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

摘要

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.%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。