小于0.01);两组患者在合理膳食、适度运动、遵医用药和血压监控四个自我管理能力达标例数明显高于受试前,但实验组明显优于对照组(P<0.01);实验组护理满意度高于对照组(P<0.01)。结论 Orem自护模式能提高高血压病患者的自我管理能力,协助降压,提升了护理满意度。Orem自护模式优于传统健康教育。更多还原

【Abstract】 Objective To investigate the effect of Orem self-care mode on nursing efficacy in patients with essential hypertension.Methods 105 cases of patients with essential hypertension were randomly divided into test group(n=53) and control group (n=52).The patients in control group just received the traditional health education and that in test group adopted the Orem self-care mode,too.Before and after 6 months nusuring intervention,these indicators were analysed and evaluated,that including the level of blood pressure,the satisfaction rate of patients towards nursing sevice,and the ability of self-management.Results The systolic blood pressure and diastolic blood pressure were significantly decreased in two groups after 6 months,but that in test group were significantly decreased compared with that in test group (P <0.01).The test group was superior to the control group in terms of rational diet appropriate activity,adherence to medical treatment and blood pressure monitoring (P < 0.01).The satisfaction rate of patients towards nursing sevice in test group was higher than that in control group (P <0.01).Conclusion Orem self-care mode help to control the blood pressure and enhance the satisfaction rate of patients towards nursing sevice in patients with essential hypertension.Orem self-care model is superior to the traditional health education.更多还原