[1]吴辉霞,陈文霞,卢雪珍,等.Orem自我护理模式对慢性精神分裂症患者幸福感及自尊行为的影响[J].齐鲁护理杂志,2014,20(13):1-3.
　Wu Huixia,Chen Wenxia,Lu Xuezhen,et al.Effect of Orem self-care model on the SWB and self-esteem behavior of patients with chronic schizophrenia[J].Journal of Qilu Nursing,2014,20(13):1-3.
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Orem自我护理模式对慢性精神分裂症患者幸福感及自尊行为的影响()

《齐鲁护理杂志》[ISSN:1006-7256/CN:37-1257/R]

Title:: Effect of Orem self-care model on the SWB and self-esteem behavior of patients with chronic schizophrenia

Author(s):: Wu Huixia; Chen Wenxia; Lu Xuezhen; et al; (Huizhou Municipal Veteran Hospital,Huizhou Guangdong 516008,P.R.China)

关键词:: ; OremOrem自我护理模式' target='_blank'> FONT-FAMILY: 宋体">自我护理模式; 精神分裂症; 幸福感; 自尊行为

Keywords:: ; Orem self-care' target='_blank'> FONT-FAMILY: ’Times New Roman’">Orem self-care; Schizophrenia; Subjective well-being; Self-esteem behavior

摘要:: 目的：探讨 Orem 自我护理模式对慢性精神分裂症患者幸福感及自尊行为的影响。方法：选取 2011 年 2 月 ~2012 年 1 月收治的 42 例慢性精神分裂症患者为对照组，开展常规精神科护理；选取 2012 年 2 月 ~2013 年 1 月收治的 44 例慢性精神分裂症患者为研究组，在常规护理基础上采用 Orem 自我护理模式。比较两组干预前后观察量表 (NOSIE) 、自尊量表 (SES) 及总体幸福感量表 (GWB) 评分。结果：干预后研究组社会能力、社会兴趣、个人卫生评分高于对照组（ P<0.05 ），激惹、精神症状、退缩及抑郁评分低于对照组（ P<0.05 ）。干预后研究组 SES 和 GWB 评分均高于对照组（ P<0.05 ）。结论： Orem 自我护理模式应用于精神分裂症患者中，能有效提高其自尊行为，并提升幸福感，改善生活质量。

Abstract:: Objective:To explore the effect of Orem self-care model on the subjective well-being(SWB)and self-esteem behavior of patients with chronic schizophrenia.Methods:42 patients with chronic schizophrenia(admitted to hospital from February 2011 to January 2012)were taken as the control group and other 44 patients with chronic schizophrenia(admitted to hospital from February 2012 to January 2013)were taken as the study group.The patients in the control group received routine psychiatric nursing care and Orem self-care model was adopted in the study group based on routine nursing care.The scores of NOSIE,SES and GWB were compared between the two groups before and after the intervention.Results:The scores of sociability,social interest and personal hygiene were higher in the study group than the control group after the intervention(P<0.05);the scores of irritability,mental symptoms,social withdrawal and depression were lower in the study group than those in the control group(P<0.05);the SES and GWB scores were higher in the study group than the control group after the intervention(P<0.05).Conclusion:The Orem self-care model can effectively improve the self-esteem behavior,enhance the subjective well-being and improve the quality of life of patients with chronic schizophrenia.

［1］王爱芹，魏春香，王责山.Orem自理模式对精神分裂症患者自理能力和自尊及总体幸福感的影响［J］.精神医学杂志，2010,23（4）：293-294

［2］杨惠青，王锋锐，李伟丽.护士用住院患者观察量表在精神科的应用价值［J］.中国医学创新,2012,9(19):129-130

［3］雷慧,王亦娜,张雷,等.Pepulau人际关系理论对精神科护理的贡献及面临的挑战［J］.护士进修杂志，2012,27（17）：1602-1605

［4］尹燕，张蓉，詹少虹，等.三级护理评估在精神科护理中的应用效果研究［J］.中国医学创新,2012,9(13):68-70

［5］崔莉敏，段隆芳.SHEL模式在预防精神科护理不良事件中的应用效果观察［J］.海南医学，2012,23（15）：146-147

［6］刘香菊，米国琳.创建精神科“优质护理服务示范病房”的做法与效果［J］.精神医学杂志，2011,24（5）：365-369

［ 7 ］陈红艳 . 告知程序在精神科护理中的应用［ J ］ . 中国医药指南 ,2011,9(14):327-328 

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