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Orem自理模式在尿毒症合并心力衰竭患者血液透析治疗中的应用

武红娟 万炜娟

保健医学研究与实践2024,Vol.21Issue(Z1):256-259,4.
保健医学研究与实践2024,Vol.21Issue(Z1):256-259,4.DOI:10.11986/j.issn.1673-873X.2024.S1.60

Orem自理模式在尿毒症合并心力衰竭患者血液透析治疗中的应用

Application of Orem's self-care model in hemodialysis for uremic patients with heart failure

武红娟 1万炜娟1

作者信息

  • 1. 三二〇一医院重症医学科,陕西 汉中 723000
  • 折叠

摘要

Abstract

Objective To investigate the effects of applying Orem's self-care model during hemodialysis in uremic patients complicated with heart failure.Methods From October 2021 to October 2024,100 uremic patients with heart failure under-going hemodialysis at our hospital were enrolled and randomly assigned(by drawing lots)to an observation group or a con-trol group(n=50 each).The observation group received nursing guided by Orem's self-care model,while the control group received routine nursing.Intervention outcomes were compared between the two groups.Results After intervention,the observation group exhibited significantly higher scores on the Barthel Index,Activities of Daily Living(ADL)scale,and all domains of the Generic Quality of Life Inventory-74(GQOL-74)compared to the control group(P<0.05).The incidence of complications was also significantly lower in the observation group than in the control group(P<0.05).Conclusion The use of Orem's self-care model in uremic patients with heart failure undergoing hemodialysis effectively promotes patients'self-care abilities,improves their quality of life,and reduces the occurrence of complications.

关键词

尿毒症/心力衰竭/血液透析/Orem自理模式

Key words

Uremia/Heart failure/Hemodialysis/Orem's self-care model

分类

医药卫生

引用本文复制引用

武红娟,万炜娟..Orem自理模式在尿毒症合并心力衰竭患者血液透析治疗中的应用[J].保健医学研究与实践,2024,21(Z1):256-259,4.

保健医学研究与实践

OACSTPCD

1673-873X

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