基于家庭关怀的Orem自护模式对脑梗死后遗症者身心生活质量影响

Effect of Orem self-protection model based on family care on physical and mental quality of life in patients with cerebral infarction

中文关键词: 脑梗死后遗症  家庭关怀  自护模式  心理状况  睡眠质量  生活质量

英文关键词: Sequelae of cerebral infarction  Family care  Self-care mode  Psychological status  Sleep quality  Quality of life

中文摘要:

      目的：探讨基于家庭关怀的Orem自护模式对脑梗死后遗症期患者心理状况、睡眠及生活质量影响。方法：选取本院内科2016年1月至2019年6月收治的脑梗死后遗症患者48例，随机均分为对照组和观察组各24例。对照组患者入院后接受常规护理，观察组在常规护理基础上实施基于家庭关怀的Orem自护模式。干预8周，对比两组患者心理状况（焦虑/抑郁自评，SAS/SDS）、睡眠质量(匹兹堡睡眠质量指数量表，PSQI)和生活质量（WHO生存质量测定量表简表，WHOQOL-BREF）评价结果。结果：入院当天，两组SAS/SDS、PSQI、WHOQOL-BREF得分平比较无明显差异（P＞0.05）；干预8周，两组患者SAS/SDS较入院当天明显下降，PSQI及WHOQOL-BREF较入院当天均有明显改善，但观察组患者PSQI及WHOQOL-BREF中生理领域、心理领域、社会关系领域、环境领域及总分均明显优于对照组，差异均有统计学意义（P＜0.05）。 结论：基于家庭关怀的Orem自护模式的运用，可明显改善脑梗死后遗症期患者负性情绪，提高患者睡眠质量及生活质量，有效促进患者疾病康复进程。

英文摘要:

      Objective : To explore the influence of Orem self-protection model based on family care on psychological status, sleep and quality of life in patients with sequelae of cerebral infarction. Methods: Forty-eight patients with cerebral infarction sequelae admitted to our hospital from January 2016 to June 2019 were randomly divided into control group and observation group. The control group received routine care after admission, and the observation group implemented the Orem self-protection model based on family care on the basis of routine care. Intervention for 8 weeks, comparing the psychological status of the two groups (ASS/SDS for anxiety/depression), sleep quality (Pittsburgh sleep quality index, PSQI) and quality of life (WHO Quality of Life Measurement Scale, WHOQOL-BREF) Evaluation results. Results: On the day of admission, there was no significant difference in the scores of SAS/SDS, PSQI and WHOQOL-BREF between the two groups （P＞0.05）. After 8 weeks of intervention, the SAS/SDS of the two groups decreased significantly compared with the day of admission, and PSQI and WHOQOL-BREF were compared. There were significant improvements on the day, but the physiological, psychological, social, environmental, and total scores of PSQI and WHOQOL-BREF in the observation group were significantly better than those in the control group, and the differences were statistically significant（P＜0.05）. Conclusion: The application of Orem self-care mode based on family care can significantly improve the negative emotions of patients with sequelae of cerebral infarction, improve the quality of life and quality of life, and effectively promote the recovery process of patients.