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目的分析和探讨Orem自理模式对患者的膀胱自我管理能力、生活质量、膀胱功能、泌尿系感染率的影响。方法将34例间歇性导尿患者采用Orem自理模式的3个护理系统进行干预,让患者参与间歇性导尿。对比患者干预前、干预后12周的自我管理能力、生活质量、膀胱功能及泌尿系感染情况。结果干预后患者的自我管理能力、生活质量、膀胱功能均明显优于干预前(P<0.05),泌尿系感染发生率比较差异无统计学意义(P>0.05)。结论 Orem自理模式能够提高患者的膀胱自我管理能力及患者的生活质量,改善患者的膀胱功能,且不增加患者的泌尿系感染率,帮助间歇性导尿患者尽快回归社会。
Objective To analyze and discuss the effect of Orem self-care model on bladder self-management ability, quality of life, bladder function and urinary tract infection rate. Methods 34 cases of intermittent catheterization patients using Orem self-care model of three interventions, so that patients involved in intermittent catheterization. Comparing patient self-management ability, quality of life, bladder function and urinary tract infection before intervention, 12 weeks after intervention. Results After intervention, self-management ability, quality of life and bladder function were significantly better than those before intervention (P <0.05). There was no significant difference in the incidence of urinary tract infection between two groups (P> 0.05). Conclusion Orem self-care model can improve bladder self-management ability and quality of life of patients, improve bladder function of patients without increasing the urinary tract infection rate of patients and help patients with intermittent urinary catheter return to society as soon as possible.