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目的探讨奥瑞姆自理理论对癫痫患儿病情控制及心理状态的的影响。方法选取西峡县人民医院2014年3月—2016年2月收治的75例癫痫患儿,随机分为对照组37例,观察组38例。对照组予以癫痫常规护理,观察组予以基于奥瑞姆自理理论护理。随访6个月,统计对比两组病情控制效果及护理前后心理状态(采用HAMA、HAMD评分)。结果观察组病情控制总有效率97.37%,明显高于对照组78.38%,差异有统计学意义(P<0.05)。护理前两组焦虑、抑郁评分比较,差异均无统计学意义(P>0.05);与对照组比较,护理后观察组抑郁、焦虑评分较低,差异有统计学意义(P<0.05)。结论奥瑞姆自理理论护理应用于癫痫患儿中,可有效控制患儿病情发展,改善患儿不良心理状态。
Objective To investigate the influence of Orrim self-care theory on the condition control and psychological status in children with epilepsy. Methods Seventy-five children with epilepsy who were treated in Xixia County People’s Hospital from March 2014 to February 2016 were randomly divided into control group (37 cases) and observation group (38 cases). The control group was given routine care of epilepsy, the observation group was based on Orem self-care theory. After 6 months of follow-up, statistics were made to compare the two groups’ condition control effect and psychological status before and after nursing (using HAMA, HAMD score). Results The total effective rate of disease control in observation group was 97.37%, which was significantly higher than that in control group (78.38%), the difference was statistically significant (P <0.05). There was no significant difference in anxiety and depression scores between the two groups before nursing (P> 0.05). Compared with the control group, depression and anxiety scores of the observation group after nursing were lower (P <0.05). Conclusion Orim self-care theory applied to children with epilepsy, which can effectively control the development of children’s condition and improve children’s bad psychological state.