康复训练联合自理理论对脑卒中患者恢复效果观察

Effect of Rehabilitation Training Combined With Self-Care Theory on Recovery of Stroke Patients

目的探讨脑卒中后康复训练联合自理理论对康复效果的影响。方法抽取我分院神经内科在2017年4月—2018年3月收治的86例脑卒中患者,随机分成两组各43例。对照组患者给予常规康复训练护理,观察组患者给予康复训练联合Orem自理学说理论进行护理干预。对比两组患者干预3个月后的临床效果。结果与干预前相比较,两组患者干预后的SAS评分、ADL评分均明显改善(P <0.05)。与对照组相比较,观察组护理干预后的SAS明显降低,ADL评分明显升高,差异具有统计学意义(P <0.05)。观察组患者护理干预后主观支持、客观支持以及社会支持评分均显著高于对照组,两组对比差异具有统计学意义(P <0.05)。结论在Orem自理理论指导下对脑卒中恢复期患者实施早期康复护理干预,有利于缓解患者的不良心理,提高患者的自我照护能力,改善患者生活质量。

Objective To explore the effect of rehabilitation training combined with self-care theory on rehabilitation outcome after stroke.Methods 86 stroke patients treated in neurology department of Xinglin branch hospital from April 2017 to March 2018 were selected.The 86 patients were randomly divided into two groups,43 in each group.Patients in the control group were given routine rehabilitation training and nursing,while patients in the observation group were given rehabilitation training combined with Orem self-care theory for nursing intervention.The clinical effects of two groups of patients after 3 months intervention were compared.Results Compared with before intervention,SAS score and ADL score of the two groups were significantly improved after intervention(P<0.05).Compared with the control group,the SAS of the observation group decreased significantly after nursing intervention,and the ADL score increased significantly(P<0.05).The scores of subjective support,objective support and social support in the observation group were significantly higher than those in the control group after nursing intervention,and the difference between the two groups was statistically significant(P<0.05).Conclusion Under the guidance of Orem's self-care theory,early rehabilitation nursing intervention for stroke convalescent patients is beneficial to alleviate their bad psychology,improve their selfcare ability and improve their quality of life.