Orem自理学说在脑卒中患者临床护理中的应用与探讨

Application of Orem's theory of self- nursing in clinical nursing of patients with brain stroke

目的:分析护理方式对脑卒中患者自护能力的影响。方法:采用随机分组的方法,观察组以Orem自理学说为理论框架,依据马斯洛的需要层次论,针对疾病作用于人体所引起的生理、心理、社会的反应,运用护理程序,围绕护理目标、实施护理计划;与同期住院按分级护理标准,实施护理计划的对照组比较.结果:两组的并发症有高度显著性差异(P<0.01)两组的后遗症有显著性差异(P<0.05)。结论:自我护理具有较强的针对性,有利于实现护患双方共同的目标,降低并发症和致残率。

Objective To analyse effects of different nursing on the ability of self- nursing of patients with brain stroke .Methods Patients were randomly divided into treatment and control group. In the frameworks of Orem's self- nursing theory and Maslow's hierarchical theory of needs, nursing methods with the specific nursing objectives were applied to the treatment group to deal with physiological, psychological and social responses of patients due to the disease; Comparison was made with patients in the control group who were nursed according to clinical classification and were admitted at the same time as the patients in the treatment group. Results Differences in clinical complication and sequelae between the treatment and control group are both highly significant(P<0.01). Conclusion Self- nursing is a specific nursing method which assists realization of the shared objectives of nurses and patients and reduces rates of clinical complications and disabilities.