Orem自理模式在脑卒中日常生活功能训练中应用效果评价

目的评价Orem自理模式在脑卒中患者日常生活功能训练中的应用效果。方法选取康复治疗的脑卒中患者134例,随机均分为常规组和Orem自理组(n=67),常规组采取常规护理模式,Orem自理组采取Orem自理护理模式,分别于患者入院时、治疗1个月和2个月时,对患者日常活动和肢体运动能力、生存质量进行评估,于出院时对患者及家属满意度进行调查。结果治疗1个月和2个月时,Orem自理组患者Barthel指数、肢体运动能力和生存质量评分均显著高于常规组,差异均具有统计学意义(P<0.05);出院时,患者及家属满意度为88.1%,显著高于常规组,差异具有统计学意义(P<0.05)。结论 Orem自理模式有助于提高患者自理能力,促进患者肢体运动功能康复,改善患者生存质量。

Objective To investigate the application effect of Orem＇ s self-care mode in daily living training of patiens with stroke. Methods 134 cases of patients with stroke undergoing rehabilitation treatment were randomly divided into conventional group and Orem＇s self-care group. Patients in conventional group were taken regular care model. Patients in Orem＇ s self-care group were taken Orem＇ s self-care model. When patients were admission, and after treatment for 1 and 2 months, the patients＇ daily activities, physical exercise capacity and quality of life were evaluated, respectively. When the patients discharged, the satisfactions of patients and their families were surveyed. Results After treatment for l and 2 months, the scores of Barthel index, physical exercise capacity and quality of life of patients in Orem＇ s self-care group were all higher than the conventional group, the differences were all statistically significant （P〈0.05）. When discharged, the satisfaction of the patients and their families in Orem＇ s self- care group was 88.1%, which was higher than the conventional group, the difference was statistically significant （P〈0.05）. Conclusion Orem＇ s self- care mode could help improve patients＇ self-care capacity, promote the rehabilitation of motor function, and improve the quality of life.