Orem自护理论对脑中风偏瘫患者自护能力和生活质量的影响研究

EFFECT OF OREM SELF- CARE THEORY ON SELF- CARE ABILITY AND LIFE QUALITY IN STROKE PATIENTS WITH HEMIPLEGIA

目的探讨Orem自护理论对脑中风偏瘫患者自护能力和生活质量的影响。方法将该院收治的90例脑中风偏瘫患者随机分为干预组和对照组各45例,对照组采用常规护理方法;干预组按照Orem自护理论实施护理干预。比较二组患者护理后日常生活能力、焦虑情绪、社会支持水平和生活质量。结果护理后二组患者BI评分显著增加,SAS评分显著降低(P<0.05),其中护理后干预组BI、SAS评分显著优于对照组,二组间相比差异具有统计学意义(P<0.05);护理后干预组各SSRS评分指标显著高于对照组(P<0.05);护理后二组患者角色功能、社会功能、身体功能、情绪功能以及总生活质量评分均显著高于对照组,组间相比差异具有统计学意义(P<0.05)。结论 Orem自护理论应用于脑中风偏瘫患者能够提高患者的自护能力能和生活质量,值得临床推广。

Objective To explore the effect of orem self- care theory on selfcare ability and life quality in stroke patients with hemiplegia. Methods Ninety cases of stroke with hemiplegia patients treated in author ＇s hospital were randomly divided into intervention group and control group, 45 cases in each group, the control group underwent conventional methods of care, while the intervention group received nursing intervention according to the orem self- care theory. The ability of daily life, anxiety, social support and quali- ty of life of two groups were compared after nursing. Results After nursing, two groups of patients with a BI score increased significantly, SAS score decreased significantly （P〈0.05）, and BI, SAS score was significantly better in the intervention groups than the control group, the difference was statistical significance （P〈0.05）. After nursing, the SSRS score in the intervention group was significantly higher than the control group （P〈0. 05）, and patients role function, social function, physical function, emotional function and the total score of quality of life were also significantly higher in the intervention group than those in the control group, the difference was statistically significance （P〈0.05）. Conclusion Orem self - care theory applied to hemiplegic stroke patients can improve the ability of patients to self - care and quality of life, it is worthy of promotion.