奧瑞姆護理模式干預糖尿病及并發(fā)癥

論文編號:HL210 論文字數(shù):8860,頁數(shù):28

論文題目：奧瑞姆護理模式干預糖尿病及并發(fā)癥
摘 要
 目的：為了提高糖尿病患者的遵醫(yī)行為和自護能力，改善和提高糖尿病患者血脂、血糖等疾病控制情況，我們進行了本課題的研究。旨在為糖尿病患者的護理和疾病防治提供新的醫(yī)療模式和手段。
 方法：篩選符合條件的2型糖尿病患者90名為研究對象，隨機分為觀察組、對照組，觀察組45名患者給予奧瑞姆護理模式干預，對照組45名患者給予常規(guī)護理模式干預。問卷調(diào)查比較干預前后兩組患者的遵醫(yī)行為及自護能力，對護理的滿意度，并對患者血糖、糖化血紅蛋白、血脂等代謝指標進行干預前后的評估。
 結(jié)果：
 1.經(jīng)奧瑞姆護理模式干預后患者從被動接受治療護理轉(zhuǎn)為主動參與，自護能力顯著提高。
 2.干預前兩組患者的平均血糖值、糖化血紅蛋白值和血脂水平均高于正常值，研究對象存在高血糖和脂代謝紊亂的情況。觀察組干預2個月時血糖較前下降明顯,與對照組相比出現(xiàn)明顯差異（t=5.278,p<0.01），6個月后兩組相比差異顯著（t=57.267,p<0.001）；糖化血紅蛋白在干預6個月后兩組出現(xiàn)明顯差異(t=9.215,p<0.01)；觀察組血脂的各項指標控制在干預4個月后下降明顯，與對照組出現(xiàn)差異(t=6.210,p<0.05)，干預6個月后兩組出現(xiàn)明顯差異(t=6.342,p<0.01)。
 3.患者對奧瑞姆護理模式干預感到滿意。干預研究6個月時僅1例感覺一般，干預結(jié)束時滿意度達到100%。
 結(jié)論：
    1.奧瑞姆護理模式是值得臨床推廣的一種護理模式，它滿足了患者的健康需求。
 2.奧瑞姆護理模式提高了患者的自我管理能力和遵醫(yī)行為。
    3.奧瑞姆護理模式改善了患者的糖尿病控制情況，增進了護患關(guān)系。
 
 關(guān)鍵詞：奧瑞姆護理模式；自護能力；糖尿病控制情況
 論文類型：類實驗研究
  
 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 錄
1 緒論
1.1背景及意義………………………………………………………………………….1
1.2研究目的及目標…………………………………………………………………….1
 1.3關(guān)鍵詞及定義……………………………………………………………………….1
 1.4文獻回顧…………………………………………………………………………….2
2 研究設(shè)計
2.1研究對象…………………………………………………………………………… 3
2.2一般資料…………………………………………………………………………… 3
 2.3研究方法…………………………………………………………………………….4
 2.4代謝指標評估……………………………………………………………………… 4
 2.5統(tǒng)計分析…………………………………………………………………………… 4
 2.6研究步驟
    2.6.1觀察組………………………………………………………………………... 5
    2.6.2對照組…………………………………………………………………………6
3 研究結(jié)果…………………………………………………………………………………...7
4 討論……………………………………………………………………………………… 11
5 推論及建議
5.1推論………………………………………………………………………………...15
 5.2建議……………………………………………………………………………….. 15
致    謝 17
參考文獻 19
聲明………………………………………………………………………………………….25