基于Orem自理理论的康复护理指导脑梗死偏瘫患者应用研究

目的探讨采用Orem自理理论的康复护理指导脑梗死偏瘫患者家庭护理的应用研究。方法选取582例入住神经内科脑梗死患者,经CT诊断确证后,随机分为观察组和对照组各291例。对照组采用常规方法护理,观察组采用Orem自理理论的康复护理干预,比较2组住院时间、住院费用,出院时对患者的肌力、失语功能进行评定,采用社会支持评定量表(SSRS)、焦虑自评量表(SAS)、日常生活指数(ADL)评定脑梗死偏瘫患者的社会支持水平、焦虑程度、自理能力并进行比较。结果护理治疗结束后,观察组住院时间及住院治疗费用均较对照组低,患者的肌力、失语功能均优于对照组,患者的社会支持水平、焦虑程度和自理能力也显著好于对照组(P0.05)。结论 Orem自理理论的康复护理应用于脑梗死偏瘫患者家属家庭护理中,能显著缩短住院时间、降低治疗费用,提高患者的社会支持水平和日常自理能力,焦虑情绪显著降低,生活质量得到提高。

Application of rehabilitation care guidance based on Orem-based self-care theory for cerebral infarction patients with hemiplegia

Objective To investigate application of rehabilitation care guidance based on Orem-based self-care theory for cerebral infarction patients with hemiplegia.Methods A total of 582 patients with cerebral infarction confirmed by CT were randomly divided into observation group (n =291) and control group (n =291).Patients in the control group used conventional method,and the observation group was given rehabilitation nursing intervention based on Orem self-care theory.Hospitalization time,cost of hospitalization,the muscle strength and aphasia function at discharge were compared.The Social Support Rating Scale (SSRS),Self-rating Anxiety Scale (SAS),and the Index of Daily Life (ADL) were applied to respectively assess the level of social support,anxiety,and self-care ability.Results After treatment,hospitalization time and hospitalization costs in the observation group were lower than the control group,muscle strength,aphasia function,level of social support,anxiety and self-care ability were significantly better than the control group,and the differences were statistically significant (P ＜ 0.05).Conclusion Rehabilitation care guidance based on Orembased self-care theory can significantly shorten hospital stays,reduce treatment costs and anxiety,and improve the level of social support,quality of life and daily self-care ability.