自护模式的应用对脑卒中患者日常生活能力的影响

目的 探讨以奥瑞姆(Orem)自护理论为指导的系统护理干预对急性脑卒中偏瘫患者日常生活能力(ADL)的影响.方法 将263例急性脑卒中患者按入院的先后顺序分为观察组和对照组,观察组患者132例,对照组患者131例.对照组给予神经内科常规康复治疗、护理、健康教育,观察组在此基础上,以Orem自护理论为指导,依据病人及其家...

Effect of self-care application on the ability of daily life of acute stroke patients

Objective To explore the effect of Orem Model on acute stroke patients ' ability of daily life(ADL).Methods In hospitalized sequence,263 patients were divided into observation group(132 cases)and control group(131 cases).Control group was treated with routine rehabilitation treatment,nursing and health education.Observation group was offered with full-compensatory nursing,half-compensatory nursing or support education with guidance of Orem Model according to self-care ability and self-care needs of patients and their family.Every patient's ADL was accessed with Barthel Index(BI)on the time of inclusion(B0),1 month later(B1),three months later(B3)and 6 months(B6)respectively.Results After inclusion the score of ADL was higher than that of the time of inclusion.The score of ADL of observation group was higher than that of control group(P ＜ 0.05).Conclusions Nursing intervention with guidance of self-care can improve stroke patients' ability of daily life.