Orem自理理论应用于老年脑梗死患者的效果及对生活能力和认知功能的影响

Effect of Orem Self-care Theory on Elderly Patients with Cerebral Infarction and Their Effects on Life Ability and Cognitive Function

目的:探究对老年脑梗死患者进行Orem自理干预后患者的生活能力及认知功能变化情况。方法:将103例随机分为2组,观察组52例进行Orem自理干预,对照组51例行常规干预,对比出院1月末2组患者生活能力、神经功能缺损评分(NIHSS)、自我效能及认知功能情况。结果:出院1月末观察组神经功能缺损评分(NIHStrokescale,NIHSS)低于对照组,差异有统计学意义(P<0.05);ADL评分、自我效能评分及MOCA评分均高于对照组,差异有统计学意义(均P<0.05)。结论:Orem自理理论用于老年脑梗死患者的干预,可提高患者自我效能,改善患者生活能力、神经、认知等功能,患者康复效果良好。

Objective： To explore the changes in living ability and cognitive function of patients with cerebral in- farction after Orem self-care intervention. Method： 103 cases were randomly divided into 2 groups. 52 patients in the observation group underwent Orem self-care intervention, in the control group, 51 patients underwent routine inter- vention. Comparing the life ability, neurological deficit score （ NIHSS ）, self-efficacy and cognitive function of the two groups at the end of January. Results： The NIH Stroke scale （ NIHSS ） was lower in the observation group than in the control group at the end of January, and the difference was statistically significant （ P〈0.05 ）. The ADL score, self- efficacy score and MOCA score were higher than the control group, and the difference was statistically significant （ P〈0.05 ）. Conclusion： Orem self-care theory is used for the intervention of elderly patients with cerebral infarction, which can improve the patient＇ s self-efficacy, improve the patient＇ s life ability, nerves, cognition and other functions, and the patient＇ s rehabilitation effect is good.