奥瑞姆护理模式干预糖尿病及并发症

论文编号:HL210 论文字数:8860,页数:28

论文题目：奥瑞姆护理模式干预糖尿病及并发症
摘 要
 目的：为了提高糖尿病患者的遵医行为和自护能力，改善和提高糖尿病患者血脂、血糖等疾病控制情况，我们进行了本课题的研究。旨在为糖尿病患者的护理和疾病防治提供新的医疗模式和手段。
 方法：筛选符合条件的2型糖尿病患者90名为研究对象，随机分为观察组、对照组，观察组45名患者给予奥瑞姆护理模式干预，对照组45名患者给予常规护理模式干预。问卷调查比较干预前后两组患者的遵医行为及自护能力，对护理的满意度，并对患者血糖、糖化血红蛋白、血脂等代谢指标进行干预前后的评估。
 结果：
 1.经奥瑞姆护理模式干预后患者从被动接受治疗护理转为主动参与，自护能力显著提高。
 2.干预前两组患者的平均血糖值、糖化血红蛋白值和血脂水平均高于正常值，研究对象存在高血糖和脂代谢紊乱的情况。观察组干预2个月时血糖较前下降明显,与对照组相比出现明显差异（t=5.278,p<0.01），6个月后两组相比差异显著（t=57.267,p<0.001）；糖化血红蛋白在干预6个月后两组出现明显差异(t=9.215,p<0.01)；观察组血脂的各项指标控制在干预4个月后下降明显，与对照组出现差异(t=6.210,p<0.05)，干预6个月后两组出现明显差异(t=6.342,p<0.01)。
 3.患者对奥瑞姆护理模式干预感到满意。干预研究6个月时仅1例感觉一般，干预结束时满意度达到100%。
 结论：
    1.奥瑞姆护理模式是值得临床推广的一种护理模式，它满足了患者的健康需求。
 2.奥瑞姆护理模式提高了患者的自我管理能力和遵医行为。
    3.奥瑞姆护理模式改善了患者的糖尿病控制情况，增进了护患关系。
 
 关键词：奥瑞姆护理模式；自护能力；糖尿病控制情况
 论文类型：类实验研究
  
 Title: The Orem nursing pattern intervene diabetic and its complications
ABSTRACT
 Objectives:We carry out this study to improve the supervision of people with diabetes and their ability to protect and improve their blood fat and blood sugar for disease control. This study also intends to provide a new pattern for diabetics’ prevention and control.
 Methods: Choosing 90 diabetes II patients to study the Orem caring pattern who reach the required standard, and divide them into group observation and group comparison randomly.45of the patients are given Orem nursing pattern, others regular nursing pattern. Then the researchers compare the compliances with doctors, the level of diabetes, the satisfaction of nursing pattern and flood fat in the two groups before and after the intervention.
 Results:
 1. After the intervention of the Orem caring pattern, the patient can take part in the nursing from actively to passively. Patients’ medical care and the ability increase significantly .
 2. Patients’ blood sugar, HbA1c and flood fat are all higher than standard before intervening. The patients are hyperglycemia and disorder of lipid metabolism. Blood sugar decreases sharply in group observation after two months, having many discrepancies with group comparison (t=5.278, p<0.01). There are many discrepancies in the two group after six months (t=57.267, p<0.001) .Many discrepancies appear in HbA1c in the two group after six months (t= 9.215, p<0.01). Flood fat also declines sharply in group observation after four months, and there are many discrepancies in the two group (t=6.210, p<0.05). Flood fat changes obviously after intervening for six months (t=6.342, p<0.01).
 3. Patients are satisfied with the intervention of the Orem nursing pattern. Only one person regards the nursing pattern as a mediocre one when carrying out it for six months. The satisfaction reached 100℅ when the study was completed.
 Conclusion:
 1.The Orem nursing pattern is worth being widely practiced in clinical otolaryngology. It also can satisfy the demand of patient's needs.
 2. The Orem nursing pattern increase patients’ self-care abilities.
 3. Increasing the relationship between the patients and the nurses, the Orem nursing pattern improve the control of the diabetics.
 
 KEY WORDS : the Orem caring pattern , compliances with doctors, the control of the diabetes cases.
 TYPE OF THESIS:  apply and research

 
目 录
1 绪论
1.1背景及意义………………………………………………………………………….1
1.2研究目的及目标…………………………………………………………………….1
 1.3关键词及定义……………………………………………………………………….1
 1.4文献回顾…………………………………………………………………………….2
2 研究设计
2.1研究对象…………………………………………………………………………… 3
2.2一般资料…………………………………………………………………………… 3
 2.3研究方法…………………………………………………………………………….4
 2.4代谢指标评估……………………………………………………………………… 4
 2.5统计分析…………………………………………………………………………… 4
 2.6研究步骤
    2.6.1观察组………………………………………………………………………... 5
    2.6.2对照组…………………………………………………………………………6
3 研究结果…………………………………………………………………………………...7
4 讨论……………………………………………………………………………………… 11
5 推论及建议
5.1推论………………………………………………………………………………...15
 5.2建议……………………………………………………………………………….. 15
致    谢 17
参考文献 19
声明………………………………………………………………………………………….25