梁琪 田玉菊 崔燕

摘要：目的： 探讨Orem自理护理模式对学龄期支气管哮喘患儿治疗依从性及生活质量的影响。方法：选取在本院接受治疗的学龄期支气管哮喘患儿84例为研究对象，随机分为对照组和观察组各42例，分别给予常规护理及Orem自理护理模式护理，比较两组患儿治疗依从性及生活质量。结果：观察组治疗依从性的比例显著高于对照组（x2=8.163 ，p<0.01）。出院3月两组患儿生活质量（PAQLQ）各维度得分均明显高于入院时（P<0.05）；且观察组PAQLQ各维度得分均明显高手对照组（P

关键词 ：Orem自理护理模式；学龄儿童；支气管哮喘；依从性；生活质量

Abstract ：Objective To probe into the influence of Orem self-care nursing model on treatment compliance and quality of life in school-aged children with asthma.Methods Eighty-four school-aged children with asthma were randomly divided into the observation group and the control group （ 42 cases for each group）. Orem self-care nursing model intervention was applied in observation group and traditional nursing intervention was used in control group.Comparison were made on children about treatment compliance and pediatric asthma quality of life questionnaire（PAQLQ） between two groups.ResultsThe ratio of treatment compliance in observation group was higher than that of control group（x2=8.163 ，p<0.01）.There were statistically significant differences in PAQLQ scores of all children between before and after three-month intervention（P<0.05）；and moreover，PAQLQ scores in observation group weresignificantly higher than those incontrol group.Conclusion Orem self-care nursing model may improve the treatment compliance and quality of life in school-aged children with asthma.

Key words：Orem self-care model；school-aged children；asthma；treatment compliance；quality of life

支气管哮喘（bronchial asthma，简称哮喘）是儿童期最常见的慢性呼吸道疾病，近年来哮喘的发病率呈上升趋势，最新数据表明目前0～14岁城市儿童哮喘患病率为2.09%，已成为威胁儿童健康的主要慢性疾病之一[1]。吸入性激素虽是长期治疗持续性哮喘的首选药物，但非依从性仍是当今社会的严重问题，无法完全遵循医嘱且实施医嘱，达到长期稳定控制哮喘发作、提高患儿生命质量的目的[2]。以往的护理方式往往忽视患儿的主观能动性，对于患儿的自我护理能力利用不足；而Orem自理护理模式（Orem self-care model）有效改進这一缺陷[3]，通过对患儿的自我护理能力进行准确评估后，根据不同自护能力，制定相应的计划并加以实施。本研究应用Orem自理护理模式对学龄期支气管哮喘患儿采取针对性护理措施，有效地提高了其治疗依从性及其生活质量，现报告如下。

1资料与方法

1.1一般资料 选自2012年1月至2015年1月我院儿科收治的支气管哮喘患儿84例，均符合儿童哮喘诊断标准[4]。且符合以下条件：①年龄6～14岁；……