Orem支持教育系统对脑卒中偏瘫患者自我管理能力及希望水平的影响

Effect of Orem Support Education System on Self-management Ability and Hope Level in Patients with Stroke Hemiplegia

目的:探讨奥瑞姆(Orem)支持教育系统对脑卒中偏瘫患者自我管理能力及希望水平的影响。方法:将2018年7月1日~2020年7月1日收治的80例脑卒中偏瘫患者,按照随机数字表法分为观察组43例和对照组37例,对照组接受常规护理干预,观察组在常规基础上接受基于Orem支持教育系统的护理干预;比较两组干预前后步态及平衡功能[采用Tinetti步态评估量表、Berg平衡量表(BBS)]、生活质量[采用脑卒中专用生活质量量表(SS-QOL)]、自我管理能力和希望水平。结果:干预后,两组Tinetti、BBS、SS-QOL、自我管理能力、希望水平评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01,P<0.05)。结论:Orem支持教育系统可改善脑卒中偏瘫患者的步态及平衡功能,提开患者自我管理能力和希望水平,改善生活质量。

Objective:To explore the effect of the Orem support education system on self-management ability and hope level in patients with stroke hemiplegia.Methods:A total of 80 patients with stroke hemiplegia admitted during July 1,2018 to July 1,2020 were divided into the observation group with 43 cases and the control group with 37 cases by the random number table method.The control group was given routine nursing,while the observation group was given nursing intervention based on Orem support education system on basis of the control group.The gait by Tinetti gait scale,balance function by Berg balance scale(BBS),quality of life by SS-QOL,self-management ability and hope level before and after intervention were compared between the two groups.Results:After intervention,the scores of Tinetti,BBS and SS-QOL were higher than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.01,P<0.05).Conclusion:Orem support education system can significantly improve the gait and balance function in patients with stroke hemiplegia,improve self-management ability and hope level,and thus improve their quality of life.