【摘要】 目的研究Orem自理模式用于肝硬化失代偿期病人的护理效果。方法将肝硬化失代偿期患者60例,随机分成试验组和对照组各30例。对照组进行常规治疗和入院时简单心理护理,试验组在此基础上根据病人病情发展阶段自理能力的不同,应用Orcm自理模式进行护理。两组均于入院时及出院后随访1年,采用美国流调中心的抑郁自评量表(CES-D)进行评估,比较两组患者抑郁症状改善情况、住院时间、随访1年再住院率及死亡率的差异。结果试验组治疗后抑郁自评量表评分为13.8±3.9,住院时间为10.3±3.2(d),随访1年再住院率为30%,病死率为13.3%;对照组分别为16.9±4.7,13.1±4.1(d),66.7%和30%,两组比较有显著性差异(P<0.05)。结论Orem自理模式用于肝硬化病人的护理有较好的效果,该护理模式有待进一步推广和应用。更多还原

【Abstract】 Objective To study the nursing effect of Orem selfmanage model using in the hepatocirrhosis misreply stage patient.Methods Divided the 60 cases of hepatocirrhosis misreply stage patients into experiment group and control group equally. The control group were done the routine treatment and simply mental nursing when they came into the hospital. According to the disease development stage and selfmanage ,the experiment group were using the Orem model to nurse.The two groups were visited one year after they leave hospital, and evaluated by CES-D table, compared with the change degree of blahs, the duration in hospital, the rate of coming into hospital again and mortality of the two groups. Results In experiment group, blahs selfreview grade is 13.8±3.9, the duration of hospital is 10.3±3.2 d,the rate of coming into hospital again is 30%, the mortality is 13.3%. In the control group is 16.9±4.7, 13.1±4.1 d, 66.7% and 30%, the comparison is significantly(P<0.01).Conclusion Orem selfmanage model used in the hepatocirrhosis has better effect, the model is await to be spread and using.更多还原