Orem护理系统理论在脑卒中患者并发酒精戒断综合征的应用

Application effects of Orem self-care theory in patients with stroke and alcohol withdrawal syndrome

目的探讨Orem护理系统理论在脑卒中并酒精戒断综合征患者中的应用效果。方法将50例脑卒中并酒精戒断综合征患者随机分为观察组和对照组，各25例，对照组采取常规的护理干预措施，观察组在此基础上应用Orem护理系统模式进行护理干预：ADLII力评分≤40分者，实施①环境及人身安全护理（如上床栏，必要时使用保护性约束或适当的镇静剂）；②加强意识、思维、认知观察；③避免激惹因素。ADL能力评分60～41分者，行肢体功能训练指导，坐、卧姿势，进食等的指导，干预三周后比较两组患者的Et常生活能力（ADL），并观察两组患者在住院期间护理并发症的发生率。结果观察组ADL得分高于对照组t=4．254。而误吸、肺部感染、压疮较对照组发生率低，f检验值分别为2．257、2．038、2．085。结论将Orem护理系统理论应用于脑卒中并酒精戒断综合症患者的护理，可调动患者及家属的积极性，提高患者的生活质量，实现患者的自我护理和康复。

Objective To investigate the effect of Orem self-care theory in patients with stroke and alcohol withdrawal syndrome. Methods 50 patients with stroke and alcohol withdrawal syndrome were randomly divided into observation group and control group（n=25）, cases in the control group took regular nursing care interventions, while the observation group had additional Orem self-care model of nursing intervention on the basis of regular nursing care： For those with activities of daily living （ADL） ability score = 40 points, the following implementation were conducted：~ Environmental and personal safety care （such as bedrails, if necessary, the use of protective restraint or sedative~ Strengthening awareness, thinking, cognition observation; ~Avoiding the irritation factor.Those with ADL score of 60-41 points, took the limb function training guidance, sitting or lying posture, eating guidance, 3 weeks later 2 groups were compared with ADL, and patients were observed on nursing complications during hospitalization. Results The ADL score of observation group was higher than that of the control group t=4.254, and aspiration, pulmonary infection and pressure sores had lower incidence than those in control group, with t=-2.257,2.038, 2.085 respectively. Conclusion Applying the Orem self-care theory to patients of stroke with alcohol withdrawal syndrome, can mobilize the enthusiasm of patients and their families to achieve self-care and rehabilitation, and improve the quality of life of patients.