Orem自理理论在老年颅内血肿患者护理中的实施效果分析

Analysis of the Orem Self-care Theory Theory in Elderly Patients with In-tracranial Hematoma Care

目的探讨Orem自理理论应用到老年颅内血肿患者的护理中的护理疗效。方法选取该院2013年1月—2014年12月期间的老年颅内血肿患者122例,按照随机数字表分组法分为2组(命名为观察组和对照组),每组都是61例,两组都给予常规治疗,对照组给予综合护理,观察组在对照组护理基础上根据Orem自理理论实施护理,观察两组护理效果。结果观察组患者护理后改良Barthel指数评分和日常生活能力评分改善情况优于对照组、并发症发生率低于对照组、护理满意度都优于对照组,差异具有统计学意义(P<0.05)。结论采用Orem自理理论应用于老年颅内血肿患者的临床护理中,可以有效提高患者自护能力,减少并发症发生,提高护理质量,值得广泛应用。

Objective To investigate the Orem self-care theory care benefits to elderly patients with intracranial hematoma.Methods We hospital in January 2013- Elderly patients with intracranial hematoma in December 2014 during the 122 cases, with randomly divided into 2 groups（named for the observation group and the control group） were 61 cases, two group were given conventional treatment, control group received comprehensive care, observation group on the basis of comprehensive care in accordance with the implementation of the Orem self-care theory, nursing effects were observed. Results The patient care after the Barthel index score and activities of daily living to improve the situation are better than the control group, the complication rate is lower than in the control group, satisfaction with care are better than the control group,the differences were statistically significant（P〈0.05）. Conclusion The orem self-care theory in clinical care of patients with intracranial hematoma in the elderly, can effectively improve patient self-care, reduce complications and improve quality of care, worthy of wider application.