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目的探讨Orem自理理论在老年痴呆患者中的应用效果。方法选取华北理工大学附属医院2014年12月—2015年12月老年痴呆患者118例,随机分为二组,对照组患者59例实施常规护理,观察组患者59例实施Orem自理理论,于护理前后给予患者简易精神量表(MMSE)、生活质量(QOL)、日常活动能力(ADL)评定,比较二组患者的并发症及满意度。结果观察组患者护理3个月、6个月、9个月、12个月时MMSE评分、QOL评分、ADL评分高于对照组。观察组患者并发症发生率(3.4%)低于对照组(15.3%)。观察组患者满意度(94.9%)高于对照组(83.1%),差异有统计学意义(P<0.05)。结论 Orem自理理论在老年痴呆患者中的应用效果显著,可大幅提升患者的自护能力,值得临床推广使用。
Objective To explore the application of Orem self-care theory in patients with Alzheimer’s disease. Methods 118 cases of Alzheimer’s disease in Affiliated Hospital of North China Polytechnic University from December 2014 to December 2015 were randomly divided into two groups, 59 cases in control group were given routine nursing, and 59 cases in observation group were administered Orem self-care theory. Before and after nursing Patients were assessed for MMSE, QOL, and ADL. Complications and satisfaction were compared between the two groups. Results The scores of MMSE, QOL and ADL in the observation group were higher than those in the control group at 3 months, 6 months, 9 months and 12 months. The incidence of complications in the observation group (3.4%) was lower than that in the control group (15.3%). The satisfaction degree of patients in the observation group (94.9%) was higher than that of the control group (83.1%), the difference was statistically significant (P <0.05). Conclusion Orem self-care theory in patients with Alzheimer’s disease has a significant effect, which can significantly improve the patient’s self-care ability, worthy of clinical promotion and use.