Orem自理模式护理干预在血液透析致心力衰竭患者中的应用
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冯霞
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扬中市人民医院，江苏镇江，212200
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摘要：目的 探究Orem自理模式护理干预在血液透析致心力衰竭患者中的应用效果 。方法 自2024年1 月至2025 年3 月期间选取我院的86 例血液透析致心力衰竭患者开展研究，按照随机数字表法将其分为两组：对照组（n ＝ 43）实施常规护理，观察组（n ＝ 43）在此基础上实施Orem 自理模式护理干预。对比两组的护理效果，包括自我护理能力、健康行为、生活质量、再入院率。结果 护理后，观察组SMSH 评分较对照组高（P ＜ 0.05）。观察组SRAHP 评分较对照组高（P ＜ 0.05）。观察组SF-36 评分高于对照组（P ＜ 0.05）。观察组再入院率为（2.50%），低于对照组的（20.0%），对比差异显著（P＜0.05）。结论 Orem自理模式护理干预效果更理想，有效增强血液透析致心力衰竭患者自我管理能力，以改善其健康行为，提升生活质量水平，降低再入院率，值得推广。
关健词：血液透析；心力衰竭；临床护理；Orem自理模式；应用效果
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Application of Orem self-care mode nursing interventionin hemodialysis-induced heart failure patients
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Xia Feng
Yangzhong People's Hospital, Zhenjiang, Jiangsu, 212200 , China
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Abstract：Objective To investigate the effectiveness of Orem Self-Care Model nursing intervention in hemodialysis-inducedheart failure patients. Methods From January 2024 to March 2025,86 hemodialysis-induced heart failure patients were enrolledin our hospital. Patients were randomly assigned to two groups using a random number table: the control group (n=43) receivedconventional nursing care, while the observation group (n=43) received Orem Self-Care Model nursing intervention. The nursingoutcomes were compared in terms of self-care ability, health behaviors, quality of life, and readmission rates. Results Afternursing intervention, the observation group showed significantly higher SMSH scores (P<0.05) compared to the control group.The observation group also demonstrated higher SRAHP scores (P<0.05) and better SF-36 scores (P<0.05). The readmissionrate in the observation group was 2.50%, significantly lower than the control group’s 20.0% (P<0.05). Conclusion The OremSelf-Care Model nursing intervention demonstrated superior efficacy in enhancing self-management capabilities among hemodialysis-induced heart failure patients, improving health behaviors, elevating quality of life, and reducing readmission rates. Thisapproach is worthy of promotion.
Keywords : hemodialysis; heart failure; clinical nursing; Orem self-care model; application effect
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