摘要
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(P<0.05)。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。
Objective To investigate application of rehabilitation care guidance based on Orem-based self-care theory for cerebral infarction patients with hemiptegia. 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. Hospi- talization 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 In- dex 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 obser- vation group were lower than the control group, muscle strength, aphasia function, level of social sup- port, anxiety and self-care ability were siguificantly better than the control group, and the differences were statistically significant （P 〈 0.05 ）. Conclusion Rehabilitation care guidance based on Orem- based 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.
出处
《实用临床医药杂志》
CAS
2017年第2期4-6,16,共4页
Journal of Clinical Medicine in Practice
基金
四川省成都市重点科研项目(2015ZC27)
关键词
OREM自理理论
脑梗死
偏瘫
家庭护理
Orem-based self-care theory
cerebral infarction
hemiplegia
home care
