基于Orem理论为指导的延续性护理对老年帕金森病患者的影响

The effect of continuous nursing based on Orem theory on elderly patients with Parkinson's disease

目的探讨基于Orem理论为指导的延续性护理对老年帕金森病患者自护能力、肢体功能及依从性的影响。方法选取2017年1月至2018年1月我院收治的老年帕金森病患者72例,将其随机等分为观察组与对照组,对照组给予常规护理,观察组在此基础上实施基于Orem理论为指导的延续性护理,比较两组患者干预前后自我护理能力测定量表(ESCA)、Fugl-Meyer运动功能评定量表(FMA)评分及依从性。结果干预后2个月观察组ESCA评分、FMA评分、依从性均高于对照组P <0. 05)。结论基于Orem理论为指导的延续性护理可提高老年帕金森病患者自护能力与依从性,改善肢体功能,值得临床推广应用。

Objective To explore the effects of continuous nursing based on Orem theory on self-nursing ability,limb function and compliance of elderly patients with Parkinson's disease.Methods A total of 72 elderly patients with Parkinson's disease who were admitted to our hospital from January 2017 to January 2018 were randomly divided into observation group and control group with the same number of patients.The control group was given routine nursing,while the observation group was given continuous nursing based on Orem theory on the basis of the control group.The exercise of self-care agency scale(ESCA),Fugl-Meyer motor assessment(FMA)scores and compliance before and after intervention in the two groups were compared.Results The ESCA score,FMA score,and compliance of the observation group were higher than those of the control group at 2 months after the intervention(P<0.05).Conclusion Continuous nursing based on Orem theory can improve self-nursing ability and compliance of patients.Meanwhile,it can improve limb function in elderly patients with Parkinson's disease,which was worthy of clinical promotion and application.